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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.

Table of Contents 10 Cities with the Highest Rates of Depression #10 – Indianapolis-Carmel-Anderson, IN #9 – Columbus, OH #8 – Portland-Vancouver-Hillsboro, OR-WA #7 – Oklahoma City, OK #6 – Providence-Warwick, RI-MA #5 – Salt Lake City, UT #4 – Rochester, NY #3 – Birmingham-Hoover, AL #2 – Cincinnati, OH-KY-IN #1 – Grand Rapids-Wyoming, MI

10 Cities with the Lowest Rates of Depression #10 – Tampa-St. Petersburg-Clearwater, FL #9 – Chicago-Naperville-Elgin, IL-IN-WI #8 – Los Angeles-Long Beach-Anaheim, CA #7 – Houston-The Woodlands-Sugar Land, TX #6 – Boston, MA #5 – Atlanta-Sandy Springs-Roswell, GA #4 – Dallas-Plano-Irving, TX #3 – Washington-Arlington-Alexandria, DC-VA-MD-WV #2 – New York-Jersey City-White Plains, NY-NJ #1 – Miami-Fort Lauderdale-West Palm Beach, FL

Methodology

Complete Rankings Large Cities Midsize Cities Small Cities All Metros Areas



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.

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.

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.

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

#10 – Indianapolis-Carmel-Anderson, IN

Share of adults ever diagnosed with depression: 22.6%

22.6% Share of adults who are obese (BMI 30.0 – 99.8): 32.0%

32.0% Share of total population with a disability: 12.4%

12.4% Share of total population who are divorced: 12.0%

12.0% Mean household income: $81,056

$81,056 Share of total population below poverty level: 11.9%

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#9 – Columbus, OH

Share of adults ever diagnosed with depression: 22.8%

22.8% Share of adults who are obese (BMI 30.0 – 99.8): 32.5%

32.5% Share of total population with a disability: 11.9%

11.9% Share of total population who are divorced: 11.3%

11.3% Mean household income: $83,780

$83,780 Share of total population below poverty level: 13.1%

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

Share of adults ever diagnosed with depression: 23.1%

23.1% Share of adults who are obese (BMI 30.0 – 99.8): 27.2%

27.2% Share of total population with a disability: 11.8%

11.8% Share of total population who are divorced: 12.4%

12.4% Mean household income: $92,750

$92,750 Share of total population below poverty level: 10.9%

#7 – Oklahoma City, OK

Share of adults ever diagnosed with depression: 23.1%

23.1% Share of adults who are obese (BMI 30.0 – 99.8): 34.6%

34.6% Share of total population with a disability: 14.2%

14.2% Share of total population who are divorced: 13.0%

13.0% Mean household income: $77,056

$77,056 Share of total population below poverty level: 13.9%

#6 – Providence-Warwick, RI-MA

Share of adults ever diagnosed with depression: 23.7%

23.7% Share of adults who are obese (BMI 30.0 – 99.8): 31.6%

31.6% Share of total population with a disability: 13.5%

13.5% Share of total population who are divorced: 10.7%

10.7% Mean household income: $86,816

$86,816 Share of total population below poverty level: 11.4%

#5 – Salt Lake City, UT

Share of adults ever diagnosed with depression: 23.8%

23.8% Share of adults who are obese (BMI 30.0 – 99.8): 24.9%

24.9% Share of total population with a disability: 9.2%

9.2% Share of total population who are divorced: 10.5%

10.5% Mean household income: $90,790

$90,790 Share of total population below poverty level: 8.9%

#4 – Rochester, NY

Share of adults ever diagnosed with depression: 24.0%

24.0% Share of adults who are obese (BMI 30.0 – 99.8): 28.8%

28.8% Share of total population with a disability: 14.0%

14.0% Share of total population who are divorced: 10.6%

10.6% Mean household income: $75,771

$75,771 Share of total population below poverty level: 13.9%

#3 – Birmingham-Hoover, AL

Share of adults ever diagnosed with depression: 24.4%

24.4% Share of adults who are obese (BMI 30.0 – 99.8): 37.7%

37.7% Share of total population with a disability: 16.4%

16.4% Share of total population who are divorced: 12.6%

