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Share sensitive information only on official, secure websites. Carlson, PhD 1 ; Kurt J. Croft, PhD 1 ; Paul I. Thomas, PhD 1 View author affiliations. During , Model-based age-standardized county-level prevalence estimates ranged from Decision-makers can use these estimates to guide resource allocation to areas where the need is greatest, possibly by implementing practices such as those recommended by The Guide to Community Preventive Services Task Force and the Substance Abuse and Mental Health Services Administration.

Depression is a major contributor to mortality, morbidity, disability, and economic costs in the United States 1. Examining the geographic distribution of depression at the state and county levels can help guide state- and local-level efforts to prevent, treat, and manage depression.

During , the age-standardized prevalence of depression among adults was Among states, the age-standardized prevalence of depression ranged from Among 3, counties, the model-based age-standardized prevalence of depression ranged from National values were directly estimated from weighted BRFSS data for groups defined by age, sex, race or ethnicity, and education, and state-level estimates were directly estimated from weighted BRFSS data for each state and DC.

Point estimates from survey data were estimated as weighted means and pairwise t-tests were used to determine differences compared with a reference category by age group, sex, race or ethnicity, and education level. Because BRFSS is not designed to provide estimates at the county level, county-level estimates were obtained for all 3, U. The model parameters were then applied to the U. Census Bureau Vintage county population data to generate model-based county-level estimates of depression prevalence.