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

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

Radford city had the highest frequent mental distress in adults, local model estimate of 133 counties in 2021, at 22.8%. Falls Church city had the lowest, at 11.3%. The median was 15.8%. Source: the Centers for Disease Control and Prevention.

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Highest22.8Radford city
Lowest11.3Falls Church city
Median15.8133 counties

Map of counties, 2021

Accomack County: 15.4 %Albemarle County: 13.3 %Alleghany County: 16.2 %Amelia County: 16.2 %Amherst County: 16.1 %Appomattox County: 16.2 %Arlington County: 12.1 %Augusta County: 15.8 %Bath County: 16.1 %Bedford County: 14.8 %Bland County: 15.4 %Botetourt County: 14.3 %Brunswick County: 16.8 %Buchanan County: 18.7 %Buckingham County: 17 %Campbell County: 16.1 %Caroline County: 15.7 %Carroll County: 16.6 %Charles City County: 15.5 %Charlotte County: 16.7 %Chesterfield County: 14.7 %Clarke County: 13.8 %Craig County: 15.5 %Culpeper County: 15 %Cumberland County: 15 %Dickenson County: 18.3 %Dinwiddie County: 15.9 %Essex County: 16.6 %Fairfax County: 11.5 %Fauquier County: 14.2 %Floyd County: 15.4 %Fluvanna County: 14.4 %Franklin County: 15.5 %Frederick County: 15 %Giles County: 16 %Gloucester County: 14.7 %Goochland County: 12.8 %Grayson County: 16.6 %Greene County: 15.1 %Greensville County: 16.6 %Halifax County: 16.7 %Hanover County: 14 %Henrico County: 14.7 %Henry County: 16.9 %Highland County: 13.7 %Isle of Wight County: 14.6 %James City County: 12.4 %King and Queen County: 15.2 %King George County: 15 %King William County: 15.6 %Lancaster County: 13 %Lee County: 18.5 %Loudoun County: 12.3 %Louisa County: 15.1 %Lunenburg County: 16.7 %Madison County: 15.5 %Mathews County: 13.3 %Mecklenburg County: 15.5 %Middlesex County: 13.8 %Montgomery County: 18.1 %Nelson County: 14.2 %New Kent County: 14.3 %Northampton County: 14.3 %Northumberland County: 13.1 %Nottoway County: 16.9 %Orange County: 15.2 %Page County: 16.5 %Patrick County: 15.3 %Pittsylvania County: 16.2 %Powhatan County: 14.2 %Prince Edward County: 19.1 %Prince George County: 16 %Prince William County: 13.5 %Pulaski County: 15.9 %Rappahannock County: 13.8 %Richmond County: 16.6 %Roanoke County: 14.2 %Rockbridge County: 15 %Rockingham County: 15.4 %Russell County: 17.5 %Scott County: 17.3 %Shenandoah County: 15.9 %Smyth County: 17.8 %Southampton County: 15 %Spotsylvania County: 14.9 %Stafford County: 14.6 %Surry County: 15.4 %Sussex County: 16.3 %Tazewell County: 17.3 %Warren County: 16.2 %Washington County: 15.8 %Westmoreland County: 15.7 %Wise County: 18.5 %Wythe County: 16.5 %York County: 13.3 %Alexandria city: 13.2 %Bristol city: 17.2 %Buena Vista city: 19.6 %Charlottesville city: 16.9 %Chesapeake city: 15.1 %Colonial Heights city: 15.2 %Covington city: 17.6 %Danville city: 17.7 %Emporia city: 18.9 %Fairfax city: 12.9 %Falls Church city: 11.3 %Franklin city: 17.4 %Fredericksburg city: 17.3 %Galax city: 18.1 %Hampton city: 16.6 %Harrisonburg city: 21.1 %Hopewell city: 18.9 %Lexington city: 18.6 %Lynchburg city: 18.7 %Manassas city: 14.5 %Manassas Park city: 15.3 %Martinsville city: 18.1 %Newport News city: 17.4 %Norfolk city: 17.3 %Norton city: 18.5 %Petersburg city: 18 %Poquoson city: 13.4 %Portsmouth city: 16.7 %Radford city: 22.8 %Richmond city: 18.6 %Roanoke city: 17.7 %Salem city: 15.8 %Staunton city: 15.8 %Suffolk city: 16 %Virginia Beach city: 14.3 %Waynesboro city: 16.8 %Williamsburg city: 17.9 %Winchester city: 16 %
  • Under 14
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  • 18 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

