Data / Rankings / Frequent mental distress in adults, local model estimate / US cities

US cities by frequent mental distress in adults, local model estimate

Athens, OH had the highest frequent mental distress in adults, local model estimate of 3032 cities in 2021, at 28.8%. Laguna Woods, CA had the lowest, at 8.1%. The median was 16.5%. Source: the Centers for Disease Control and Prevention.

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Highest28.8Athens, OH
Lowest8.1Laguna Woods, CA
Median16.53032 cities

Top 40 cities, 2021

Athens, OH: 28.8 %Athens, OH28.8New Square, NY: 28.2 %New Square, NY28.2Oxford, OH: 27.9 %Oxford, OH27.9State College, PA: 27.9 %State College, PA27.9Kiryas Joel, NY: 27.5 %Kiryas Joel, NY27.5Indiana, PA: 26.2 %Indiana, PA26.2Pullman, WA: 26.2 %Pullman, WA26.2Boone, NC: 25.8 %Boone, NC25.8Mount Pleasant, MI: 25.7 %Mount Pleasant, MI25.7Statesboro, GA: 25.5 %Statesboro, GA25.5East Lansing, MI: 25.4 %East Lansing, MI25.4Martin, TN: 25.4 %Martin, TN25.4Rexburg, ID: 25.4 %Rexburg, ID25.4Bloomsburg, PA: 25.1 %Bloomsburg, PA25.1Morgantown, WV: 25 %Morgantown, WV25Bowling Green, OH: 24.5 %Bowling Green, OH24.5Radford, VA: 24.4 %Radford, VA24.4Cheney, WA: 24.3 %Cheney, WA24.3West Lafayette, IN: 24.3 %West Lafayette, IN24.3Stillwater, OK: 24.1 %Stillwater, OK24.1San Marcos, TX: 23.8 %San Marcos, TX23.8Natchitoches, LA: 23.7 %Natchitoches, LA23.7Kent, OH: 23.6 %Kent, OH23.6Kirksville, MO: 23.6 %Kirksville, MO23.6Murray, KY: 23.6 %Murray, KY23.6Hamtramck, MI: 23.5 %Hamtramck, MI23.5Bloomington, IN: 23.3 %Bloomington, IN23.3Mendota, CA: 23.3 %Mendota, CA23.3Monmouth, OR: 23.3 %Monmouth, OR23.3Nacogdoches, TX: 23.3 %Nacogdoches, TX23.3Richmond, KY: 23.3 %Richmond, KY23.3Ruston, LA: 23.3 %Ruston, LA23.3Ypsilanti, MI: 23.3 %Ypsilanti, MI23.3Hammond, LA: 23.2 %Hammond, LA23.2New Brunswick, NJ: 23.2 %New Brunswick, NJ23.2Blacksburg, VA: 23.1 %Blacksburg, VA23.1College Station, TX: 23 %College Station, TX23Crowley, LA: 23 %Crowley, LA23Huntington, WV: 23 %Huntington, WV23Logan, UT: 22.9 %Logan, UT22.9Athens, OH: 28.8 %Athens, OH28.8New Square, NY: 28.2 %New Square, NY28.2Oxford, OH: 27.9 %Oxford, OH27.9State College, PA: 27.9 %State College, PA27.9Kiryas Joel, NY: 27.5 %Kiryas Joel, NY27.5Indiana, PA: 26.2 %Indiana, PA26.2Pullman, WA: 26.2 %Pullman, WA26.2Boone, NC: 25.8 %Boone, NC25.8Mount Pleasant, MI: 25.7 %Mount Pleasant, MI25.7Statesboro, GA: 25.5 %Statesboro, GA25.5East Lansing, MI: 25.4 %East Lansing, MI25.4Martin, TN: 25.4 %Martin, TN25.4Rexburg, ID: 25.4 %Rexburg, ID25.4Bloomsburg, PA: 25.1 %Bloomsburg, PA25.1Morgantown, WV: 25 %Morgantown, WV25Bowling Green, OH: 24.5 %Bowling Green, OH24.5Radford, VA: 24.4 %Radford, VA24.4Cheney, WA: 24.3 %Cheney, WA24.3West Lafayette, IN: 24.3 %West Lafayette, IN24.3Stillwater, OK: 24.1 %Stillwater, OK24.1San Marcos, TX: 23.8 %San Marcos, TX23.8Natchitoches, LA: 23.7 %Natchitoches, LA23.7Kent, OH: 23.6 %Kent, OH23.6Kirksville, MO: 23.6 %Kirksville, MO23.6Murray, KY: 23.6 %Murray, KY23.6Hamtramck, MI: 23.5 %Hamtramck, MI23.5Bloomington, IN: 23.3 %Bloomington, IN23.3Mendota, CA: 23.3 %Mendota, CA23.3Monmouth, OR: 23.3 %Monmouth, OR23.3Nacogdoches, TX: 23.3 %Nacogdoches, TX23.3Richmond, KY: 23.3 %Richmond, KY23.3Ruston, LA: 23.3 %Ruston, LA23.3Ypsilanti, MI: 23.3 %Ypsilanti, MI23.3Hammond, LA: 23.2 %Hammond, LA23.2New Brunswick, NJ: 23.2 %New Brunswick, NJ23.2Blacksburg, VA: 23.1 %Blacksburg, VA23.1College Station, TX: 23 %College Station, TX23Crowley, LA: 23 %Crowley, LA23Huntington, WV: 23 %Huntington, WV23Logan, UT: 22.9 %Logan, UT22.9
