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Health outcomes · BRFSS 2023

Depression among adults

US estimate 20.2% (95% interval 19.9–20.5), age-adjusted 20.7% (20.4–21.0). Published in the 2022, 2023, 2024, 2025 releases.

  • Population: All Adults
  • Case definition period: Lifetime
  • Prevalence (crude and age-adjusted)
22.8%median county, 2025middle half 20.6%–25.1%
2,956counties with a 2025 estimaterange 12.3%–34.3%

Depression among adults: CDC's PLACES 2025 release estimates 20.2% nationally (95% confidence interval 19.9–20.5%), or 20.7% age-adjusted, from 2023 BRFSS responses.

Across the 2,956 counties with a 2025 estimate, the median county is 22.8% and the middle half of counties fall between 20.6% and 25.1%; the full range runs from 12.3% to 34.3%. Population-weighted state figures computed by this site (no interval) range from 15.1% (New Jersey) to 30.4% (West Virginia).

CDC advises that areas may be compared on individual measures but that the estimates should not be used to rank overall health; the county lists below are ordered by point estimate and every row carries its 95% confidence interval.

CDC's definition

A multi-level regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who responded yes to having ever been told by a doctor, nurse, or other health professional they had a depressive disorder, including depression, major depression, dysthymia, or minor depression. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation.

CDC's notes: The question only assesses lifetime, not necessarily current, depression, and does not assess the severity or duration of depression.

Quoted from CDC's PLACES measure definitions (cdc.gov/places/measure-definitions). BRFSS is the Behavioral Risk Factor Surveillance System, the telephone survey the model is trained on.

National distribution across counties

12.3%23.3%34.3%

Crude county point estimates in the 2025 release, 24 equal bins. Deciles: 10th 19.0%, 25th 20.6%, median 22.8%, 75th 25.1%, 90th 27.0%. Counties without a 2025 estimate (Kentucky, Pennsylvania and the states without the social-needs module) are excluded here.

By state

Crude prevalence is the estimated share of all adults. Age-adjusted prevalence is standardised to the 2000 US standard population so that areas with different age structures can be compared. CDC: "Age-adjusted estimates are only available at the county and place-level."

StateState figure, crude (site aggregate)Lowest countyHighest countyCounties
West Virginia30.4%27.8%34.3%55
Tennessee28.4%24.7%33.1%95
Utah27.3%22.4%28.9%29
Oregon27.1%23.5%30.5%36
Maine26.9%25.4%29.7%16
Kentucky (2024 release)26.7%23.7%31.0%120*
Louisiana26.6%21.8%30.6%64
Vermont26.5%24.7%29.2%14
Michigan25.7%20.8%30.5%83
Oklahoma25.5%21.5%27.6%77
Ohio25.4%21.0%30.5%88
Indiana25.1%20.3%29.3%92
Washington25.1%21.2%29.5%39
Montana24.9%21.4%27.3%56
Arkansas24.6%21.3%27.8%75
Minnesota24.4%21.4%26.9%87
Missouri24.3%22.7%27.6%115
North Carolina24.2%21.7%28.5%100
Massachusetts23.8%21.9%27.4%14
Idaho23.7%18.9%27.9%44
Alabama23.3%20.3%26.7%67
New Mexico23.2%17.7%24.8%33
Rhode Island23.2%22.1%24.7%5
Wisconsin23.2%20.2%26.0%72
Pennsylvania (2024 release)23.0%20.6%25.7%67*
Colorado22.7%19.5%25.4%64
New Hampshire22.7%21.5%26.3%10
South Carolina22.3%18.0%25.9%46
Virginia21.8%18.4%30.0%133
District of Columbia21.6%21.6%21.6%1
Wyoming21.6%18.0%23.7%23
North Dakota21.3%18.1%23.9%53
South Dakota21.2%18.4%24.3%66
Texas21.2%17.5%25.0%253
Delaware21.1%20.4%22.5%3
Kansas20.8%17.3%24.5%105
Alaska20.7%12.3%23.5%30
Iowa20.7%18.0%23.1%99
Connecticut20.6%17.7%23.9%9
Nevada20.5%18.9%23.5%17
California20.1%17.8%26.1%58
Illinois19.8%17.4%24.1%102
Arizona19.5%16.0%22.8%15
Mississippi19.5%16.5%22.2%82
Maryland19.4%14.8%25.7%24
Georgia19.0%15.7%24.0%159
Nebraska18.3%14.1%20.5%93
New York17.5%13.4%23.6%62
Florida17.1%13.5%20.8%67
Hawaii16.0%14.3%20.0%5
New Jersey15.1%12.7%18.6%21
StateState figure, age-adjusted (site aggregate)Counties
West Virginia31.9%55
Tennessee29.1%95
Maine28.4%16
Oregon27.9%36
Vermont27.8%14
Kentucky (2024 release)27.4%120*
Louisiana27.2%64
Utah27.0%29
Michigan26.6%83
Ohio26.2%88
Oklahoma26.0%77
Montana25.9%56
Indiana25.7%92
Washington25.5%39
Arkansas25.3%75
Minnesota25.1%87
Missouri25.1%115
North Carolina24.8%100
Massachusetts24.4%14
Idaho24.3%44
Alabama24.1%67
Wisconsin24.1%72
New Mexico23.9%33
Pennsylvania (2024 release)23.9%67*
Rhode Island23.9%5
New Hampshire23.8%10
South Carolina23.1%46
Colorado22.9%64
Virginia22.4%133
Wyoming22.4%23
Delaware22.1%3
South Dakota21.9%66
North Dakota21.7%53
Iowa21.5%99
Kansas21.4%105
Connecticut21.3%9
Texas21.2%253
District of Columbia21.0%1
Nevada20.9%17
Alaska20.8%30
California20.4%58
Illinois20.3%102
Arizona20.1%15
Mississippi20.1%82
Maryland20.0%24
Georgia19.3%159
Nebraska18.7%93
Florida18.0%67
New York18.0%62
Hawaii17.0%5
New Jersey15.6%21

