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Cities with the Highest (and Lowest) Rates of Depression

Chelsey Tucker graduated with a Bachelor of History degree from Metropolitan State University in 2019. She now writes about insurance with her specialty being life insurance and has been quoted...

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Dan Walker graduated with a BS in Administrative Management in 2005 and has been working in his family’s insurance agency, FCI Agency, for 15 years. He is licensed as an agent to write property and casualty insurance, including home, auto, umbrella...

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UPDATED: Apr 3, 2020

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While the U.S. has long been a global leader in healthcare and medicine, the nation is losing its battle with mental health. According to data from the Centers for Disease Control and Prevention BRFSS Survey, almost one in five Americans have been diagnosed with depression at some point in their lives.

The number of Americans diagnosed with depression has been on the rise over the past few years, with an increase of 17.8 percent between 2016 and 2017 alone. Unfortunately, this may underestimate the problem, since more than half of those with a mental illness receive no treatment.

line graph showing depression rates in US

Mental health is a complex phenomenon affected by myriad factors, such as genetics, stress, environment, and physical health. For example, stressful life events are associated with an increased risk of mental health problems.

At the city level, CDC and Census data show that higher divorce rates generally correspond to higher rates of depression. However, whether people suffering from depression are at higher risks of divorce or whether divorce itself increases the risk of depression is debated in the scientific literature.

Plot graph showing relationship between divorce and depression

Furthermore, unchecked mental illness can directly affect physical health. Research has found that mental health diagnoses were linked to higher rates of infectious diseases, respiratory diseases, and weight gain. Among major U.S. metropolitan areas, there is a positive correlation between depression and obesity.

The relationship between depression and obesity might be mutual and even reinforcing, since physical and mental health are so closely linked. Those with depression might have difficulty exercising and maintaining a well-balanced diet, increasing the risk of obesity. At the same time, obesity itself may cause or increase the severity of depression due to the associated medical ailments, movement difficulty, and social stigma. Similar to weight gain, the stress and discomfort caused by a physical disability are strongly associated with depression.

Plot graph showing relationship between depression and obesity

In addition to physical health, financial circumstances and mental well being are also closely intertwined. In a review of 115 studies across 33 countries, medical researchers reported that almost 80 percent of studies looking at poverty and mental illness found positive correlations. In the U.S., rates of depression are closely correlated to average household incomes across metropolitan areas.

The average household income in the U.S. is $84,525 per year, and depression tends to be more prevalent in cities with incomes below that threshold.

As with obesity, the relationship between financial health and mental health are often reinforcing. Lack of funds for rent, healthcare, or food increases stress, which triggers or exacerbates mental health issues. At the same time, depression can hinder job performance, worsening one’s financial conditions. Furthermore, low-income individuals are often unable to afford adequate mental health treatment.

Plot graph showing relationship between depression and income

Given the variation in mental health access across the country and the recent spike in depression, our researchers wanted to find cities that suffer the most from the disease. We analyzed data from the Centers for Disease and Control Prevention SMART Survey to find the percentage of adults in each metro area who have ever been diagnosed with depression. We also used data from the U.S. Census Bureau to analyze a variety of social, economic, and physical health factors associated with depression.

Here are the large metropolitan areas (1,000,000 people and above) with the highest and lowest rates of depression. For additional information on the analysis and complete results for all locations included in the CDC survey, see the Methodology section.

10 Cities with the Highest Rates of Depression

Indianapolis, Indiana

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#10 – Indianapolis-Carmel-Anderson, IN

  • Share of adults ever diagnosed with depression: 22.6%
  • Share of adults who are obese (BMI 30.0 – 99.8): 32.0%
  • Share of total population with a disability: 12.4%
  • Share of total population who are divorced: 12.0%
  • Mean household income: $81,056
  • Share of total population below poverty level: 11.9%

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Ohio Columbus

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#9 – Columbus, OH

  • Share of adults ever diagnosed with depression: 22.8%
  • Share of adults who are obese (BMI 30.0 – 99.8): 32.5%
  • Share of total population with a disability: 11.9%
  • Share of total population who are divorced: 11.3%
  • Mean household income: $83,780
  • Share of total population below poverty level: 13.1%
Downtown Portland, Oregon cityscape at the sunset time

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#8 – Portland-Vancouver-Hillsboro, OR-WA

  • Share of adults ever diagnosed with depression: 23.1%
  • Share of adults who are obese (BMI 30.0 – 99.8): 27.2%
  • Share of total population with a disability: 11.8%
  • Share of total population who are divorced: 12.4%
  • Mean household income: $92,750
  • Share of total population below poverty level: 10.9%
Oklahoma City, Oklahoma