%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Athens, OH28.8
2New Square, NY28.2
3Oxford, OH27.9
3State College, PA27.9
5Kiryas Joel, NY27.5
6Indiana, PA26.2
6Pullman, WA26.2
8Boone, NC25.8
9Mount Pleasant, MI25.7
10Statesboro, GA25.5
11East Lansing, MI25.4
11Martin, TN25.4
11Rexburg, ID25.4
14Bloomsburg, PA25.1
15Morgantown, WV25
16Bowling Green, OH24.5
17Radford, VA24.4
18Cheney, WA24.3
18West Lafayette, IN24.3
20Stillwater, OK24.1
21San Marcos, TX23.8
22Natchitoches, LA23.7
23Kent, OH23.6
23Kirksville, MO23.6
23Murray, KY23.6
26Hamtramck, MI23.5
27Bloomington, IN23.3
27Mendota, CA23.3
27Monmouth, OR23.3
27Nacogdoches, TX23.3
27Richmond, KY23.3
27Ruston, LA23.3
27Ypsilanti, MI23.3
34Hammond, LA23.2
34New Brunswick, NJ23.2
36Blacksburg, VA23.1
37College Station, TX23
37Crowley, LA23
37Huntington, WV23
40Logan, UT22.9
41Auburn, AL22.8
41Ellensburg, WA22.8
41Harrisonburg, VA22.8
41Lindsay, CA22.8
45Macomb, IL22.7
46Charleston, IL22.6
47Arcata, CA22.5
47Carbondale, IL22.5
47Dayton, OH22.5
47Opelousas, LA22.5
47Tuscaloosa, AL22.5
52Arvin, CA22.4
52Chowchilla, CA22.4
52Gatesville, TX22.4
52Jacksonville, AL22.4
56Clarkston, GA22.3
57Prichard, AL22.2
57Provo, UT22.2
57Warrensburg, MO22.2
57Whitewater, WI22.2
61McFarland, CA22.1
62Camden, NJ22
62College Park, MD22
62Minden, LA22
62Weatherford, OK22
66Cookeville, TN21.9
66Milledgeville, GA21.9
66Muncie, IN21.9
66Syracuse, NY21.9
66Tahlequah, OK21.9
66Troy, AL21.9
66Twentynine Palms, CA21.9
73Jackson, MI21.8
73Magna, UT21.8
73West Memphis, AR21.8
76Adelanto, CA21.7
76Bowling Green, KY21.7
76Conway, SC21.7
76Kearns, UT21.7
76Selma, AL21.7
76Springfield, MA21.7
76Valdosta, GA21.7
83Kalamazoo, MI21.6
83Okmulgee, OK21.6
83Poplar Bluff, MO21.6
83Portsmouth, OH21.6
83Saginaw, MI21.6
88Martinsburg, WV21.5
88Russellville, AR21.5
88Waco, TX21.5
91Balch Springs, TX21.4
91Bogalusa, LA21.4
91Fayetteville, AR21.4
91Flint, MI21.4
91Monroe, LA21.4
91Normal, IL21.4
91Pittsburg, KS21.4
98Athens, GA21.3
98Bridgeton, NJ21.3
98Johnstown, PA21.3
98Siloam Springs, AR21.3
98South Salt Lake, UT21.3
98York, PA21.3
104Columbia, SC21.2
104DeKalb, IL21.2
104Houma, LA21.2
104New Iberia, LA21.2
104Parlier, CA21.2
104Port Royal, SC21.2
104Talladega, AL21.2
111Chester, PA21.1
111Clearlake, CA21.1
111Knoxville, TN21.1
111Maryville, MO21.1
111Oroville, CA21.1
111Youngstown, OH21.1
117Fairmont, WV21
117Magnolia, AR21
117Pineville, LA21
117Portland, TN21
117Stephenville, TX21
117Union City, TN21
123Cedar City, UT20.9
123Clemson, SC20.9
123Farmersville, CA20.9
123Huntsville, TX20.9
123Inkster, MI20.9
123Morristown, TN20.9
123Whitehall, OH20.9
130Carrollton, GA20.8
130Central Falls, RI20.8
130Fort Payne, AL20.8
130Hartford, CT20.8
130Lenoir City, TN20.8
130Parkersburg, WV20.8
130Spring Lake, NC20.8
130Toledo, OH20.8
130Wasco, CA20.8
130West Valley City, UT20.8
140Airway Heights, WA20.7
140Albertville, AL20.7
140Baton Rouge, LA20.7
140Bellmead, TX20.7
140Berea, KY20.7
140Burlington, VT20.7
140Durant, OK20.7
140Gadsden, AL20.7
140Lewisburg, TN20.7
140McMinnville, TN20.7
140Melvindale, MI20.7
140Miami, OK20.7
140Muskegon, MI20.7
140Newport, KY20.7
140Pine Bluff, AR20.7
140Rio Grande City, TX20.7
140Springfield, MO20.7
140Steubenville, OH20.7
158Barstow, CA20.6
158Bell Gardens, CA20.6
158Cortland, NY20.6
158Detroit, MI20.6
158Eufaula, AL20.6
158Ithaca, NY20.6
158Kennett, MO20.6
158Klamath Falls, OR20.6
158Ontario, OR20.6
158Reading, PA20.6
158Shawnee, OK20.6
158Shelbyville, TN20.6