12.6% Mean household income: $74,667

$74,667 Share of total population below poverty level: 14.6%

#2 – Cincinnati, OH-KY-IN

Share of adults ever diagnosed with depression: 24.5%

24.5% Share of adults who are obese (BMI 30.0 – 99.8): 30.0%

30.0% Share of total population with a disability: 12.6%

12.6% Share of total population who are divorced: 11.8%

11.8% Mean household income: $83,111

$83,111 Share of total population below poverty level: 12.1%

#1 – Grand Rapids-Wyoming, MI

Share of adults ever diagnosed with depression: 25.0%

25.0% Share of adults who are obese (BMI 30.0 – 99.8): 32.3%

32.3% Share of total population with a disability: 11.1%

11.1% Share of total population who are divorced: 10.4%

10.4% Mean household income: $79,512

$79,512 Share of total population below poverty level: 10.0%

10 Cities with the Lowest Rates of Depression

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

Share of adults ever diagnosed with depression: 16.6%

16.6% Share of adults who are obese (BMI 30.0 – 99.8): 26.0%

26.0% Share of total population with a disability: 14.0%

14.0% Share of total population who are divorced: 13.8%

13.8% Mean household income: $74,499

$74,499 Share of total population below poverty level: 13.9%

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

Share of adults ever diagnosed with depression: 16.3%

16.3% Share of adults who are obese (BMI 30.0 – 99.8): 30.1%

30.1% Share of total population with a disability: 9.9%

9.9% Share of total population who are divorced: 8.8%

8.8% Mean household income: $95,010

$95,010 Share of total population below poverty level: 11.8%

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

Share of adults ever diagnosed with depression: 16.2%

16.2% Share of adults who are obese (BMI 30.0 – 99.8): 24.0%

24.0% Share of total population with a disability: 9.5%

9.5% Share of total population who are divorced: 8.5%

8.5% Mean household income: $99,303

$99,303 Share of total population below poverty level: 14.1%

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

Share of adults ever diagnosed with depression: 16.1%

16.1% Share of adults who are obese (BMI 30.0 – 99.8): 31.0%

31.0% Share of total population with a disability: 9.2%

9.2% Share of total population who are divorced: 9.3%

9.3% Mean household income: $92,532

$92,532 Share of total population below poverty level: 13.9%

#6 – Boston, MA

Share of adults ever diagnosed with depression: 15.7%

15.7% Share of adults who are obese (BMI 30.0 – 99.8): 25.6%

25.6% Share of total population with a disability: 10.7%

10.7% Share of total population who are divorced: 8.8%

8.8% Mean household income: $116,561

$116,561 Share of total population below poverty level: 9.6%

#5 – Atlanta-Sandy Springs-Roswell, GA

Share of adults ever diagnosed with depression: 15.5%

15.5% Share of adults who are obese (BMI 30.0 – 99.8): 29.9%

29.9% Share of total population with a disability: 10.0%

10.0% Share of total population who are divorced: 10.8%

10.8% Mean household income: $90,879

$90,879 Share of total population below poverty level: 12.0%

#4 – Dallas-Plano-Irving, TX

Share of adults ever diagnosed with depression: 14.2%

14.2% Share of adults who are obese (BMI 30.0 – 99.8): 28.4%

28.4% Share of total population with a disability: 9.5%

9.5% Share of total population who are divorced: 10.7%

10.7% Mean household income: $92,495

$92,495 Share of total population below poverty level: 11.3%

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

Share of adults ever diagnosed with depression: 14.2%

14.2% Share of adults who are obese (BMI 30.0 – 99.8): 27.6%

27.6% Share of total population with a disability: 9.0%

9.0% Share of total population who are divorced: 8.7%

8.7% Mean household income: $128,402

$128,402 Share of total population below poverty level: 7.9%

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

Share of adults ever diagnosed with depression: 13.8%

13.8% Share of adults who are obese (BMI 30.0 – 99.8): 23.6%

23.6% Share of total population with a disability: 10.1%