Radford city: 22.8 %Radford city22.8Harrisonburg city: 21.1 %Harrisonburg city21.1Buena Vista city: 19.6 %Buena Vista city19.6Prince Edward County: 19.1 %Prince Edward County19.1Emporia city: 18.9 %Emporia city18.9Hopewell city: 18.9 %Hopewell city18.9Buchanan County: 18.7 %Buchanan County18.7Lynchburg city: 18.7 %Lynchburg city18.7Lexington city: 18.6 %Lexington city18.6Richmond city: 18.6 %Richmond city18.6Lee County: 18.5 %Lee County18.5Norton city: 18.5 %Norton city18.5Wise County: 18.5 %Wise County18.5Dickenson County: 18.3 %Dickenson County18.3Galax city: 18.1 %Galax city18.1Martinsville city: 18.1 %Martinsville city18.1Montgomery County: 18.1 %Montgomery County18.1Petersburg city: 18 %Petersburg city18Williamsburg city: 17.9 %Williamsburg city17.9Smyth County: 17.8 %Smyth County17.8Danville city: 17.7 %Danville city17.7Roanoke city: 17.7 %Roanoke city17.7Covington city: 17.6 %Covington city17.6Russell County: 17.5 %Russell County17.5Franklin city: 17.4 %Franklin city17.4Newport News city: 17.4 %Newport News city17.4Fredericksburg city: 17.3 %Fredericksburg city17.3Norfolk city: 17.3 %Norfolk city17.3Scott County: 17.3 %Scott County17.3Tazewell County: 17.3 %Tazewell County17.3Bristol city: 17.2 %Bristol city17.2Buckingham County: 17 %Buckingham County17Charlottesville city: 16.9 %Charlottesville city16.9Henry County: 16.9 %Henry County16.9Nottoway County: 16.9 %Nottoway County16.9Brunswick County: 16.8 %Brunswick County16.8Waynesboro city: 16.8 %Waynesboro city16.8Charlotte County: 16.7 %Charlotte County16.7Halifax County: 16.7 %Halifax County16.7Lunenburg County: 16.7 %Lunenburg County16.7Radford city: 22.8 %Radford city22.8Harrisonburg city: 21.1 %Harrisonburg city21.1Buena Vista city: 19.6 %Buena Vista city19.6Prince Edward County: 19.1 %Prince Edward County19.1Emporia city: 18.9 %Emporia city18.9Hopewell city: 18.9 %Hopewell city18.9Buchanan County: 18.7 %Buchanan County18.7Lynchburg city: 18.7 %Lynchburg city18.7Lexington city: 18.6 %Lexington city18.6Richmond city: 18.6 %Richmond city18.6Lee County: 18.5 %Lee County18.5Norton city: 18.5 %Norton city18.5Wise County: 18.5 %Wise County18.5Dickenson County: 18.3 %Dickenson County18.3Galax city: 18.1 %Galax city18.1Martinsville city: 18.1 %Martinsville city18.1Montgomery County: 18.1 %Montgomery County18.1Petersburg city: 18 %Petersburg city18Williamsburg city: 17.9 %Williamsburg city17.9Smyth County: 17.8 %Smyth County17.8Danville city: 17.7 %Danville city17.7Roanoke city: 17.7 %Roanoke city17.7Covington city: 17.6 %Covington city17.6Russell County: 17.5 %Russell County17.5Franklin city: 17.4 %Franklin city17.4Newport News city: 17.4 %Newport News city17.4Fredericksburg city: 17.3 %Fredericksburg city17.3Norfolk city: 17.3 %Norfolk city17.3Scott County: 17.3 %Scott County17.3Tazewell County: 17.3 %Tazewell County17.3Bristol city: 17.2 %Bristol city17.2Buckingham County: 17 %Buckingham County17Charlottesville city: 16.9 %Charlottesville city16.9Henry County: 16.9 %Henry County16.9Nottoway County: 16.9 %Nottoway County16.9Brunswick County: 16.8 %Brunswick County16.8Waynesboro city: 16.8 %Waynesboro city16.8Charlotte County: 16.7 %Charlotte County16.7Halifax County: 16.7 %Halifax County16.7Lunenburg County: 16.7 %Lunenburg County16.7
%. 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 (%)
1Radford city22.8
2Harrisonburg city21.1
3Buena Vista city19.6
4Prince Edward County19.1
