Health by ZIP

Lack of social and emotional support among adults

Health-related social needs. Survey year (BRFSS) of the 2025 release: 2023. CDC published this measure in the 2024, 2025 releases.

The figures are model-based estimates for the adults of an area. They are not measurements. They say nothing about one person.

We do not produce estimates for individuals; only aggregated results for counties, places, census tracts, or ZCTAs.

First, it is not adequate to simply compare point estimates. The confidence intervals should also be considered, and some are very broad.

Centers for Disease Control and Prevention, PLACES Frequently Asked Questions (page dated 11 Dec 2025, read on 2 Oct 2026)

PLACES 2025 release. Survey years (BRFSS): 2022 and 2023. CDC updated the data on . What an estimate is. How to read an interval. The site gives no medical advice.

What CDC measures

A multi-level regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who report sometimes, rarely, or never getting the social and emotional support needed. 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.

Centers for Disease Control and Prevention, PLACES measure definitions: Health-related social needs (read on 2 Oct 2026)

BRFSS is the Behavioral Risk Factor Surveillance System, the telephone survey that the model uses. The glossary has the terms.

The US estimate

Lack of Social/Emotional Support: US estimate in the PLACES 2025 release
EstimateEstimate and interval on a scale of 0 to 30%Estimate95% interval
United States, crude23.3%23.0 to 23.7
United States, age-adjusted24.1%23.7 to 24.5

CDC estimates that 23.3% of the adults of the United States report that they lack social and emotional support.

The 95% confidence interval is 23.0% to 23.7%.

PLACES 2025, BRFSS 2023.

County estimates in the United States

16.3%27.1%37.9%

The drawing shows the crude estimates of 2,299 counties in 24 equal steps. It names no county. A county with no estimate in the PLACES 2025 release is not in the drawing.

By state

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

Lack of Social/Emotional Support: state figures (site aggregate) and the range of county estimates, in name order
StateState figure, crude (site aggregate)State figure, age-adjusted (site aggregate)County estimates, from and toCountiesRelease
Alabama24.8%25.4%20.6% to 33.6%672025
Alaska25.4%25.5%21.4% to 36.5%302025
Arizona25.7%26.4%23.6% to 35.5%152025
Arkansas27.0%27.6%24.2% to 34.6%752025
California28.6%28.9%21.4% to 31.3%582025
Coloradon/an/an/an/anot published
Connecticut25.1%25.6%21.4% to 27.7%92025
Delaware21.6%22.5%19.3% to 23.0%32025
District of Columbia22.9%22.7%22.9% to 22.9%12025
Florida24.6%25.6%18.2% to 30.4%672024
Georgia24.6%25.0%19.0% to 31.7%1592025
Hawaii30.1%30.8%27.0% to 30.7%52025
Idaho19.6%20.1%17.9% to 24.1%442025
Illinois25.4%26.0%21.4% to 29.8%1022025
Indiana23.2%23.7%18.1% to 26.5%922025
Iowa23.3%24.0%21.0% to 27.4%992025
Kansas21.1%21.6%16.8% to 27.0%1052025
Kentucky22.5%23.0%20.3% to 27.3%1202024
Louisiana28.6%29.2%24.5% to 37.6%642025
Maine22.7%23.7%20.6% to 25.1%162025
Maryland24.2%24.7%19.7% to 28.7%242025
Massachusetts23.4%24.0%20.7% to 28.8%142025
Michigan23.1%23.8%18.3% to 26.7%832025
Minnesota21.5%22.1%18.5% to 26.5%872025
Mississippi28.9%29.6%24.3% to 37.9%822025
Missouri20.1%20.6%16.8% to 24.8%1152025
Montana21.2%21.9%19.0% to 27.8%562025
Nebraska20.5%21.0%17.8% to 26.6%932025
Nevada27.3%27.8%21.1% to 28.2%172025
New Hampshire21.6%22.5%19.5% to 23.6%102025
New Jersey24.0%24.6%19.0% to 27.8%212025
New Mexico24.5%25.2%19.6% to 32.2%332025
New York26.4%27.0%20.7% to 34.4%622025
North Carolina22.5%23.0%18.3% to 28.4%1002025
North Dakota20.6%20.9%19.2% to 30.1%532025
Ohio21.3%21.9%17.6% to 24.9%882025
Oklahoma25.2%25.7%22.4% to 29.4%772025
Oregonn/an/an/an/anot published
Pennsylvanian/an/an/an/anot published
Rhode Island22.0%22.6%17.3% to 24.3%52025
South Carolina23.6%24.4%18.9% to 32.7%462025
South Dakotan/an/an/an/anot published
Tennessee27.1%27.6%21.5% to 33.3%952024
Texas28.4%28.4%22.0% to 36.5%2532024
Utah20.6%20.5%16.4% to 24.9%292025
Vermont22.0%22.5%17.7% to 23.6%142024
Virginia21.6%22.0%16.8% to 29.6%1332025
Washington28.0%28.4%20.2% to 32.9%392024
West Virginia23.0%23.9%20.9% to 26.7%552025
Wisconsin20.2%20.8%16.3% to 26.5%722025
Wyoming20.1%20.7%17.6% to 22.4%232024