State figures are population-weighted county estimates computed by this site (PLACES publishes no state row) and carry no interval; they are listed by point estimate, which is not a ranking of states' health. Lowest and highest county columns are crude point estimates. * This measure was not published for the state in the 2025 release; its figure, county count and county range come from the release in brackets, the most recent that has them.

Highest county estimates

CountyCrude95% interval
Logan County, WV34.3%29.9–39.0
Mingo County, WV34.0%29.7–38.3
Hancock County, TN33.1%28.7–38.0
Scott County, TN32.7%28.3–37.2
Lincoln County, WV32.5%28.3–36.9
Cabell County, WV32.4%28.4–36.7
Lawrence County, TN32.0%27.7–36.5
Wood County, WV32.0%28.1–36.3
Barbour County, WV31.9%27.7–36.4
Mason County, WV31.7%27.4–36.1
Wyoming County, WV31.6%27.4–36.2
Carter County, TN31.5%27.4–36.0
Clay County, WV31.5%27.2–36.0
Roane County, WV31.5%27.1–36.0
White County, TN31.4%27.0–36.2
Webster County, WV31.4%27.0–36.0
Sequatchie County, TN31.3%27.1–35.9
Wayne County, WV31.3%27.1–35.7
Grundy County, TN31.2%26.9–35.5
Fayette County, WV31.2%27.0–35.7
CountyAge-adj.95% interval
Logan County, WV36.2%31.7–41.0
Mingo County, WV36.0%31.5–40.5
Hancock County, TN35.1%30.5–40.1
Lincoln County, WV34.4%30.1–38.9
Webster County, WV34.1%29.5–38.9
Roane County, WV33.9%29.2–38.6
Wood County, WV33.9%29.7–38.3
Calhoun County, WV33.8%29.1–38.5
Clay County, WV33.8%29.2–38.5
Scott County, TN33.7%29.2–38.4
Mason County, WV33.7%29.2–38.3
Wyoming County, WV33.7%29.1–38.4
Barbour County, WV33.5%29.1–38.1
Cabell County, WV33.4%29.3–37.6
Carter County, TN33.3%29.1–38.0
Wayne County, WV33.3%29.1–37.7
Lawrence County, TN33.2%28.8–37.6
Fayette County, WV33.2%28.8–37.8
Summers County, WV33.2%28.6–38.0
Nicholas County, WV33.1%28.6–37.9

