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

Adair County had the highest frequent mental distress in adults, local model estimate of 77 counties in 2021, at 21.3%. Cimarron County had the lowest, at 14.1%. The median was 17.6%. Source: the Centers for Disease Control and Prevention.

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Highest21.3Adair County
Lowest14.1Cimarron County
Median17.677 counties

Map of counties, 2021

Adair County: 21.3 %Alfalfa County: 15 %Atoka County: 18.5 %Beaver County: 15.5 %Beckham County: 17.5 %Blaine County: 17.2 %Bryan County: 18.6 %Caddo County: 18.7 %Canadian County: 15.8 %Carter County: 18 %Cherokee County: 19.9 %Choctaw County: 19.5 %Cimarron County: 14.1 %Cleveland County: 16.6 %Coal County: 19.1 %Comanche County: 17.6 %Cotton County: 17.5 %Craig County: 18.7 %Creek County: 17.9 %Custer County: 18.2 %Delaware County: 17.9 %Dewey County: 17 %Ellis County: 16.3 %Garfield County: 16.2 %Garvin County: 17.6 %Grady County: 16.5 %Grant County: 16 %Greer County: 17.5 %Harmon County: 16.5 %Harper County: 15.8 %Haskell County: 19 %Hughes County: 18.8 %Jackson County: 16.9 %Jefferson County: 18.3 %Johnston County: 18.6 %Kay County: 18.5 %Kingfisher County: 16.2 %Kiowa County: 18.1 %Latimer County: 18.8 %Le Flore County: 19.4 %Lincoln County: 17.3 %Logan County: 16.4 %Love County: 17.9 %McClain County: 16 %McCurtain County: 19.6 %McIntosh County: 17.8 %Major County: 16 %Marshall County: 17.3 %Mayes County: 18.6 %Murray County: 17.7 %Muskogee County: 19.3 %Noble County: 16.6 %Nowata County: 18 %Okfuskee County: 20.1 %Oklahoma County: 17.4 %Okmulgee County: 18.9 %Osage County: 17.2 %Ottawa County: 19.5 %Pawnee County: 17.5 %Payne County: 20 %Pittsburg County: 18.1 %Pontotoc County: 18 %Pottawatomie County: 18.8 %Pushmataha County: 18.3 %Roger Mills County: 16.8 %Rogers County: 17 %Seminole County: 19.7 %Sequoyah County: 19.7 %Stephens County: 17.3 %Texas County: 17.1 %Tillman County: 17.1 %Tulsa County: 17.1 %Wagoner County: 16.9 %Washington County: 16.7 %Washita County: 16.5 %Woods County: 16.8 %Woodward County: 17.1 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2021. 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, 2021

Adair County: 21.3 %Adair County21.3Okfuskee County: 20.1 %Okfuskee County20.1Payne County: 20 %Payne County20Cherokee County: 19.9 %Cherokee County19.9Seminole County: 19.7 %Seminole County19.7Sequoyah County: 19.7 %Sequoyah County19.7McCurtain County: 19.6 %McCurtain County19.6Choctaw County: 19.5 %Choctaw County19.5Ottawa County: 19.5 %Ottawa County19.5Le Flore County: 19.4 %Le Flore County19.4Muskogee County: 19.3 %Muskogee County19.3Coal County: 19.1 %Coal County19.1Haskell County: 19 %Haskell County19Okmulgee County: 18.9 %Okmulgee County18.9Hughes County: 18.8 %Hughes County18.8Latimer County: 18.8 %Latimer County18.8Pottawatomie County: 18.8 %Pottawatomie County18.8Caddo County: 18.7 %Caddo County18.7Craig County: 18.7 %Craig County18.7Bryan County: 18.6 %Bryan County18.6Johnston County: 18.6 %Johnston County18.6Mayes County: 18.6 %Mayes County18.6Atoka County: 18.5 %Atoka County18.5Kay County: 18.5 %Kay County18.5Jefferson County: 18.3 %Jefferson County18.3Pushmataha County: 18.3 %Pushmataha County18.3Custer County: 18.2 %Custer County18.2Kiowa County: 18.1 %Kiowa County18.1Pittsburg County: 18.1 %Pittsburg County18.1Carter County: 18 %Carter County18Nowata County: 18 %Nowata County18Pontotoc County: 18 %Pontotoc County18Creek County: 17.9 %Creek County17.9Delaware County: 17.9 %Delaware County17.9Love County: 17.9 %Love County17.9McIntosh County: 17.8 %McIntosh County17.8Murray County: 17.7 %Murray County17.7Comanche County: 17.6 %Comanche County17.6Garvin County: 17.6 %Garvin County17.6Beckham County: 17.5 %Beckham County17.5Adair County: 21.3 %Adair County21.3Okfuskee County: 20.1 %Okfuskee County20.1Payne County: 20 %Payne County20Cherokee County: 19.9 %Cherokee County19.9Seminole County: 19.7 %Seminole County19.7Sequoyah County: 19.7 %Sequoyah County19.7McCurtain County: 19.6 %McCurtain County19.6Choctaw County: 19.5 %Choctaw County19.5Ottawa County: 19.5 %Ottawa County19.5Le Flore County: 19.4 %Le Flore County19.4Muskogee County: 19.3 %Muskogee County19.3Coal County: 19.1 %Coal County19.1Haskell County: 19 %Haskell County19Okmulgee County: 18.9 %Okmulgee County18.9Hughes County: 18.8 %Hughes County18.8Latimer County: 18.8 %Latimer County18.8Pottawatomie County: 18.8 %Pottawatomie County18.8Caddo County: 18.7 %Caddo County18.7Craig County: 18.7 %Craig County18.7Bryan County: 18.6 %Bryan County18.6Johnston County: 18.6 %Johnston County18.6Mayes County: 18.6 %Mayes County18.6Atoka County: 18.5 %Atoka County18.5Kay County: 18.5 %Kay County18.5Jefferson County: 18.3 %Jefferson County18.3Pushmataha County: 18.3 %Pushmataha County18.3Custer County: 18.2 %Custer County18.2Kiowa County: 18.1 %Kiowa County18.1Pittsburg County: 18.1 %Pittsburg County18.1Carter County: 18 %Carter County18Nowata County: 18 %Nowata County18Pontotoc County: 18 %Pontotoc County18Creek County: 17.9 %Creek County17.9Delaware County: 17.9 %Delaware County17.9Love County: 17.9 %Love County17.9McIntosh County: 17.8 %McIntosh County17.8Murray County: 17.7 %Murray County17.7Comanche County: 17.6 %Comanche County17.6Garvin County: 17.6 %Garvin County17.6Beckham County: 17.5 %Beckham County17.5
%. 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

