Data / Rankings / Frequent mental distress in adults, local model estimate / Counties in Ohio

Counties in Ohio by frequent mental distress in adults, local model estimate

Holmes County had the highest frequent mental distress in adults, local model estimate of 88 counties in 2022, at 23.2%. Delaware County had the lowest, at 15.8%. The median was 19.4%. Source: the Centers for Disease Control and Prevention.

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Highest23.2Holmes County
Lowest15.8Delaware County
Median19.488 counties

Map of counties, 2022

Adams County: 21.5 %Allen County: 20.3 %Ashland County: 19.8 %Ashtabula County: 19.8 %Athens County: 19.6 %Auglaize County: 17.5 %Belmont County: 20 %Brown County: 20.3 %Butler County: 19.8 %Carroll County: 20.1 %Champaign County: 19.3 %Clark County: 19.7 %Clermont County: 18.2 %Clinton County: 21 %Columbiana County: 19.9 %Coshocton County: 19.9 %Crawford County: 20.5 %Cuyahoga County: 17.5 %Darke County: 19.2 %Defiance County: 18.6 %Delaware County: 15.8 %Erie County: 16.1 %Fairfield County: 19.3 %Fayette County: 21.5 %Franklin County: 18 %Fulton County: 19.2 %Gallia County: 19.6 %Geauga County: 16.4 %Greene County: 18.1 %Guernsey County: 21.1 %Hamilton County: 19.5 %Hancock County: 17.8 %Hardin County: 23.1 %Harrison County: 19.7 %Henry County: 19.2 %Highland County: 21 %Hocking County: 21.4 %Holmes County: 23.2 %Huron County: 17.7 %Jackson County: 20.2 %Jefferson County: 18.9 %Knox County: 19.1 %Lake County: 17.7 %Lawrence County: 21.3 %Licking County: 19.1 %Logan County: 19.6 %Lorain County: 19.6 %Lucas County: 20.6 %Madison County: 20.2 %Mahoning County: 18.9 %Marion County: 20.5 %Medina County: 16.9 %Meigs County: 21.5 %Mercer County: 18.4 %Miami County: 17.8 %Monroe County: 20 %Montgomery County: 19.9 %Morgan County: 19 %Morrow County: 20.8 %Muskingum County: 19 %Noble County: 17.9 %Ottawa County: 16.4 %Paulding County: 20.1 %Perry County: 20.5 %Pickaway County: 19.2 %Pike County: 21.6 %Portage County: 19 %Preble County: 19 %Putnam County: 17.4 %Richland County: 19.4 %Ross County: 21.1 %Sandusky County: 19 %Scioto County: 21.7 %Seneca County: 20.2 %Shelby County: 19.7 %Stark County: 17.2 %Summit County: 17.7 %Trumbull County: 21.1 %Tuscarawas County: 19.3 %Union County: 16.6 %Van Wert County: 18.7 %Vinton County: 22.1 %Warren County: 16.3 %Washington County: 19 %Wayne County: 18.6 %Williams County: 19.2 %Wood County: 19.4 %Wyandot County: 18.1 %
  • Under 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 and over
%, 2022. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Holmes County: 23.2 %Holmes County23.2Hardin County: 23.1 %Hardin County23.1Vinton County: 22.1 %Vinton County22.1Scioto County: 21.7 %Scioto County21.7Pike County: 21.6 %Pike County21.6Adams County: 21.5 %Adams County21.5Fayette County: 21.5 %Fayette County21.5Meigs County: 21.5 %Meigs County21.5Hocking County: 21.4 %Hocking County21.4Lawrence County: 21.3 %Lawrence County21.3Guernsey County: 21.1 %Guernsey County21.1Ross County: 21.1 %Ross County21.1Trumbull County: 21.1 %Trumbull County21.1Clinton County: 21 %Clinton County21Highland County: 21 %Highland County21Morrow County: 20.8 %Morrow County20.8Lucas County: 20.6 %Lucas County20.6Crawford County: 20.5 %Crawford County20.5Marion County: 20.5 %Marion County20.5Perry County: 20.5 %Perry County20.5Allen County: 20.3 %Allen County20.3Brown County: 20.3 %Brown County20.3Jackson County: 20.2 %Jackson County20.2Madison County: 20.2 %Madison County20.2Seneca County: 20.2 %Seneca County20.2Carroll County: 20.1 %Carroll County20.1Paulding County: 20.1 %Paulding County20.1Belmont County: 20 %Belmont County20Monroe County: 20 %Monroe County20Columbiana County: 19.9 %Columbiana County19.9Coshocton County: 19.9 %Coshocton County19.9Montgomery County: 19.9 %Montgomery County19.9Ashland County: 19.8 %Ashland County19.8Ashtabula County: 19.8 %Ashtabula County19.8Butler County: 19.8 %Butler County19.8Clark County: 19.7 %Clark County19.7Harrison County: 19.7 %Harrison County19.7Shelby County: 19.7 %Shelby County19.7Athens County: 19.6 %Athens County19.6Gallia County: 19.6 %Gallia County19.6Holmes County: 23.2 %Holmes County23.2Hardin County: 23.1 %Hardin County23.1Vinton County: 22.1 %Vinton County22.1Scioto County: 21.7 %Scioto County21.7Pike County: 21.6 %Pike County21.6Adams County: 21.5 %Adams County21.5Fayette County: 21.5 %Fayette County21.5Meigs County: 21.5 %Meigs County21.5Hocking County: 21.4 %Hocking County21.4Lawrence County: 21.3 %Lawrence County21.3Guernsey County: 21.1 %Guernsey County21.1Ross County: 21.1 %Ross County21.1Trumbull County: 21.1 %Trumbull County21.1Clinton County: 21 %Clinton County21Highland County: 21 %Highland County21Morrow County: 20.8 %Morrow County20.8Lucas County: 20.6 %Lucas