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#7 – Oklahoma City, OK

  • Share of adults ever diagnosed with depression: 23.1%
  • Share of adults who are obese (BMI 30.0 – 99.8): 34.6%
  • Share of total population with a disability: 14.2%
  • Share of total population who are divorced: 13.0%
  • Mean household income: $77,056
  • Share of total population below poverty level: 13.9%
Providence, Rhode Island

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#6 – Providence-Warwick, RI-MA

  • Share of adults ever diagnosed with depression: 23.7%
  • Share of adults who are obese (BMI 30.0 – 99.8): 31.6%
  • Share of total population with a disability: 13.5%
  • Share of total population who are divorced: 10.7%
  • Mean household income: $86,816
  • Share of total population below poverty level: 11.4%
Salt Lake City, Utah

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#5 – Salt Lake City, UT

  • Share of adults ever diagnosed with depression: 23.8%
  • Share of adults who are obese (BMI 30.0 – 99.8): 24.9%
  • Share of total population with a disability: 9.2%
  • Share of total population who are divorced: 10.5%
  • Mean household income: $90,790
  • Share of total population below poverty level: 8.9%
Rochester, New York

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#4 – Rochester, NY

  • Share of adults ever diagnosed with depression: 24.0%
  • Share of adults who are obese (BMI 30.0 – 99.8): 28.8%
  • Share of total population with a disability: 14.0%
  • Share of total population who are divorced: 10.6%
  • Mean household income: $75,771
  • Share of total population below poverty level: 13.9%
Birmingham, Alabama

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#3 – Birmingham-Hoover, AL

  • Share of adults ever diagnosed with depression: 24.4%
  • Share of adults who are obese (BMI 30.0 – 99.8): 37.7%
  • Share of total population with a disability: 16.4%
  • Share of total population who are divorced: 12.6%
  • Mean household income: $74,667
  • Share of total population below poverty level: 14.6%
Cincinnati skyline and historic John A. Roebling suspension bridge cross Ohio River.

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#2 – Cincinnati, OH-KY-IN

  • Share of adults ever diagnosed with depression: 24.5%
  • Share of adults who are obese (BMI 30.0 – 99.8): 30.0%
  • Share of total population with a disability: 12.6%
  • Share of total population who are divorced: 11.8%
  • Mean household income: $83,111
  • Share of total population below poverty level: 12.1%
Grand Rapids Michigan and the Grand River with beautiful glass sky scrapers

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#1 – Grand Rapids-Wyoming, MI

  • Share of adults ever diagnosed with depression: 25.0%
  • Share of adults who are obese (BMI 30.0 – 99.8): 32.3%
  • Share of total population with a disability: 11.1%
  • Share of total population who are divorced: 10.4%
  • Mean household income: $79,512
  • Share of total population below poverty level: 10.0%

10 Cities with the Lowest Rates of Depression

Tampa, Florida

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#10 – Tampa-St. Petersburg-Clearwater, FL

  • Share of adults ever diagnosed with depression: 16.6%
  • Share of adults who are obese (BMI 30.0 – 99.8): 26.0%
  • Share of total population with a disability: 14.0%
  • Share of total population who are divorced: 13.8%
  • Mean household income: $74,499
  • Share of total population below poverty level: 13.9%
Chicago, Illinois

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#9 – Chicago-Naperville-Elgin, IL-IN-WI

  • Share of adults ever diagnosed with depression: 16.3%
  • Share of adults who are obese (BMI 30.0 – 99.8): 30.1%
  • Share of total population with a disability: 9.9%
  • Share of total population who are divorced: 8.8%
  • Mean household income: $95,010
  • Share of total population below poverty level: 11.8%
Los Angeles, California

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#8 – Los Angeles-Long Beach-Anaheim, CA

  • Share of adults ever diagnosed with depression: 16.2%
  • Share of adults who are obese (BMI 30.0 – 99.8): 24.0%
  • Share of total population with a disability: 9.5%
  • Share of total population who are divorced: 8.5%
  • Mean household income: $99,303
  • Share of total population below poverty level: 14.1%

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Houston, Texas

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#7 – Houston-The Woodlands-Sugar Land, TX

  • Share of adults ever diagnosed with depression: 16.1%
  • Share of adults who are obese (BMI 30.0 – 99.8): 31.0%
  • Share of total population with a disability: 9.2%
  • Share of total population who are divorced: 9.3%
  • Mean household income: $92,532
  • Share of total population below poverty level: 13.9%
Boston, Massachusetts