A state figure is a mean of the county estimates, weighted by the number of adults, computed by this site (site aggregate). PLACES has no state row, so the figure has no interval. The table is in name order and has no sort by figure.

Because these are modeled and not direct estimates, the data should not be used for ranking the overall health of any county, place, census tract, or ZCTA.

Centers for Disease Control and Prevention, PLACES Frequently Asked Questions (page dated 11 Dec 2025, read on 2 Oct 2026)

The release column shows the release of the figure when CDC did not publish the measure for the state in the PLACES 2025 release.

US estimates in earlier PLACES releases

The current modeling procedure does not support using the estimates to track changes at the local level over time.

Centers for Disease Control and Prevention, PLACES Frequently Asked Questions (page dated 11 Dec 2025, read on 2 Oct 2026)
Lack of Social/Emotional Support: the US row of each PLACES release
ReleaseSurvey year (BRFSS)Crude95% intervalAge-adjusted
2022 releasenot in the releasen/an/a
2023 releasenot in the releasen/an/a
2024 release202225.1%24.7 to 25.425.7%
2025 release202323.3%23.0 to 23.724.1%

Where the figures come from

Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release. CDC updated the data on . The page shows the 2022, 2023, 2024 releases as a record. The data are a US government work in the public domain. Data set on data.cdc.gov. The boundaries and the links between ZIP Codes, counties and places come from the US Census Bureau. Percentages have one decimal, as CDC publishes them. A state figure is a site aggregate: the site computes it. The definition is the text of CDC from its PLACES measure definitions pages, in the public domain. The site corrects an error of its own processing at the next build. See corrections.

Questions about lack of social/emotional support

What is the age-adjusted US estimate for lack of social/emotional support?

The age-adjusted US estimate is 24.1%.

The 95% confidence interval is 23.7% to 24.5%.

PLACES 2025, BRFSS 2023.

The age-adjusted figure uses the 2000 US standard population.

How far apart are the county estimates for lack of social/emotional support?

2,299 counties have an estimate in the PLACES 2025 release.

The median county estimate is 22.9%.

Half of the county estimates are between 20.8% and 25.2%.

Each county estimate has its own confidence interval.

What does a higher share of lack of social/emotional support mean?

The site does not grade a measure.

A higher share means that more of the adults report the condition or the circumstance.

CDC puts this measure in the category "Health-related social needs".

In which releases did CDC publish lack of social/emotional support?

CDC published this measure in the PLACES 2024, 2025 releases.

The BRFSS year of the 2025 release is 2023.

Each release uses a different BRFSS year. The site shows each release as a separate record.