10.1% Share of total population who are divorced: 7.9%

7.9% Mean household income: $110,849

$110,849 Share of total population below poverty level: 12.8%

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

Share of adults ever diagnosed with depression: 13.3%

13.3% Share of adults who are obese (BMI 30.0 – 99.8): 27.0%

27.0% Share of total population with a disability: 10.9%

10.9% Share of total population who are divorced: 13.1%

13.1% Mean household income: $81,633

$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

Rank Metro Depression Rate Obesity Rate Disability Rate Divorce Rate Mean Household Income Poverty Rate 1 Grand Rapids-Wyoming, MI 25.0% 32.3% 11.1% 10.4% $79,512 10.0% 2 Cincinnati, OH-KY-IN 24.5% 30.0% 12.6% 11.8% $83,111 12.1% 3 Birmingham-Hoover, AL 24.4% 37.7% 16.4% 12.6% $74,667 14.6% 4 Rochester, NY 24.0% 28.8% 14.0% 10.6% $75,771 13.9% 5 Salt Lake City, UT 23.8% 24.9% 9.2% 10.5% $90,790 8.9% 6 Providence-Warwick, RI-MA 23.7% 31.6% 13.5% 10.7% $86,816 11.4% 7 Oklahoma City, OK 23.1% 34.6% 14.2% 13.0% $77,056 13.9% 8 Portland-Vancouver-Hillsboro, OR-WA 23.1% 27.2% 11.8% 12.4% $92,750 10.9% 9 Columbus, OH 22.8% 32.5% 11.9% 11.3% $83,780 13.1% 10 Indianapolis-Carmel-Anderson, IN 22.6% 32.0% 12.4% 12.0% $81,056 11.9% 11 Jacksonville, FL 22.5% 33.2% 13.5% 12.9% $79,596 13.3% 12 Louisville/Jefferson County, KY-IN 21.9% 30.1% 14.1% 12.5% $77,113 12.2% 13 Cleveland-Elyria, OH 21.6% 32.7% 14.5% 12.1% $74,406 14.8% 14 St. Louis, MO-IL 21.6% 31.3% 13.1% 11.5% $82,841 11.6% 15 Seattle-Bellevue-Everett, WA 21.6% 23.2% 11.1% 11.3% $109,619 9.0% 16 San Antonio-New Braunfels, TX 21.4% 30.7% 14.6% 11.3% $77,001 14.5% 17 Philadelphia, PA 21.3% 32.0% 12.3% 9.0% $95,595 12.8% 18 Nashville-Davidson--Murfreesboro--Franklin, TN 21.2% 28.2% 12.0% 11.1% $87,562 10.9% 19 Richmond, VA 20.8% 31.6% 12.3% 11.2% $89,615 11.2% 20 New Orleans-Metairie, LA 20.7% 36.1% 14.1% 11.8% $72,130 18.6% 21 Kansas City, MO-KS 20.5% 31.2% 12.0% 12.4% $85,949 10.0% 22 Warren-Troy Farmington Hills, MI (2012 to present) 19.8% 28.3% 13.7% 11.1% $81,606 14.6% 23 Sacramento--Roseville--Arden-Arcade, CA 19.7% 27.9% 11.5% 10.6% $90,806 13.1% 24 Virginia Beach-Norfolk-Newport News, VA-NC 19.6% 32.4% 14.3% 10.8% $82,927 12.3% 25 Baltimore-Columbia-Towson, MD 19.5% 31.1% 11.6% 10.1% $101,124 10.2% 26 Milwaukee-Waukesha-West Allis, WI 19.3% 29.1% 11.0% 10.2% $81,635 13.3% 27 Minneapolis-St. Paul-Bloomington, MN-WI 19.2% 26.0% 10.1% 10.0% $101,405 8.1% 28 Pittsburgh, PA 18.9% 31.1% 14.8% 10.0% $80,012 11.0% 29 Charlotte-Concord-Gastonia, NC-SC 18.8% 33.8% 10.3% 10.8% $85,987 12.1% 30 Riverside-San Bernardino-Ontario, CA 18.7% 31.8% 11.6% 9.8% $81,378 14.4% 31 San Juan-Carolina-Caguas, PR 18.5% 32.4% 21.4% 13.9% $34,934 39.8% 32 Phoenix-Mesa-Scottsdale, AZ 18.5% 29.4% 11.5% 12.3% $83,688 13.3% 33 Hartford-West Hartford-East Hartford, CT 18.4% 27.0% 11.5% 11.6% $96,260 10.0% 34 Denver-Aurora-Lakewood, CO 17.6% 22.1% 9.6% 11.8% $101,249 8.6% 35 Memphis, TN-MS-AR 17.5% 37.2% 13.0% 10.9% $73,581 17.1% 36 Buffalo-Cheektowaga-Niagara Falls, NY 17.1% 29.7% 13.3% 10.2% $73,903 14.2% 37 Orlando-Kissimmee-Sanford, FL 16.9% 26.4% 12.0% 11.8% $77,135 14.1% 38 Austin-Round Rock, TX 16.7% 29.3% 8.9% 11.1% $100,282 10.4% 39 Tampa-St. Petersburg-Clearwater, FL 16.6% 26.0% 14.0% 13.8% $74,499 13.9% 40 Chicago-Naperville-Elgin, IL-IN-WI 16.3% 30.1% 9.9% 8.8% $95,010 11.8% 41 Los Angeles-Long Beach-Anaheim, CA 16.2% 24.0% 9.5% 8.5% $99,303 14.1% 42 Houston-The Woodlands-Sugar Land, TX 16.1% 31.0% 9.2% 9.3% $92,532 13.9% 43 Boston, MA 15.7% 25.6% 10.7% 8.8% $116,561 9.6% 44 Atlanta-Sandy Springs-Roswell, GA 15.5% 29.9% 10.0% 10.8% $90,879 12.0% 45 Dallas-Plano-Irving, TX 14.2% 28.4% 9.5% 10.7% $92,495 11.3% 46 Washington-Arlington-Alexandria, DC-VA-MD-WV 14.2% 27.6% 9.0% 8.7% $128,402 7.9% 47 New York-Jersey City-White Plains, NY-NJ 13.8% 23.6% 10.1% 7.9% $110,849 12.8% 48 Miami-Fort Lauderdale-West Palm Beach, FL 13.3% 27.0% 10.9% 13.1% $81,633 14.3% Get Your Rates Quote Now #blank# #blank# #blank# #blank# #blank# #blank# #blank#