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#6 – Boston, MA

  • Share of adults ever diagnosed with depression: 15.7%
  • Share of adults who are obese (BMI 30.0 – 99.8): 25.6%
  • Share of total population with a disability: 10.7%
  • Share of total population who are divorced: 8.8%
  • Mean household income: $116,561
  • Share of total population below poverty level: 9.6%
Atlanta, Georgia

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#5 – Atlanta-Sandy Springs-Roswell, GA

  • Share of adults ever diagnosed with depression: 15.5%
  • Share of adults who are obese (BMI 30.0 – 99.8): 29.9%
  • Share of total population with a disability: 10.0%
  • Share of total population who are divorced: 10.8%
  • Mean household income: $90,879
  • Share of total population below poverty level: 12.0%
Dallas, Texas

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#4 – Dallas-Plano-Irving, TX

  • Share of adults ever diagnosed with depression: 14.2%
  • Share of adults who are obese (BMI 30.0 – 99.8): 28.4%
  • Share of total population with a disability: 9.5%
  • Share of total population who are divorced: 10.7%
  • Mean household income: $92,495
  • Share of total population below poverty level: 11.3%
Aerial view of DC

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#3 – Washington-Arlington-Alexandria, DC-VA-MD-WV

  • Share of adults ever diagnosed with depression: 14.2%
  • Share of adults who are obese (BMI 30.0 – 99.8): 27.6%
  • Share of total population with a disability: 9.0%
  • Share of total population who are divorced: 8.7%
  • Mean household income: $128,402
  • Share of total population below poverty level: 7.9%

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New York City, NY

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#2 – New York-Jersey City-White Plains, NY-NJ

  • Share of adults ever diagnosed with depression: 13.8%
  • Share of adults who are obese (BMI 30.0 – 99.8): 23.6%
  • Share of total population with a disability: 10.1%
  • Share of total population who are divorced: 7.9%
  • Mean household income: $110,849
  • Share of total population below poverty level: 12.8%
Miami, Florida city skyline.

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#1 – Miami-Fort Lauderdale-West Palm Beach, FL

  • Share of adults ever diagnosed with depression: 13.3%
  • Share of adults who are obese (BMI 30.0 – 99.8): 27.0%
  • Share of total population with a disability: 10.9%
  • Share of total population who are divorced: 13.1%
  • Mean household income: $81,633
  • Share of total population below poverty level: 14.3%

Methodology

Data on the share of adults who have ever been diagnosed with a form of depression comes from the Centers for Disease and Control Prevention SMART Survey (Selected Metropolitan Area Risk Trends) conducted in 2017. The SMART Survey also contains information on obesity (based on BMI) among adults as well. Additional demographic statistics—disability, marriage status, income, and poverty—are from the U.S. Census Bureau 2017 American Community Survey 1-Year Estimates. These demographic statistics are representative of the entire population, not just adults.

Metropolitan areas were grouped into the following cohorts based on population size:

  • Small metros: less than 350,000
  • Midsize metros: 350,000-1,000,000
  • Large metros: greater than 1,000,000

Only metros with data available from the SMART Survey were included in the analysis. For a complete list of results for all locations, see the charts below.