5Emporia city18.9
5Hopewell city18.9
7Buchanan County18.7
7Lynchburg city18.7
9Lexington city18.6
9Richmond city18.6
11Lee County18.5
11Norton city18.5
11Wise County18.5
14Dickenson County18.3
15Galax city18.1
15Martinsville city18.1
15Montgomery County18.1
18Petersburg city18
19Williamsburg city17.9
20Smyth County17.8
21Danville city17.7
21Roanoke city17.7
23Covington city17.6
24Russell County17.5
25Franklin city17.4
25Newport News city17.4
27Fredericksburg city17.3
27Norfolk city17.3
27Scott County17.3
27Tazewell County17.3
31Bristol city17.2
32Buckingham County17
33Charlottesville city16.9
33Henry County16.9
33Nottoway County16.9
36Brunswick County16.8
36Waynesboro city16.8
38Charlotte County16.7
38Halifax County16.7
38Lunenburg County16.7
38Portsmouth city16.7
42Carroll County16.6
42Essex County16.6
42Grayson County16.6
42Greensville County16.6
42Hampton city16.6
42Richmond County16.6
48Page County16.5
48Wythe County16.5
50Sussex County16.3
51Alleghany County16.2
51Amelia County16.2
51Appomattox County16.2
51Pittsylvania County16.2
51Warren County16.2
56Amherst County16.1
56Bath County16.1
56Campbell County16.1
59Giles County16
59Prince George County16
59Suffolk city16
59Winchester city16
63Dinwiddie County15.9
63Pulaski County15.9
63Shenandoah County15.9
66Augusta County15.8
66Salem city15.8
66Staunton city15.8
66Washington County15.8
70Caroline County15.7
70Westmoreland County15.7
72King William County15.6
73Charles City County15.5
73Craig County15.5
73Franklin County15.5
73Madison County15.5
73Mecklenburg County15.5
78Accomack County15.4
78Bland County15.4
78Floyd County15.4
78Rockingham County15.4
78Surry County15.4
83Manassas Park city15.3
83Patrick County15.3
85Colonial Heights city15.2
85King and Queen County15.2
85Orange County15.2
88Chesapeake city15.1
88Greene County15.1
88Louisa County15.1
91Culpeper County15
91Cumberland County15
91Frederick County15
91King George County15
91Rockbridge County15
91Southampton County15
97Spotsylvania County14.9
98Bedford County14.8
99Chesterfield County14.7
99Gloucester County14.7
99Henrico County14.7
102Isle of Wight County14.6
102Stafford County14.6
104Manassas city14.5
105Fluvanna County14.4
106Botetourt County14.3
106New Kent County14.3
106Northampton County14.3
106Virginia Beach city14.3
110Fauquier County14.2
110Nelson County14.2
110Powhatan County14.2
110Roanoke County14.2
114Hanover County14
115Clarke County13.8
115Middlesex County13.8
115Rappahannock County13.8
118Highland County13.7
119Prince William County13.5
120Poquoson city13.4
121Albemarle County13.3
121Mathews County13.3
121York County13.3
124Alexandria city13.2
125Northumberland County13.1
126Lancaster County13
127Fairfax city12.9
128Goochland County12.8
129James City County12.4
130Loudoun County12.3
131Arlington County12.1
132Fairfax County11.5
133Falls Church city11.3

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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/virginia-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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Rank Counties in Virginia 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?

Radford city, with 22.8% in 2021, according to the Centers for Disease Control and Prevention.

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

Falls Church city, with 11.3% 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 Virginia: more rankings