Midsize Cities

Rank Metro Depression Rate Obesity Rate Disability Rate Divorce Rate Mean Household Income Poverty Rate 1 Huntington-Ashland, WV-KY-OH 28.0% 38.5% 21.1% 14.0% $58,619 20.9% 2 Toledo, OH 26.0% 41.3% 14.4% 11.8% $69,121 15.9% 3 Dayton, OH 25.5% 35.1% 14.7% 11.7% $70,571 13.8% 4 Fort Wayne, IN 24.7% 33.9% 12.7% 12.4% $67,732 12.3% 5 Knoxville, TN 24.7% 31.0% 14.9% 13.0% $74,016 14.3% 6 Spokane-Spokane Valley, WA 24.6% 27.9% 14.1% 13.6% $74,322 14.0% 7 Tulsa, OK 24.6% 36.0% 14.7% 13.6% $71,534 14.3% 8 Pensacola-Ferry Pass-Brent, FL 24.3% 28.8% 16.3% 13.2% $68,929 13.7% 9 Ogden-Clearfield, UT 24.0% 28.9% 10.6% 9.6% $85,908 7.4% 10 Albany-Schenectady-Troy, NY 24.0% 28.5% 12.8% 10.9% $89,097 10.4% 11 Lansing-East Lansing, MI 23.7% 31.8% 14.0% 11.2% $73,938 15.3% 12 Portland-South Portland, ME 23.3% 24.3% 13.0% 13.3% $87,700 7.8% 13 Little Rock-North Little Rock-Conway, AR 23.3% 35.4% 16.9% 14.1% $73,068 13.0% 14 Springfield, MA 23.1% 24.2% 15.9% 10.3% $77,195 15.5% 15 Rockingham County-Strafford County, NH 22.9% 25.8% 12.4% 11.4% $68,047 15.1% 16 Wichita, KS 22.6% 33.9% 14.4% 13.3% $70,563 13.4% 17 Fayetteville-Springdale-Rogers, AR-MO 22.6% 32.7% 10.4% 10.8% $78,173 12.1% 18 Charleston-North Charleston, SC 22.5% 32.1% 11.4% 10.4% $83,736 11.9% 19 Albuquerque, NM 22.0% 26.8% 15.0% 13.8% $68,453 15.5% 20 Augusta-Richmond County, GA-SC 22.0% 37.6% 14.7% 11.1% $66,326 15.5% 21 Myrtle Beach-Conway-North Myrtle Beach, SC-NC 21.6% 29.5% 16.7% 11.6% $64,514 15.3% 22 Worcester, MA-CT 21.1% 28.5% 12.6% 11.2% $91,200 10.6% 23 Provo-Orem, UT 20.8% 23.1% 7.7% 5.6% $87,138 10.6% 24 Boise City, ID 20.7% 30.0% 12.2% 12.5% $76,825 12.9% 25 Corpus Christi, TX 20.7% 37.3% 14.2% 12.3% $72,496 16.6% 26 Omaha-Council Bluffs, NE-IA 20.6% 33.3% 11.6% 10.7% $84,781 9.6% 27 Salisbury, MD-DE 20.2% 33.0% 14.2% 10.9% $80,287 12.6% 28 Des Moines-West Des Moines, IA 20.1% 34.4% 10.4% 12.1% $90,259 8.3% 29 Columbia, SC 20.0% 35.7% 14.0% 11.0% $72,572 15.1% 30 Greenville-Anderson-Mauldin, SC 19.8% 31.9% 14.8% 10.8% $72,038 14.2% 31 Anchorage, AK 19.6% 36.3% 12.3% 12.9% $97,769 10.4% 32 Reno, NV 19.5% 24.0% 11.3% 13.7% $84,079 10.8% 33 Colorado Springs, CO 19.5% 22.8% 13.0% 12.3% $83,525 10.7% 34 Baton Rouge, LA 19.4% 33.0% 13.9% 11.2% $76,318 16.3% 35 Allentown-Bethlehem-Easton, PA-NJ 19.2% 31.7% 13.1% 10.0% $84,133 11.2% 36 Deltona-Daytona Beach-Ormond Beach, FL 18.6% 30.8% 17.4% 14.4% $63,640 15.0% 37 Port St. Lucie, FL 18.3% 25.6% 15.5% 13.1% $76,888 11.4% 38 Jackson, MS 17.6% 35.2% 11.6% 11.4% $70,461 15.4% 39 Lexington-Fayette, KY 16.5% 32.0% 13.8% 12.1% $80,041 15.8% 40 North Port-Sarasota-Bradenton, FL 16.0% 25.2% 14.7% 13.8% $82,540 9.5% 41 El Paso, TX 15.8% 34.7% 12.1% 10.6% $61,583 21.1% 42 Tallahassee, FL 15.7% 32.3% 12.9% 10.1% $71,247 18.2% Get Your Rates Quote Now #blank# #blank# #blank# #blank# #blank# #blank# #blank#