RankCounties2021 (%)
1Adair County21.3
2Okfuskee County20.1
3Payne County20
4Cherokee County19.9
5Seminole County19.7
5Sequoyah County19.7
7McCurtain County19.6
8Choctaw County19.5
8Ottawa County19.5
10Le Flore County19.4
11Muskogee County19.3
12Coal County19.1
13Haskell County19
14Okmulgee County18.9
15Hughes County18.8
15Latimer County18.8
15Pottawatomie County18.8
18Caddo County18.7
18Craig County18.7
20Bryan County18.6
20Johnston County18.6
20Mayes County18.6
23Atoka County18.5
23Kay County18.5
25Jefferson County18.3
25Pushmataha County18.3
27Custer County18.2
28Kiowa County18.1
28Pittsburg County18.1
30Carter County18
30Nowata County18
30Pontotoc County18
33Creek County17.9
33Delaware County17.9
33Love County17.9
36McIntosh County17.8
37Murray County17.7
38Comanche County17.6
38Garvin County17.6
40Beckham County17.5
40Cotton County17.5
40Greer County17.5
40Pawnee County17.5
44Oklahoma County17.4
45Lincoln County17.3
45Marshall County17.3
45Stephens County17.3
48Blaine County17.2
48Osage County17.2
50Texas County17.1
50Tillman County17.1
50Tulsa County17.1
50Woodward County17.1
54Dewey County17
54Rogers County17
56Jackson County16.9
56Wagoner County16.9
58Roger Mills County16.8
58Woods County16.8
60Washington County16.7
61Cleveland County16.6
61Noble County16.6
63Grady County16.5
63Harmon County16.5
63Washita County16.5
66Logan County16.4
67Ellis County16.3
68Garfield County16.2
68Kingfisher County16.2
70Grant County16
70Major County16
70McClain County16
73Canadian County15.8
73Harper County15.8
75Beaver County15.5
76Alfalfa County15
77Cimarron County14.1

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 Oklahoma by frequent mental distress in adults, local model estimate, 2021) [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 Oklahoma by frequent mental distress in adults, local model estimate, 2021. 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/oklahoma-counties?period=2021. 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 Oklahoma by frequent mental distress in adults, local model estimate, 2021. 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/oklahoma-counties?period=2021.

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 Oklahoma by frequent mental distress in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_oklahoma_by_2021,
  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 Oklahoma by frequent mental distress in adults, local model estimate, 2021}},
  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/oklahoma-counties?period=2021. 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 Oklahoma by frequent mental distress in adults, local model estimate, 2021
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/oklahoma-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties?period=2021.
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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Questions

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

Adair County, with 21.3% in 2021, according to the Centers for Disease Control and Prevention.

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

Cimarron County, with 14.1% in 2021.

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 Oklahoma: more rankings