Lowest county estimates

CountyCrude95% interval
Aleutians East Borough, AK12.3%10.1–14.7
Middlesex County, NJ12.7%10.9–14.7
Aleutians West Census Area, AK13.3%11.1–15.8
Nassau County, NY13.4%11.6–15.4
Miami-Dade County, FL13.5%11.5–15.7
Queens County, NY13.7%12.1–15.4
Somerset County, NJ13.9%12.0–15.9
Bergen County, NJ14.0%12.1–16.2
Colfax County, NE14.1%11.9–16.6
Sumter County, FL14.1%11.8–16.6
Hudson County, NJ14.2%12.1–16.5
Union County, NJ14.3%12.2–16.6
Monmouth County, NJ14.3%12.3–16.5
Kalawao County, HI14.3%11.6–17.3
Mercer County, NJ14.8%12.7–17.1
Prince George's County, MD14.8%12.9–16.6
Morris County, NJ14.9%12.6–17.3
Honolulu County, HI15.1%13.1–17.2
Collier County, FL15.1%12.7–17.6
Richmond County, NY15.3%13.2–17.6
CountyAge-adj.95% interval
Aleutians East Borough, AK12.3%10.1–14.7
Middlesex County, NJ13.0%11.1–14.9
Aleutians West Census Area, AK13.1%10.9–15.6
Nassau County, NY14.0%12.1–16.1
Hudson County, NJ14.0%11.9–16.2
Miami-Dade County, FL14.0%11.9–16.3
Queens County, NY14.2%12.6–16.0
Kalawao County, HI14.2%11.5–17.2
Colfax County, NE14.3%12.1–16.9
Somerset County, NJ14.4%12.5–16.4
Bergen County, NJ14.6%12.6–16.9
Union County, NJ14.7%12.5–17.0
Monmouth County, NJ15.1%13.0–17.4
Mercer County, NJ15.1%12.9–17.5
Prince George's County, MD15.1%13.3–17.0
Morris County, NJ15.6%13.2–18.0
Essex County, NJ15.7%13.6–17.9
Gwinnett County, GA15.7%13.3–18.3
Richmond County, NY15.8%13.7–18.1
Passaic County, NJ15.8%13.5–18.3

Twenty counties at each end by point estimate. Small counties have wide intervals; many of these intervals overlap one another, so the order within each list is not a meaningful ranking. CDC: "the data should not be used for ranking the overall health of any county, place, census tract, or ZCTA."

National estimate by release

ReleaseCrudeAge-adjustedBRFSS year
2022 release18.4% 18.1–18.618.5%2020
2023 release19.5% 19.3–19.819.8%2021
2024 release20.7% 20.4–20.921.1%2022
2025 release20.2% 19.9–20.520.7%2023

CDC's US row from each release's county file, for reference. Survey questions and modelling details change between releases; see the release pages.

Questions and answers

How does PLACES define "depression among adults"?

A multi-level regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who responded yes to having ever been told by a doctor, nurse, or other health professional they had a depressive disorder, including depression, major depression, dysthymia, or minor depression. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation. Population: All Adults. Time period of case definition: Lifetime.

What is the national estimate for depression?

20.2% (95% confidence interval 19.9–20.5%) crude and 20.7% age-adjusted in the 2025 release.

Which counties have the highest and lowest estimates?

The highest county point estimate is 34.3% (Logan County, WV) and the lowest 12.3% (Aleutians East Borough, AK). Because the intervals for neighbouring positions usually overlap, the lists are a reference for point estimates, not a ranking.

Is a higher figure better or worse?

This site does not grade measures. CDC groups them as health outcomes, prevention, health risk behaviors, disability, health status and health-related social needs; for prevention measures such as checkups and screening a higher share reports the service, for the others a higher share reports the condition or circumstance.

Where does this data come from?

CDC PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025); the definition text is CDC's own from its measure definitions pages.

Provenance

Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), with the 2022, 2023, 2024 releases for reference; US government work, public domain. Dataset on data.cdc.gov. Boundaries and ZIP-to-county relationships: US Census Bureau. Percentages are shown to one decimal as CDC publishes them; state figures are population-weighted means computed by this site. Definition text is CDC's own, from the PLACES measure definitions pages (public domain), with its burden narrative and references omitted. Processing errors are corrected at the next daily build; see corrections. Generated 1 Oct 2026.