Small Cities

Rank Metro Depression Rate Obesity Rate Disability Rate Divorce Rate Mean Household Income Poverty Rate 1 Evansville, IN-KY 29.8% 31.5% 15.4% 14.2% $71,523 15.0% 2 Kingsport-Bristol-Bristol, TN-VA 29.7% 29.8% 20.9% 14.0% $61,070 15.3% 3 Charleston, WV 28.4% 40.6% 19.4% 14.5% $60,327 19.0% 4 Tuscaloosa, AL 26.3% 36.8% 13.4% $66,054 16.3% 5 Burlington-South Burlington, VT 25.3% 27.9% 12.0% $87,439 11.3% 6 Minot, ND 24.3% 34.6% 9.9% $79,289 10.5% 7 Florence, SC 24.0% 37.4% 18.0% 10.3% $57,430 19.3% 8 Claremont-Lebanon, NH-VT 23.8% 26.7% 15.0% 11.9% $81,513 10.1% 9 Topeka, KS 23.7% 37.1% 13.1% 11.8% $67,963 10.9% 10 Spartanburg, SC 23.4% 34.7% 15.7% 10.4% $66,737 13.7% 11 South Bend-Mishawaka, IN-MI 23.1% 32.9% 14.5% 12.1% $70,720 15.0% 12 Wichita Falls, TX 22.8% 42.6% 17.2% 11.8% $58,933 16.2% 13 Panama City, FL 22.8% 26.8% 20.1% 13.6% $68,124 15.5% 14 St. Cloud, MN 22.5% 29.5% 11.1% 9.1% $77,934 11.1% 15 Fargo, ND-MN 22.4% 29.0% 8.4% $81,787 9.7% 16 Hagerstown-Martinsburg, MD-WV 21.7% 37.7% 15.9% 11.3% $73,082 13.4% 17 Gainesville, FL 21.0% 30.8% 11.6% 10.9% $65,397 21.2% 18 Cedar Rapids, IA 20.8% 34.2% 8.6% $78,464 8.7% 19 Rapid City, SD 20.8% 35.3% 13.2% $69,430 11.8% 20 Lincoln, NE 20.7% 28.9% 10.3% 9.5% $78,036 11.2% 21 Grand Forks, ND-MN 20.4% 35.2% 10.6% $68,203 15.5% 22 Sioux City, IA-NE-SD 20.4% 29.7% 12.6% 12.3% $74,337 12.2% 23 Duluth, MN-WI 19.9% 26.4% 14.5% 12.5% $68,868 13.6% 24 Billings, MT 19.9% 25.7% 11.9% $77,523 9.7% 25 Grand Island, NE 19.7% 36.6% 12.4% $76,901 10.3% 26 Rochester, MN 19.2% 30.5% 11.7% 8.9% $92,058 8.3% 27 Manhattan, KS 18.3% 24.2% 10.6% $70,613 20.1% 28 Sioux Falls, SD 18.0% 29.1% 9.2% 10.2% $80,800 6.8% 29 Bismarck, ND 17.5% 30.7% 9.3% $83,730 9.1% 30 Crestview-Fort Walton Beach-Destin, FL 16.3% 28.5% 17.4% 14.0% $78,536 13.2% 31 Hilton Head Island-Bluffton-Beaufort, SC 16.1% 25.1% 15.1% $83,477 10.9% 32 College Station-Bryan, TX 13.4% 30.8% 9.4% $64,918 24.6% 33 Kahului-Wailuku-Lahaina, HI 12.4% 23.4% 9.7% $101,541 9.7% Get Your Rates Quote Now #blank# #blank# #blank# #blank# #blank# #blank# #blank#