170Alexandria, LA20.5
170Corvallis, OR20.5
170Holyoke, MA20.5
170Killeen, TX20.5
170North Chicago, IL20.5
170Paris, TN20.5
170Port Huron, MI20.5
170Red Bluff, CA20.5
170Sunnyside, WA20.5
170Williamsport, PA20.5
180Akron, OH20.4
180Blytheville, AR20.4
180Camden, AR20.4
180Center Point, AL20.4
180Conway, AR20.4
180Elmira, NY20.4
180Kelso, WA20.4
180King City, CA20.4
180Nicholasville, KY20.4
180Roma, TX20.4
180Salisbury, MD20.4
180Seagoville, TX20.4
180Searcy, AR20.4
180Shelton, WA20.4
180Yelm, WA20.4
195Beckley, WV20.3
195Clarksville, TN20.3
195Cleveland, OH20.3
195Dyersburg, TN20.3
195Gresham, OR20.3
195Phenix City, AL20.3
195Somerset, KY20.3
195St. Helens, OR20.3
195Texarkana, AR20.3
195Vincennes, IN20.3
205Ada, OK20.2
205Ames, IA20.2
205Athens, TN20.2
205Clarksburg, WV20.2
205Elizabethton, TN20.2
205Forrest City, AR20.2
205Jacksonville, NC20.2
205Lubbock, TX20.2
205Madera, CA20.2
205Newark, DE20.2
205Rochester, NY20.2
205Shafter, CA20.2
205Shreveport, LA20.2
205Sylacauga, AL20.2
205West Chester, PA20.2
205Zanesville, OH20.2
221Albany, GA20.1
221Alton, TX20.1
221Avenal, CA20.1
221Birmingham, AL20.1
221Carthage, MO20.1
221Cleveland, TN20.1
221Cudahy, CA20.1
221Donna, TX20.1
221Fairview, OR20.1
221Lake Charles, LA20.1
221Lansing, MI20.1
221Lima, OH20.1
221Marion, IN20.1
221Memphis, TN20.1
221Painesville, OH20.1
221Richmond, VA20.1
221San Bernardino, CA20.1
221San Elizario, TX20.1
221Springfield, OH20.1
221Thibodaux, LA20.1
221Van Buren, AR20.1
242Abbeville, LA20
242Aberdeen, WA20
242Albany, NY20
242Americus, GA20
242Ashtabula, OH20
242Boaz, AL20
242Campbellsville, KY20
242Columbia, MO20
242Crossville, TN20

Showing the top 250 of 3032. The Excel download has every row.

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 cities are compared on one definition. 179 cities with data in other periods have no value for 2021 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence (US cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, US cities by frequent mental distress in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/us-cities?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. US cities 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/us-cities?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, US cities 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/us-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_cities_by_frequent_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: US cities 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/us-cities?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: US cities by frequent mental distress in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/12
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/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/us-cities?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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 US cities by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"municipality","within":"United States","limit":10}
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Questions

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

Athens, OH, with 28.8% in 2021, according to the Centers for Disease Control and Prevention.

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

Laguna Woods, CA, with 8.1% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12. 179 cities have no value for 2021 and are not ranked.

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

US cities: more rankings