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

Hancock County had the highest frequent mental distress in adults, local model estimate of 95 counties in 2021, at 20.7%. Williamson County had the lowest, at 13.2%. The median was 18.4%. Source: the Centers for Disease Control and Prevention.

Highest20.7Hancock County
Median18.495 counties

Top 40 counties, 2021

Hancock County: 20.7 %Hancock County20.7Scott County: 20.7 %Scott County20.7Macon County: 20.4 %Macon County20.4Lake County: 20.3 %Lake County20.3Lauderdale County: 20.1 %Lauderdale County20.1Chester County: 19.7 %Chester County19.7Weakley County: 19.7 %Weakley County19.7Campbell County: 19.6 %Campbell County19.6Lewis County: 19.6 %Lewis County19.6Henderson County: 19.4 %Henderson County19.4Putnam County: 19.4 %Putnam County19.4Sequatchie County: 19.4 %Sequatchie County19.4Morgan County: 19.3 %Morgan County19.3Perry County: 19.3 %Perry County19.3Claiborne County: 19.2 %Claiborne County19.2Grundy County: 19.2 %Grundy County19.2Fentress County: 19.1 %Fentress County19.1Union County: 19.1 %Union County19.1Warren County: 19.1 %Warren County19.1Cocke County: 19 %Cocke County19Hardeman County: 19 %Hardeman County19Haywood County: 19 %Haywood County19Lawrence County: 19 %Lawrence County19Overton County: 19 %Overton County19Clay County: 18.9 %Clay County18.9McNairy County: 18.9 %McNairy County18.9Obion County: 18.9 %Obion County18.9Rhea County: 18.9 %Rhea County18.9Van Buren County: 18.9 %Van Buren County18.9White County: 18.9 %White County18.9DeKalb County: 18.8 %DeKalb County18.8Grainger County: 18.8 %Grainger County18.8Trousdale County: 18.8 %Trousdale County18.8Benton County: 18.7 %Benton County18.7Cannon County: 18.7 %Cannon County18.7Hamblen County: 18.7 %Hamblen County18.7Marshall County: 18.7 %Marshall County18.7Bedford County: 18.6 %Bedford County18.6Crockett County: 18.6 %Crockett County18.6Dyer County: 18.6 %Dyer County18.6
%. 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

RankCounties2021 (%)
1Hancock County20.7
1Scott County20.7
3Macon County20.4
4Lake County20.3
5Lauderdale County20.1
6Chester County19.7
6Weakley County19.7
8Campbell County19.6
8Lewis County19.6
10Henderson County19.4
10Putnam County19.4
10Sequatchie County19.4
13Morgan County19.3
13Perry County19.3
15Claiborne County19.2
15Grundy County19.2
17Fentress County19.1
17Union County19.1
17Warren County19.1
20Cocke County19
20Hardeman County19
20Haywood County19
20Lawrence County19
20Overton County19
25Clay County18.9
25McNairy County18.9
25Obion County18.9
25Rhea County18.9
25Van Buren County18.9
25White County18.9
31DeKalb County18.8
31Grainger County18.8
31Trousdale County18.8
34Benton County18.7
34Cannon County18.7
34Hamblen County18.7
34Marshall County18.7
38Bedford County18.6
38Crockett County18.6
38Dyer County18.6
38Hickman County18.6
38Johnson County18.6
38Wayne County18.6
44Bledsoe County18.5
44McMinn County18.5
44Montgomery County18.5
44Tipton County18.5
48Carter County18.4
48Gibson County18.4
48Jackson County18.4
48Monroe County18.4
52Henry County18.3
52Smith County18.3
54Carroll County18.2
54Greene County18.2
54Hawkins County18.2
54Houston County18.2
54Marion County18.2
54Meigs County18.2
54Polk County18.2
61Coffee County18.1
61Decatur County18.1
61Hardin County18.1
61Rutherford County18.1
65Dickson County18
65Franklin County18
65Giles County18
65Humphreys County18
65Pickett County18
70Anderson County17.9
70Bradley County17.9
70Sevier County17.9
70Unicoi County17.9
74Davidson County17.8
74Madison County17.8
74Sullivan County17.8
77Shelby County17.7
78Jefferson County17.6
78Knox County17.6
78Lincoln County17.6
78Robertson County17.6
78Washington County17.6
83Cheatham County17.4
84Moore County17.2
84Stewart County17.2
86Blount County17
86Maury County17
88Roane County16.9
89Sumner County16.8
90Cumberland County16.4
91Fayette County16.1
91Hamilton County16.1
93Wilson County15.8
94Loudon County15.7
95Williamson County13.2

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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_tennessee_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/tennessee-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?

Hancock County, with 20.7% in 2021, according to the Centers for Disease Control and Prevention.

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

Williamson County, with 13.2% 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 Tennessee: more rankings