placestats

Frequent mental distress and Economic connectedness

Across 2,824 counties, Frequent mental distress and Economic connectedness have a link of -0.59, on a scale from −1 (opposite) to +1 (in step). But compare places with the same population density, income and education, and what is left could easily be chance. Most of the first figure came from both measures following how urban, rich and educated a place is, not from a link with each other.

Mostly gone after adjusting

Every place, plotted

One dot for each place reporting both measures. Hover over or tap a dot to see its name and values. The thin line is the straight line that best fits the dots. The bold line, shown for counties, is the link after adjusting for density, income and education. A dot far from the lines is a place that does not follow the pattern.

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What each measure is

Frequent mental distress

The estimated percentage of adults who report poor mental health on 14 or more days a month. It is adjusted so places with older or younger populations can be compared fairly. It is an estimate from a statistical model, not a direct count from a local survey.

CDC PLACES · PLACES MHLTH, age-adjusted

Economic connectedness

How many of a low-income person's friends are high-income, compared with an even mix. One means their friends match the local mix of rich and poor. Below one means their friendships are more divided by income than that.

Social Capital Atlas · Opportunity Insights ec_county

Highest and lowest

Where each measure is highest and lowest among the places reporting both (2023), with the other measure beside it. This is shown for every size of place where both are published. Metro-area values are added up from their counties. A measure that cannot be added up across counties, such as a middle value (median), has no metro figure. Counts are shown per 1,000 residents, since raw totals would only list the largest places. Cities and towns and ZIP codes are shown where the Census survey or the CDC publishes them; most other sources stop at the county. They are shown for places of 5,000 residents or more, and only where the survey’s margin of error is small enough for the figure to be usable. The CDC publishes its health estimates for cities in a version adjusted for age, so places with older or younger people can be compared fairly, but not for ZIP codes.

Counties

By frequent mental distress

Frequent mental distressEconomic connectedness
Highest
Mingo County, WV26.6%0.72
McDowell County, WV26%0.618
Hancock County, TN25.7%0.512
Calhoun County, WV25.7%0.729
Logan County, WV25.4%0.769
Lowest
Fairfax County, VA12.7%1.19
Montgomery County, MD12.8%0.994
Aleutians West Census Area, AK13%0.833
Aleutians East Borough, AK13%0.914
Arlington County, VA13%1.27

By economic connectedness

Frequent mental distressEconomic connectedness
Highest
Rockingham County, NH15.8%1.36
Douglas County, CO14.8%1.35
San Francisco County, CA14.3%1.31
Morgan County, UT16.1%1.29
Madison County, ID18.3%1.28
Lowest
Todd County, SD23.7%0.295
Oglala Lakota County, SD24.5%0.33
Terrell County, GA21.4%0.347
Bullock County, AL21.3%0.355
Allendale County, SC19.7%0.361
Metro areas

By frequent mental distress

Frequent mental distressEconomic connectedness
Highest
Beckley, WV24.3%0.745
Gallup, NM23.7%0.416
Newport, TN23.5%0.535
Charleston, WV23.2%0.768
Parkersburg-Vienna, WV23%0.768
Lowest
Los Alamos, NM13%1.12
Jackson, WY-ID13.8%1.05
Bismarck, ND14.1%1.01
San Jose-Sunnyvale-Santa Clara, CA14.1%1.14
Washington-Arlington-Alexandria, DC-VA-MD-WV14.1%1.01

By economic connectedness

Frequent mental distressEconomic connectedness
Highest
Provo-Orem-Lehi, UT15.7%1.22
Alexandria, MN16.6%1.18
Laramie, WY15.9%1.17
Hutchinson, MN16.7%1.16
Ames, IA16.3%1.15
Lowest
Lumberton, NC20.9%0.363
Cordele, GA21%0.388
Laurinburg, NC20.7%0.396
Eufaula, AL-GA20%0.414
Gallup, NM23.7%0.416
Cities and towns — Economic connectedness is not published for cities and towns

By frequent mental distress

Frequent mental distressEconomic connectedness
Highest
Kiryas Joel village, NY25.7%—
New Square village, NY25.4%—
Tallulah city, LA25.3%—
La Follette city, TN25.2%—
Parkersburg city, WV25.2%—
Lowest
Travilah CDP, MD10.6%—
Loudoun Valley Estates CDP, VA10.7%—
Princeton Meadows CDP, NJ10.7%—
Floris CDP, VA10.8%—
North Hills village, NY11%—

Counties furthest from the pattern

Compared with the straight line that best fits all 2,833 counties: the five with far more economic connectedness than their frequent mental distress would suggest, and the five with far less.

Frequent mental distressEconomic connectedness
Above the line
Madison County, ID18.3%1.28
Rockingham County, NH15.8%1.36
Faulk County, SD17.7%1.22
Whitman County, WA19%1.14
Morgan County, WV22.7%0.944
Below the line
Colfax County, NE14%0.573
San Miguel County, NM16.3%0.5
Santa Cruz County, AZ15.8%0.527
Mercer County, NJ15.2%0.567
Rio Arriba County, NM17.5%0.447

Two series, one county

Both measures over time for a county you pick. The two charts are stacked, so they share only the years along the bottom. You can pick from the thirty largest counties reporting both. This panel covers 2010–2024, and a measure published only once shows as a single dot.

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Every version of the link

Each row measures the same link, from −1 to +1, in a different way. If the rows mostly agree, the link does not depend on one choice of method.

Before adjusting for anything-0.5872,824 counties reporting both
After adjusting for density, income and education-0.149the part of the link that is not just how urban, rich and educated a place is
Also adjusting for population size-0.157size taken out as well as density
Also comparing only within each state-0.090each county is compared only with others in its own state, so this is no longer a comparison between states
Giving bigger counties more weight+0.014the adjusted link for the average resident rather than the average county. With this weighting, the data counts for about 263 equally weighted counties
Middle value inside single states-0.613the link worked out inside each of 38 states with at least 20 counties reporting
Using ranks, after adjusting-0.083uses each county’s rank, not its value, so a few extreme counties cannot create the link

How much to believe it

Could it be chance?

The p-value is the chance of seeing a link this strong if there were really none. A value of 0.05 or less means the link is unlikely to be chance. Very small values are written in short form: 3.1e-16 means 0.00000000000000031, and the bigger the number after “e-”, the smaller the value. Treating every county as a separate case gives p = 1.7e-15. But counties in the same state tend to resemble each other, so the better figure allows for that: p = 0.120. The site tested 20,910 pairs, and testing so many turns up some flukes. The q-value allows for that too. For this pair it is 4.9e-15.

Do nearby places look alike?

Moran’s I measures how much nearby places look alike: 0 means no map pattern, and higher means neighbours are more similar. For the part of each county that the adjustment leaves unexplained, it is +0.52 (p = 0.001). That unexplained part still clusters on the map. So some regional factor shared by both measures is not accounted for.

Did they change together?

Not measurable: at least one of these is published for too few of the years a change needs (2014–2019 or 2019–2023), or for too few counties in both.

Related pairs

Association only. Nothing here shows that either measure changes the other. This describes counties, not the people in them. Two measures going together across places does not mean the same people have both. How the US county data works · Explore Frequent mental distress and Economic connectedness