All Metros Areas

Rank Metro Depression Rate Obesity Rate Disability Rate Divorce Rate Mean Household Income Poverty Rate 1 Evansville, IN-KY 29.8% 31.5% 15.4% 14.2% $71,523 15.0% 2 Kingsport-Bristol-Bristol, TN-VA 29.7% 29.8% 20.9% 14.0% $61,070 15.3% 3 Charleston, WV 28.4% 40.6% 19.4% 14.5% $60,327 19.0% 4 Huntington-Ashland, WV-KY-OH 28.0% 38.5% 21.1% 14.0% $58,619 20.9% 5 Tuscaloosa, AL 26.3% 36.8% 13.4% $66,054 16.3% 6 Toledo, OH 26.0% 41.3% 14.4% 11.8% $69,121 15.9% 7 Dayton, OH 25.5% 35.1% 14.7% 11.7% $70,571 13.8% 8 Burlington-South Burlington, VT 25.3% 27.9% 12.0% $87,439 11.3% 9 Grand Rapids-Wyoming, MI 25.0% 32.3% 11.1% 10.4% $79,512 10.0% 10 Fort Wayne, IN 24.7% 33.9% 12.7% 12.4% $67,732 12.3% 11 Knoxville, TN 24.7% 31.0% 14.9% 13.0% $74,016 14.3% 12 Spokane-Spokane Valley, WA 24.6% 27.9% 14.1% 13.6% $74,322 14.0% 13 Tulsa, OK 24.6% 36.0% 14.7% 13.6% $71,534 14.3% 14 Cincinnati, OH-KY-IN 24.5% 30.0% 12.6% 11.8% $83,111 12.1% 15 Birmingham-Hoover, AL 24.4% 37.7% 16.4% 12.6% $74,667 14.6% 16 Pensacola-Ferry Pass-Brent, FL 24.3% 28.8% 16.3% 13.2% $68,929 13.7% 17 Minot, ND 24.3% 34.6% 9.9% $79,289 10.5% 18 Ogden-Clearfield, UT 24.0% 28.9% 10.6% 9.6% $85,908 7.4% 19 Florence, SC 24.0% 37.4% 18.0% 10.3% $57,430 19.3% 20 Albany-Schenectady-Troy, NY 24.0% 28.5% 12.8% 10.9% $89,097 10.4% 21 Rochester, NY 24.0% 28.8% 14.0% 10.6% $75,771 13.9% 22 Claremont-Lebanon, NH-VT 23.8% 26.7% 15.0% 11.9% $81,513 10.1% 23 Salt Lake City, UT 23.8% 24.9% 9.2% 10.5% $90,790 8.9% 24 Topeka, KS 23.7% 37.1% 13.1% 11.8% $67,963 10.9% 25 Lansing-East Lansing, MI 23.7% 31.8% 14.0% 11.2% $73,938 15.3% 26 Providence-Warwick, RI-MA 23.7% 31.6% 13.5% 10.7% $86,816 11.4% 27 Spartanburg, SC 23.4% 34.7% 15.7% 10.4% $66,737 13.7% 28 Portland-South Portland, ME 23.3% 24.3% 13.0% 13.3% $87,700 7.8% 29 Little Rock-North Little Rock-Conway, AR 23.3% 35.4% 16.9% 14.1% $73,068 13.0% 30 Oklahoma City, OK 23.1% 34.6% 14.2% 13.0% $77,056 13.9% 31 Springfield, MA 23.1% 24.2% 15.9% 10.3% $77,195 15.5% 32 South Bend-Mishawaka, IN-MI 23.1% 32.9% 14.5% 12.1% $70,720 15.0% 33 Portland-Vancouver-Hillsboro, OR-WA 23.1% 27.2% 11.8% 12.4% $92,750 10.9% 34 Rockingham County-Strafford County, NH 22.9% 25.8% 12.4% 11.4% $68,047 15.1% 35 Wichita Falls, TX 22.8% 42.6% 17.2% 11.8% $58,933 16.2% 36 Columbus, OH 22.8% 32.5% 11.9% 11.3% $83,780 13.1% 37 Panama City, FL 22.8% 26.8% 20.1% 13.6% $68,124 15.5% 38 Wichita, KS 22.6% 33.9% 14.4% 13.3% $70,563 13.4% 39 Fayetteville-Springdale-Rogers, AR-MO 22.6% 32.7% 10.4% 10.8% $78,173 12.1% 40 Indianapolis-Carmel-Anderson, IN 22.6% 32.0% 12.4% 12.0% $81,056 11.9% 41 Jacksonville, FL 22.5% 33.2% 13.5% 12.9% $79,596 13.3% 42 Charleston-North Charleston, SC 22.5% 32.1% 