Complete Rankings

Large Cities

RankMetroDepression RateObesity RateDisability RateDivorce RateMean Household IncomePoverty Rate
1Grand Rapids-Wyoming, MI25.0%32.3%11.1%10.4%$79,51210.0%
2Cincinnati, OH-KY-IN24.5%30.0%12.6%11.8%$83,11112.1%
3Birmingham-Hoover, AL24.4%37.7%16.4%12.6%$74,66714.6%
4Rochester, NY24.0%28.8%14.0%10.6%$75,77113.9%
5Salt Lake City, UT23.8%24.9%9.2%10.5%$90,7908.9%
6Providence-Warwick, RI-MA23.7%31.6%13.5%10.7%$86,81611.4%
7Oklahoma City, OK23.1%34.6%14.2%13.0%$77,05613.9%
8Portland-Vancouver-Hillsboro, OR-WA23.1%27.2%11.8%12.4%$92,75010.9%
9Columbus, OH22.8%32.5%11.9%11.3%$83,78013.1%
10Indianapolis-Carmel-Anderson, IN22.6%32.0%12.4%12.0%$81,05611.9%
11Jacksonville, FL22.5%33.2%13.5%12.9%$79,59613.3%
12Louisville/Jefferson County, KY-IN21.9%30.1%14.1%12.5%$77,11312.2%
13Cleveland-Elyria, OH21.6%32.7%14.5%12.1%$74,40614.8%
14St. Louis, MO-IL21.6%31.3%13.1%11.5%$82,84111.6%
15Seattle-Bellevue-Everett, WA21.6%23.2%11.1%11.3%$109,6199.0%
16San Antonio-New Braunfels, TX21.4%30.7%14.6%11.3%$77,00114.5%
17Philadelphia, PA21.3%32.0%12.3%9.0%$95,59512.8%
18Nashville-Davidson--Murfreesboro--Franklin, TN21.2%28.2%12.0%11.1%$87,56210.9%
19Richmond, VA20.8%31.6%12.3%11.2%$89,61511.2%
20New Orleans-Metairie, LA20.7%36.1%14.1%11.8%$72,13018.6%
21Kansas City, MO-KS20.5%31.2%12.0%12.4%$85,94910.0%
22Warren-Troy Farmington Hills, MI (2012 to present)19.8%28.3%13.7%11.1%$81,60614.6%
23Sacramento--Roseville--Arden-Arcade, CA19.7%27.9%11.5%10.6%$90,80613.1%
24Virginia Beach-Norfolk-Newport News, VA-NC19.6%32.4%14.3%10.8%$82,92712.3%
25Baltimore-Columbia-Towson, MD19.5%31.1%11.6%10.1%$101,12410.2%
26Milwaukee-Waukesha-West Allis, WI19.3%29.1%11.0%10.2%$81,63513.3%
27Minneapolis-St. Paul-Bloomington, MN-WI19.2%26.0%10.1%10.0%$101,4058.1%
28Pittsburgh, PA18.9%31.1%14.8%10.0%$80,01211.0%
29Charlotte-Concord-Gastonia, NC-SC18.8%33.8%10.3%10.8%$85,98712.1%
30Riverside-San Bernardino-Ontario, CA18.7%31.8%11.6%9.8%$81,37814.4%
31San Juan-Carolina-Caguas, PR18.5%32.4%21.4%13.9%$34,93439.8%
32Phoenix-Mesa-Scottsdale, AZ18.5%29.4%11.5%12.3%$83,68813.3%
33Hartford-West Hartford-East Hartford, CT18.4%27.0%11.5%11.6%$96,26010.0%
34Denver-Aurora-Lakewood, CO17.6%22.1%9.6%11.8%$101,2498.6%
35Memphis, TN-MS-AR17.5%37.2%13.0%10.9%$73,58117.1%
36Buffalo-Cheektowaga-Niagara Falls, NY17.1%29.7%13.3%10.2%$73,90314.2%
37Orlando-Kissimmee-Sanford, FL16.9%26.4%12.0%11.8%$77,13514.1%
38Austin-Round Rock, TX16.7%29.3%8.9%11.1%$100,28210.4%
39Tampa-St. Petersburg-Clearwater, FL16.6%26.0%14.0%13.8%$74,49913.9%
40Chicago-Naperville-Elgin, IL-IN-WI16.3%30.1%9.9%8.8%$95,01011.8%
41Los Angeles-Long Beach-Anaheim, CA16.2%24.0%9.5%8.5%$99,30314.1%
42Houston-The Woodlands-Sugar Land, TX16.1%31.0%9.2%9.3%$92,53213.9%
43Boston, MA15.7%25.6%10.7%8.8%$116,5619.6%
44Atlanta-Sandy Springs-Roswell, GA15.5%29.9%10.0%10.8%$90,87912.0%
45Dallas-Plano-Irving, TX14.2%28.4%9.5%10.7%$92,49511.3%
46Washington-Arlington-Alexandria, DC-VA-MD-WV14.2%27.6%9.0%8.7%$128,4027.9%
47New York-Jersey City-White Plains, NY-NJ13.8%23.6%10.1%7.9%$110,84912.8%
48Miami-Fort Lauderdale-West Palm Beach, FL13.3%27.0%10.9%13.1%$81,63314.3%
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Midsize Cities