County20.6Crawford County: 20.5 %Crawford County20.5Marion County: 20.5 %Marion County20.5Perry County: 20.5 %Perry County20.5Allen County: 20.3 %Allen County20.3Brown County: 20.3 %Brown County20.3Jackson County: 20.2 %Jackson County20.2Madison County: 20.2 %Madison County20.2Seneca County: 20.2 %Seneca County20.2Carroll County: 20.1 %Carroll County20.1Paulding County: 20.1 %Paulding County20.1Belmont County: 20 %Belmont County20Monroe County: 20 %Monroe County20Columbiana County: 19.9 %Columbiana County19.9Coshocton County: 19.9 %Coshocton County19.9Montgomery County: 19.9 %Montgomery County19.9Ashland County: 19.8 %Ashland County19.8Ashtabula County: 19.8 %Ashtabula County19.8Butler County: 19.8 %Butler County19.8Clark County: 19.7 %Clark County19.7Harrison County: 19.7 %Harrison County19.7Shelby County: 19.7 %Shelby County19.7Athens County: 19.6 %Athens County19.6Gallia County: 19.6 %Gallia County19.6
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Holmes County23.2+3.5 pts
2Hardin County23.1+4.7 pts
3Vinton County22.1+3.2 pts
4Scioto County21.7+3.2 pts
5Pike County21.6+2.8 pts
6Adams County21.5+3.4 pts
6Fayette County21.5+3.8 pts
6Meigs County21.5+3.1 pts
9Hocking County21.4+3.9 pts
10Lawrence County21.3+3.3 pts
11Guernsey County21.1+3.6 pts
11Ross County21.1+3.1 pts
11Trumbull County21.1+4.6 pts
14Clinton County21+3.6 pts
14Highland County21+3 pts
16Morrow County20.8+4.4 pts
17Lucas County20.6+3.1 pts
18Crawford County20.5+3.5 pts
18Marion County20.5+3.6 pts
18Perry County20.5+3.2 pts
21Allen County20.3+3.5 pts
21Brown County20.3+3.1 pts
23Jackson County20.2+2.1 pts
23Madison County20.2+3.9 pts
23Seneca County20.2+3.5 pts
26Carroll County20.1+4.2 pts
26Paulding County20.1+3.7 pts
28Belmont County20+3.7 pts
28Monroe County20+3.4 pts
30Columbiana County19.9+3.1 pts
30Coshocton County19.9+2.5 pts
30Montgomery County19.9+2.3 pts
33Ashland County19.8+2.7 pts
33Ashtabula County19.8+2.3 pts
33Butler County19.8+3.6 pts
36Clark County19.7+2.6 pts
36Harrison County19.7+3 pts
36Shelby County19.7+3 pts
39Athens County19.6-0.4 pts
39Gallia County19.6+1.8 pts
39Logan County19.6+3.3 pts
39Lorain County19.6+3.9 pts
43Hamilton County19.5+3.8 pts
44Richland County19.4+2.3 pts
44Wood County19.4+2.6 pts
46Champaign County19.3+3 pts
46Fairfield County19.3+3.7 pts
46Tuscarawas County19.3+2.7 pts
49Darke County19.2+2.9 pts
49Fulton County19.2+3.4 pts
49Henry County19.2+3.3 pts
49Pickaway County19.2+2.5 pts
49Williams County19.2+2.9 pts
54Knox County19.1+2.1 pts
54Licking County19.1+3.3 pts
56Morgan County19+1.3 pts
56Muskingum County19+1.5 pts
56Portage County19+2.8 pts
56Preble County19+3.1 pts
56Sandusky County19+3.3 pts
56Washington County19+1.8 pts
62Jefferson County18.9+1.6 pts
62Mahoning County18.9+2.4 pts
64Van Wert County18.7+2.5 pts
65Defiance County18.6+2.8 pts
65Wayne County18.6+2 pts
67Mercer County18.4+3.1 pts
68Clermont County18.2+2.5 pts
69Greene County18.1+2.7 pts
69Wyandot County18.1+2.5 pts
71Franklin County18+0.7 pts
72Noble County17.9+2.8 pts
73Hancock County17.8+2.7 pts
73Miami County17.8+2.5 pts
75Huron County17.7+1 pts
75Lake County17.7+2.8 pts
75Summit County17.7+1.5 pts
78Auglaize County17.5+2 pts
78Cuyahoga County17.5+1.7 pts
80Putnam County17.4+3 pts
81Stark County17.2+1.8 pts
82Medina County16.9+2.3 pts
83Union County16.6+1.6 pts
84Geauga County16.4+2.3 pts
84Ottawa County16.4+2 pts
86Warren County16.3+2.4 pts
87Erie County16.1+0.9 pts
88Delaware County15.8+3.1 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence (Counties in Ohio by frequent mental distress in adults, local model estimate, 2022) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Ohio by frequent mental distress in adults, local model estimate, 2022. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Counties in Ohio by frequent mental distress in adults, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Ohio by frequent mental distress in adults, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_ohio_by_2022,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in Ohio by frequent mental distress in adults, local model estimate, 2022}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in Ohio by frequent mental distress in adults, local model estimate, 2022
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties?period=2022.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Ohio by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest frequent mental distress in adults, local model estimate?

Holmes County, with 23.2% in 2022, according to the Centers for Disease Control and Prevention.

Which county has the lowest frequent mental distress in adults, local model estimate?

Delaware County, with 15.8% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Counties in Ohio: more rankings