11.4% 10.4% $83,736 11.9% 43 St. Cloud, MN 22.5% 29.5% 11.1% 9.1% $77,934 11.1% 44 Fargo, ND-MN 22.4% 29.0% 8.4% $81,787 9.7% 45 Albuquerque, NM 22.0% 26.8% 15.0% 13.8% $68,453 15.5% 46 Augusta-Richmond County, GA-SC 22.0% 37.6% 14.7% 11.1% $66,326 15.5% 47 Louisville/Jefferson County, KY-IN 21.9% 30.1% 14.1% 12.5% $77,113 12.2% 48 Hagerstown-Martinsburg, MD-WV 21.7% 37.7% 15.9% 11.3% $73,082 13.4% 49 Cleveland-Elyria, OH 21.6% 32.7% 14.5% 12.1% $74,406 14.8% 50 Myrtle Beach-Conway-North Myrtle Beach, SC-NC 21.6% 29.5% 16.7% 11.6% $64,514 15.3% 51 St. Louis, MO-IL 21.6% 31.3% 13.1% 11.5% $82,841 11.6% 52 Seattle-Bellevue-Everett, WA 21.6% 23.2% 11.1% 11.3% $109,619 9.0% 53 San Antonio-New Braunfels, TX 21.4% 30.7% 14.6% 11.3% $77,001 14.5% 54 Philadelphia, PA 21.3% 32.0% 12.3% 9.0% $95,595 12.8% 55 Nashville-Davidson--Murfreesboro--Franklin, TN 21.2% 28.2% 12.0% 11.1% $87,562 10.9% 56 Worcester, MA-CT 21.1% 28.5% 12.6% 11.2% $91,200 10.6% 57 Gainesville, FL 21.0% 30.8% 11.6% 10.9% $65,397 21.2% 58 Richmond, VA 20.8% 31.6% 12.3% 11.2% $89,615 11.2% 59 Cedar Rapids, IA 20.8% 34.2% 8.6% $78,464 8.7% 60 Rapid City, SD 20.8% 35.3% 13.2% $69,430 11.8% 61 Provo-Orem, UT 20.8% 23.1% 7.7% 5.6% $87,138 10.6% 62 Boise City, ID 20.7% 30.0% 12.2% 12.5% $76,825 12.9% 63 Lincoln, NE 20.7% 28.9% 10.3% 9.5% $78,036 11.2% 64 Corpus Christi, TX 20.7% 37.3% 14.2% 12.3% $72,496 16.6% 65 New Orleans-Metairie, LA 20.7% 36.1% 14.1% 11.8% $72,130 18.6% 66 Omaha-Council Bluffs, NE-IA 20.6% 33.3% 11.6% 10.7% $84,781 9.6% 67 Kansas City, MO-KS 20.5% 31.2% 12.0% 12.4% $85,949 10.0% 68 Grand Forks, ND-MN 20.4% 35.2% 10.6% $68,203 15.5% 69 Sioux City, IA-NE-SD 20.4% 29.7% 12.6% 12.3% $74,337 12.2% 70 Salisbury, MD-DE 20.2% 33.0% 14.2% 10.9% $80,287 12.6% 71 Des Moines-West Des Moines, IA 20.1% 34.4% 10.4% 12.1% $90,259 8.3% 72 Columbia, SC 20.0% 35.7% 14.0% 11.0% $72,572 15.1% 73 Duluth, MN-WI 19.9% 26.4% 14.5% 12.5% $68,868 13.6% 74 Billings, MT 19.9% 25.7% 11.9% $77,523 9.7% 75 Greenville-Anderson-Mauldin, SC 19.8% 31.9% 14.8% 10.8% $72,038 14.2% 76 Warren-Troy Farmington Hills, MI (2012 to present) 19.8% 28.3% 13.7% 11.1% $81,606 14.6% 77 Sacramento--Roseville--Arden-Arcade, CA 19.7% 27.9% 11.5% 10.6% $90,806 13.1% 78 Grand Island, NE 19.7% 36.6% 12.4% $76,901 10.3% 79 Anchorage, AK 19.6% 36.3% 12.3% 12.9% $97,769 10.4% 80 Virginia Beach-Norfolk-Newport News, VA-NC 19.6% 32.4% 14.3% 10.8% $82,927 12.3% 81 Reno, NV 19.5% 24.0% 11.3% 13.7% $84,079 10.8% 82 Baltimore-Columbia-Towson, MD 19.5% 31.1% 11.6% 10.1% $101,124 10.2% 83 Colorado Springs, CO 19.5% 22.8% 13.0% 12.3% $83,525 10.7% 84 Baton Rouge, LA 19.4% 33.0% 13.9% 11.2% $76,318 16.3% 85 Milwaukee-Waukesha-West Allis, WI 19.3% 29.1% 11.0% 