RankMetroDepression RateObesity RateDisability RateDivorce RateMean Household IncomePoverty Rate
1Huntington-Ashland, WV-KY-OH28.0%38.5%21.1%14.0%$58,61920.9%
2Toledo, OH26.0%41.3%14.4%11.8%$69,12115.9%
3Dayton, OH25.5%35.1%14.7%11.7%$70,57113.8%
4Fort Wayne, IN24.7%33.9%12.7%12.4%$67,73212.3%
5Knoxville, TN24.7%31.0%14.9%13.0%$74,01614.3%
6Spokane-Spokane Valley, WA24.6%27.9%14.1%13.6%$74,32214.0%
7Tulsa, OK24.6%36.0%14.7%13.6%$71,53414.3%
8Pensacola-Ferry Pass-Brent, FL24.3%28.8%16.3%13.2%$68,92913.7%
9Ogden-Clearfield, UT24.0%28.9%10.6%9.6%$85,9087.4%
10Albany-Schenectady-Troy, NY24.0%28.5%12.8%10.9%$89,09710.4%
11Lansing-East Lansing, MI23.7%31.8%14.0%11.2%$73,93815.3%
12Portland-South Portland, ME23.3%24.3%13.0%13.3%$87,7007.8%
13Little Rock-North Little Rock-Conway, AR23.3%35.4%16.9%14.1%$73,06813.0%
14Springfield, MA23.1%24.2%15.9%10.3%$77,19515.5%
15Rockingham County-Strafford County, NH22.9%25.8%12.4%11.4%$68,04715.1%
16Wichita, KS22.6%33.9%14.4%13.3%$70,56313.4%
17Fayetteville-Springdale-Rogers, AR-MO22.6%32.7%10.4%10.8%$78,17312.1%
18Charleston-North Charleston, SC22.5%32.1%11.4%10.4%$83,73611.9%
19Albuquerque, NM22.0%26.8%15.0%13.8%$68,45315.5%
20Augusta-Richmond County, GA-SC22.0%37.6%14.7%11.1%$66,32615.5%
21Myrtle Beach-Conway-North Myrtle Beach, SC-NC21.6%29.5%16.7%11.6%$64,51415.3%
22Worcester, MA-CT21.1%28.5%12.6%11.2%$91,20010.6%
23Provo-Orem, UT20.8%23.1%7.7%5.6%$87,13810.6%
24Boise City, ID20.7%30.0%12.2%12.5%$76,82512.9%
25Corpus Christi, TX20.7%37.3%14.2%12.3%$72,49616.6%
26Omaha-Council Bluffs, NE-IA20.6%33.3%11.6%10.7%$84,7819.6%
27Salisbury, MD-DE20.2%33.0%14.2%10.9%$80,28712.6%
28Des Moines-West Des Moines, IA20.1%34.4%10.4%12.1%$90,2598.3%
29Columbia, SC20.0%35.7%14.0%11.0%$72,57215.1%
30Greenville-Anderson-Mauldin, SC19.8%31.9%14.8%10.8%$72,03814.2%
31Anchorage, AK19.6%36.3%12.3%12.9%$97,76910.4%
32Reno, NV19.5%24.0%11.3%13.7%$84,07910.8%
33Colorado Springs, CO19.5%22.8%13.0%12.3%$83,52510.7%
34Baton Rouge, LA19.4%33.0%13.9%11.2%$76,31816.3%
35Allentown-Bethlehem-Easton, PA-NJ19.2%31.7%13.1%10.0%$84,13311.2%
36Deltona-Daytona Beach-Ormond Beach, FL18.6%30.8%17.4%14.4%$63,64015.0%
37Port St. Lucie, FL18.3%25.6%15.5%13.1%$76,88811.4%
38Jackson, MS17.6%35.2%11.6%11.4%$70,46115.4%
39Lexington-Fayette, KY16.5%32.0%13.8%12.1%$80,04115.8%
40North Port-Sarasota-Bradenton, FL16.0%25.2%14.7%13.8%$82,5409.5%
41El Paso, TX15.8%34.7%12.1%10.6%$61,58321.1%
42Tallahassee, FL15.7%32.3%12.9%10.1%$71,24718.2%
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Small Cities