10.2% $81,635 13.3% 86 Minneapolis-St. Paul-Bloomington, MN-WI 19.2% 26.0% 10.1% 10.0% $101,405 8.1% 87 Allentown-Bethlehem-Easton, PA-NJ 19.2% 31.7% 13.1% 10.0% $84,133 11.2% 88 Rochester, MN 19.2% 30.5% 11.7% 8.9% $92,058 8.3% 89 Pittsburgh, PA 18.9% 31.1% 14.8% 10.0% $80,012 11.0% 90 Charlotte-Concord-Gastonia, NC-SC 18.8% 33.8% 10.3% 10.8% $85,987 12.1% 91 Riverside-San Bernardino-Ontario, CA 18.7% 31.8% 11.6% 9.8% $81,378 14.4% 92 Deltona-Daytona Beach-Ormond Beach, FL 18.6% 30.8% 17.4% 14.4% $63,640 15.0% 93 San Juan-Carolina-Caguas, PR 18.5% 32.4% 21.4% 13.9% $34,934 39.8% 94 Phoenix-Mesa-Scottsdale, AZ 18.5% 29.4% 11.5% 12.3% $83,688 13.3% 95 Hartford-West Hartford-East Hartford, CT 18.4% 27.0% 11.5% 11.6% $96,260 10.0% 96 Manhattan, KS 18.3% 24.2% 10.6% $70,613 20.1% 97 Port St. Lucie, FL 18.3% 25.6% 15.5% 13.1% $76,888 11.4% 98 Sioux Falls, SD 18.0% 29.1% 9.2% 10.2% $80,800 6.8% 99 Denver-Aurora-Lakewood, CO 17.6% 22.1% 9.6% 11.8% $101,249 8.6% 100 Jackson, MS 17.6% 35.2% 11.6% 11.4% $70,461 15.4% 101 Bismarck, ND 17.5% 30.7% 9.3% $83,730 9.1% 102 Memphis, TN-MS-AR 17.5% 37.2% 13.0% 10.9% $73,581 17.1% 103 Buffalo-Cheektowaga-Niagara Falls, NY 17.1% 29.7% 13.3% 10.2% $73,903 14.2% 104 Orlando-Kissimmee-Sanford, FL 16.9% 26.4% 12.0% 11.8% $77,135 14.1% 105 Austin-Round Rock, TX 16.7% 29.3% 8.9% 11.1% $100,282 10.4% 106 Tampa-St. Petersburg-Clearwater, FL 16.6% 26.0% 14.0% 13.8% $74,499 13.9% 107 Lexington-Fayette, KY 16.5% 32.0% 13.8% 12.1% $80,041 15.8% 108 Chicago-Naperville-Elgin, IL-IN-WI 16.3% 30.1% 9.9% 8.8% $95,010 11.8% 109 Crestview-Fort Walton Beach-Destin, FL 16.3% 28.5% 17.4% 14.0% $78,536 13.2% 110 Los Angeles-Long Beach-Anaheim, CA 16.2% 24.0% 9.5% 8.5% $99,303 14.1% 111 Hilton Head Island-Bluffton-Beaufort, SC 16.1% 25.1% 15.1% $83,477 10.9% 112 Houston-The Woodlands-Sugar Land, TX 16.1% 31.0% 9.2% 9.3% $92,532 13.9% 113 North Port-Sarasota-Bradenton, FL 16.0% 25.2% 14.7% 13.8% $82,540 9.5% 114 El Paso, TX 15.8% 34.7% 12.1% 10.6% $61,583 21.1% 115 Tallahassee, FL 15.7% 32.3% 12.9% 10.1% $71,247 18.2% 116 Boston, MA 15.7% 25.6% 10.7% 8.8% $116,561 9.6% 117 Atlanta-Sandy Springs-Roswell, GA 15.5% 29.9% 10.0% 10.8% $90,879 12.0% 118 Dallas-Plano-Irving, TX 14.2% 28.4% 9.5% 10.7% $92,495 11.3% 119 Washington-Arlington-Alexandria, DC-VA-MD-WV 14.2% 27.6% 9.0% 8.7% $128,402 7.9% 120 New York-Jersey City-White Plains, NY-NJ 13.8% 23.6% 10.1% 7.9% $110,849 12.8% 121 College Station-Bryan, TX 13.4% 30.8% 9.4% $64,918 24.6% 122 Miami-Fort Lauderdale-West Palm Beach, FL 13.3% 27.0% 10.9% 13.1% $81,633 14.3% 123 Kahului-Wailuku-Lahaina, HI 12.4% 23.4% 9.7% $101,541 9.7% Get Your Rates Quote Now #blank# #blank# #blank# #blank# #blank# #blank# #blank#