RankMetroDepression RateObesity RateDisability RateDivorce RateMean Household IncomePoverty Rate
1Evansville, IN-KY29.8%31.5%15.4%14.2%$71,52315.0%
2Kingsport-Bristol-Bristol, TN-VA29.7%29.8%20.9%14.0%$61,07015.3%
3Charleston, WV28.4%40.6%19.4%14.5%$60,32719.0%
4Tuscaloosa, AL26.3%36.8%13.4%$66,05416.3%
5Burlington-South Burlington, VT25.3%27.9%12.0%$87,43911.3%
6Minot, ND24.3%34.6%9.9%$79,28910.5%
7Florence, SC24.0%37.4%18.0%10.3%$57,43019.3%
8Claremont-Lebanon, NH-VT23.8%26.7%15.0%11.9%$81,51310.1%
9Topeka, KS23.7%37.1%13.1%11.8%$67,96310.9%
10Spartanburg, SC23.4%34.7%15.7%10.4%$66,73713.7%
11South Bend-Mishawaka, IN-MI23.1%32.9%14.5%12.1%$70,72015.0%
12Wichita Falls, TX22.8%42.6%17.2%11.8%$58,93316.2%
13Panama City, FL22.8%26.8%20.1%13.6%$68,12415.5%
14St. Cloud, MN22.5%29.5%11.1%9.1%$77,93411.1%
15Fargo, ND-MN22.4%29.0%8.4%$81,7879.7%
16Hagerstown-Martinsburg, MD-WV21.7%37.7%15.9%11.3%$73,08213.4%
17Gainesville, FL21.0%30.8%11.6%10.9%$65,39721.2%
18Cedar Rapids, IA20.8%34.2%8.6%$78,4648.7%
19Rapid City, SD20.8%35.3%13.2%$69,43011.8%
20Lincoln, NE20.7%28.9%10.3%9.5%$78,03611.2%
21Grand Forks, ND-MN20.4%35.2%10.6%$68,20315.5%
22Sioux City, IA-NE-SD20.4%29.7%12.6%12.3%$74,33712.2%
23Duluth, MN-WI19.9%26.4%14.5%12.5%$68,86813.6%
24Billings, MT19.9%25.7%11.9%$77,5239.7%
25Grand Island, NE19.7%36.6%12.4%$76,90110.3%
26Rochester, MN19.2%30.5%11.7%8.9%$92,0588.3%
27Manhattan, KS18.3%24.2%10.6%$70,61320.1%
28Sioux Falls, SD18.0%29.1%9.2%10.2%$80,8006.8%
29Bismarck, ND17.5%30.7%9.3%$83,7309.1%
30Crestview-Fort Walton Beach-Destin, FL16.3%28.5%17.4%14.0%$78,53613.2%
31Hilton Head Island-Bluffton-Beaufort, SC16.1%25.1%15.1%$83,47710.9%
32College Station-Bryan, TX13.4%30.8%9.4%$64,91824.6%
33Kahului-Wailuku-Lahaina, HI12.4%23.4%9.7%$101,5419.7%
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All Metros Areas

RankMetroDepression RateObesity RateDisability RateDivorce RateMean Household IncomePoverty Rate
1Evansville, IN-KY29.8%31.5%15.4%14.2%$71,52315.0%
2Kingsport-Bristol-Bristol, TN-VA29.7%29.8%20.9%14.0%$61,07015.3%
3Charleston, WV28.4%40.6%19.4%14.5%$60,32719.0%
4Huntington-Ashland, WV-KY-OH28.0%38.5%21.1%14.0%$58,61920.9%
5Tuscaloosa, AL26.3%36.8%13.4%$66,05416.3%
6Toledo, OH26.0%41.3%14.4%11.8%$69,12115.9%
7Dayton, OH25.5%35.1%14.7%11.7%$70,57113.8%
8Burlington-South Burlington, VT25.3%27.9%12.0%$87,43911.3%
9Grand Rapids-Wyoming, MI25.0%32.3%11.1%10.4%$79,51210.0%
10Fort Wayne, IN24.7%33.9%12.7%12.4%$67,73212.3%
11Knoxville, TN24.7%31.0%14.9%13.0%$74,01614.3%
12Spokane-Spokane Valley, WA24.6%27.9%14.1%13.6%$74,32214.0%
13Tulsa, OK24.6%36.0%14.7%13.6%$71,53414.3%
14Cincinnati, OH-KY-IN24.5%30.0%12.6%11.8%$83,11112.1%
15Birmingham-Hoover, AL24.4%37.7%16.4%12.6%$74,66714.6%
16Pensacola-Ferry Pass-Brent, FL24.3%28.8%16.3%13.2%$68,92913.7%
17Minot, ND24.3%34.6%9.9%$79,28910.5%
18Ogden-Clearfield, UT24.0%28.9%10.6%9.6%$85,9087.4%
19Florence, SC24.0%37.4%18.0%10.3%$57,43019.3%
20Albany-Schenectady-Troy, NY24.0%28.5%12.8%10.9%$89,09710.4%
21Rochester, NY24.0%28.8%14.0%10.6%$75,77113.9%
22Claremont-Lebanon, NH-VT23.8%26.7%15.0%11.9%$81,51310.1%
23Salt Lake City, UT23.8%24.9%9.2%10.5%$90,7908.9%
24Topeka, KS23.7%37.1%13.1%11.8%$67,96310.9%
25Lansing-East Lansing, MI23.7%31.8%14.0%11.2%$73,93815.3%
26Providence-Warwick, RI-MA23.7%31.6%13.5%10.7%$86,81611.4%
27Spartanburg, SC23.4%34.7%15.7%10.4%$66,73713.7%
28Portland-South Portland, ME23.3%24.3%13.0%13.3%$87,7007.8%
29Little Rock-North Little Rock-Conway, AR23.3%35.4%16.9%14.1%$73,06813.0%
30Oklahoma City, OK23.1%34.6%14.2%13.0%$77,05613.9%
31Springfield, MA23.1%24.2%15.9%10.3%$77,19515.5%
32South Bend-Mishawaka, IN-MI23.1%32.9%14.5%12.1%$70,72015.0%
33Portland-Vancouver-Hillsboro, OR-WA23.1%27.2%11.8%12.4%$92,75010.9%
34Rockingham County-Strafford County, NH22.9%25.8%12.4%11.4%$68,04715.1%
35Wichita Falls, TX22.8%42.6%17.2%11.8%$58,93316.2%
36Columbus, OH22.8%32.5%11.9%11.3%$83,78013.1%
37Panama City, FL22.8%26.8%20.1%13.6%$68,12415.5%
38Wichita, KS22.6%33.9%14.4%13.3%$70,56313.4%
39Fayetteville-Springdale-Rogers, AR-MO22.6%32.7%10.4%10.8%$78,17312.1%
40Indianapolis-Carmel-Anderson, IN22.6%32.0%12.4%12.0%$81,05611.9%
41Jacksonville, FL22.5%33.2%13.5%12.9%$79,59613.3%
42Charleston-North Charleston, SC22.5%32.1%11.4%10.4%$83,73611.9%
43St. Cloud, MN22.5%29.5%11.1%9.1%$77,93411.1%
44Fargo, ND-MN22.4%29.0%8.4%$81,7879.7%
45Albuquerque, NM22.0%26.8%15.0%13.8%$68,45315.5%
46Augusta-Richmond County, GA-SC22.0%37.6%14.7%11.1%$66,32615.5%
47Louisville/Jefferson County, KY-IN21.9%30.1%14.1%12.5%$77,11312.2%
48Hagerstown-Martinsburg, MD-WV21.7%37.7%15.9%11.3%$73,08213.4%
49Cleveland-Elyria, OH21.6%32.7%14.5%12.1%$74,40614.8%
50Myrtle Beach-Conway-North Myrtle Beach, SC-NC21.6%29.5%16.7%11.6%$64,51415.3%
51St. Louis, MO-IL21.6%31.3%13.1%11.5%$82,84111.6%
52Seattle-Bellevue-Everett, WA21.6%23.2%11.1%11.3%$109,6199.0%
53San Antonio-New Braunfels, TX21.4%30.7%14.6%11.3%$77,00114.5%
54Philadelphia, PA21.3%32.0%12.3%9.0%$95,59512.8%
55Nashville-Davidson--Murfreesboro--Franklin, TN21.2%28.2%12.0%11.1%$87,56210.9%
56Worcester, MA-CT21.1%28.5%12.6%11.2%$91,20010.6%
57Gainesville, FL21.0%30.8%11.6%10.9%$65,39721.2%
58Richmond, VA20.8%31.6%12.3%11.2%$89,61511.2%
59Cedar Rapids, IA20.8%34.2%8.6%$78,4648.7%
60Rapid City, SD20.8%35.3%13.2%$69,43011.8%
61Provo-Orem, UT20.8%23.1%7.7%5.6%$87,13810.6%
62Boise City, ID20.7%30.0%12.2%12.5%$76,82512.9%
63Lincoln, NE20.7%28.9%10.3%9.5%$78,03611.2%
64Corpus Christi, TX20.7%37.3%14.2%12.3%$72,49616.6%
65New Orleans-Metairie, LA20.7%36.1%14.1%11.8%$72,13018.6%
66Omaha-Council Bluffs, NE-IA20.6%33.3%11.6%10.7%$84,7819.6%
67Kansas City, MO-KS20.5%31.2%12.0%12.4%$85,94910.0%
68Grand Forks, ND-MN20.4%35.2%10.6%$68,20315.5%
69Sioux City, IA-NE-SD20.4%29.7%12.6%12.3%$74,33712.2%
70Salisbury, MD-DE20.2%33.0%14.2%10.9%$80,28712.6%
71Des Moines-West Des Moines, IA20.1%34.4%10.4%12.1%$90,2598.3%
72Columbia, SC20.0%35.7%14.0%11.0%$72,57215.1%
73Duluth, MN-WI19.9%26.4%14.5%12.5%$68,86813.6%
74Billings, MT19.9%25.7%11.9%$77,5239.7%
75Greenville-Anderson-Mauldin, SC19.8%31.9%14.8%10.8%$72,03814.2%
76Warren-Troy Farmington Hills, MI (2012 to present)19.8%28.3%13.7%11.1%$81,60614.6%
77Sacramento--Roseville--Arden-Arcade, CA19.7%27.9%11.5%10.6%$90,80613.1%
78Grand Island, NE19.7%36.6%12.4%$76,90110.3%
79Anchorage, AK19.6%36.3%12.3%12.9%$97,76910.4%
80Virginia Beach-Norfolk-Newport News, VA-NC19.6%32.4%14.3%10.8%$82,92712.3%
81Reno, NV19.5%24.0%11.3%13.7%$84,07910.8%
82Baltimore-Columbia-Towson, MD19.5%31.1%11.6%10.1%$101,12410.2%
83Colorado Springs, CO19.5%22.8%13.0%12.3%$83,52510.7%
84Baton Rouge, LA19.4%33.0%13.9%11.2%$76,31816.3%
85Milwaukee-Waukesha-West Allis, WI19.3%29.1%11.0%10.2%$81,63513.3%
86Minneapolis-St. Paul-Bloomington, MN-WI19.2%26.0%10.1%10.0%$101,4058.1%
87Allentown-Bethlehem-Easton, PA-NJ19.2%31.7%13.1%10.0%$84,13311.2%
88Rochester, MN19.2%30.5%11.7%8.9%$92,0588.3%
89Pittsburgh, PA18.9%31.1%14.8%10.0%$80,01211.0%
90Charlotte-Concord-Gastonia, NC-SC18.8%33.8%10.3%10.8%$85,98712.1%
91Riverside-San Bernardino-Ontario, CA18.7%31.8%11.6%9.8%$81,37814.4%
92Deltona-Daytona Beach-Ormond Beach, FL18.6%30.8%17.4%14.4%$63,64015.0%
93San Juan-Carolina-Caguas, PR18.5%32.4%21.4%13.9%$34,93439.8%
94Phoenix-Mesa-Scottsdale, AZ18.5%29.4%11.5%12.3%$83,68813.3%
95Hartford-West Hartford-East Hartford, CT18.4%27.0%11.5%11.6%$96,26010.0%
96Manhattan, KS18.3%24.2%10.6%$70,61320.1%
97Port St. Lucie, FL18.3%25.6%15.5%13.1%$76,88811.4%
98Sioux Falls, SD18.0%29.1%9.2%10.2%$80,8006.8%
99Denver-Aurora-Lakewood, CO17.6%22.1%9.6%11.8%$101,2498.6%
100Jackson, MS17.6%35.2%11.6%11.4%$70,46115.4%
101Bismarck, ND17.5%30.7%9.3%$83,7309.1%
102Memphis, TN-MS-AR17.5%37.2%13.0%10.9%$73,58117.1%
103Buffalo-Cheektowaga-Niagara Falls, NY17.1%29.7%13.3%10.2%$73,90314.2%
104Orlando-Kissimmee-Sanford, FL16.9%26.4%12.0%11.8%$77,13514.1%
105Austin-Round Rock, TX16.7%29.3%8.9%11.1%$100,28210.4%
106Tampa-St. Petersburg-Clearwater, FL16.6%26.0%14.0%13.8%$74,49913.9%
107Lexington-Fayette, KY16.5%32.0%13.8%12.1%$80,04115.8%
108Chicago-Naperville-Elgin, IL-IN-WI16.3%30.1%9.9%8.8%$95,01011.8%
109Crestview-Fort Walton Beach-Destin, FL16.3%28.5%17.4%14.0%$78,53613.2%
110Los Angeles-Long Beach-Anaheim, CA16.2%24.0%9.5%8.5%$99,30314.1%
111Hilton Head Island-Bluffton-Beaufort, SC16.1%25.1%15.1%$83,47710.9%
112Houston-The Woodlands-Sugar Land, TX16.1%31.0%9.2%9.3%$92,53213.9%
113North Port-Sarasota-Bradenton, FL16.0%25.2%14.7%13.8%$82,5409.5%
114El Paso, TX15.8%34.7%12.1%10.6%$61,58321.1%
115Tallahassee, FL15.7%32.3%12.9%10.1%$71,24718.2%
116Boston, MA15.7%25.6%10.7%8.8%$116,5619.6%
117Atlanta-Sandy Springs-Roswell, GA15.5%29.9%10.0%10.8%$90,87912.0%
118Dallas-Plano-Irving, TX14.2%28.4%9.5%10.7%$92,49511.3%
119Washington-Arlington-Alexandria, DC-VA-MD-WV14.2%27.6%9.0%8.7%$128,4027.9%
120New York-Jersey City-White Plains, NY-NJ13.8%23.6%10.1%7.9%$110,84912.8%
121College Station-Bryan, TX13.4%30.8%9.4%$64,91824.6%
122Miami-Fort Lauderdale-West Palm Beach, FL13.3%27.0%10.9%13.1%$81,63314.3%
123Kahului-Wailuku-Lahaina, HI12.4%23.4%9.7%$101,5419.7%
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