Distress fifth
Top 100 most distressed counties ·
Rank County State Score Distress Fifth Population Actions
1 Holmes County MS 93.1 Most distressed fifth 15,777 Profile
2 Petersburg city VA 92.8 Most distressed fifth 33,309 Profile
3 Coahoma County MS 92.7 Most distressed fifth 20,077 Profile
4 East Carroll Parish LA 92.0 Most distressed fifth 6,829 Profile
5 Washington County MS 92.0 Most distressed fifth 41,946 Profile
6 Leflore County MS 91.9 Most distressed fifth 26,378 Profile
7 Phillips County AR 91.2 Most distressed fifth 14,961 Profile
8 Williamsburg County SC 90.7 Most distressed fifth 29,891 Profile
9 Hancock County GA 90.4 Most distressed fifth 8,676 Profile
10 Tunica County MS 90.4 Most distressed fifth 9,234 Profile
11 Morehouse Parish LA 90.4 Most distressed fifth 23,955 Profile
12 Pemiscot County MO 90.4 Most distressed fifth 14,613 Profile
13 Noxubee County MS 90.3 Most distressed fifth 9,914 Profile
14 Dougherty County GA 90.2 Most distressed fifth 82,645 Profile
15 Gadsden County FL 90.1 Most distressed fifth 43,833 Profile
16 Wilcox County AL 90.0 Most distressed fifth 9,944 Profile
17 Hopewell city VA 90.0 Most distressed fifth 22,752 Profile
18 Crittenden County AR 89.9 Most distressed fifth 47,139 Profile
19 Dallas County AL 89.3 Most distressed fifth 36,165 Profile
20 Desha County AR 89.2 Most distressed fifth 10,479 Profile
21 Baltimore city MD 88.7 Most distressed fifth 565,239 Profile
22 Yazoo County MS 88.7 Most distressed fifth 25,796 Profile
23 Humphreys County MS 88.2 Most distressed fifth 7,216 Profile
24 Bell County KY 87.8 Most distressed fifth 23,317 Profile
25 Edgecombe County NC 87.7 Most distressed fifth 48,832 Profile
26 Concordia Parish LA 87.6 Most distressed fifth 17,688 Profile
27 Lee County AR 87.4 Most distressed fifth 8,201 Profile
28 Bolivar County MS 87.1 Most distressed fifth 28,968 Profile
29 Madison Parish LA 86.9 Most distressed fifth 9,246 Profile
30 Bronx County NY 86.8 Most distressed fifth 1,356,476 Profile
31 St. Francis County AR 86.3 Most distressed fifth 22,101 Profile
32 Bibb County GA 86.1 Most distressed fifth 156,512 Profile
33 Claiborne Parish LA 86.0 Most distressed fifth 13,670 Profile
34 Chicot County AR 85.9 Most distressed fifth 9,538 Profile
35 Knox County KY 85.9 Most distressed fifth 29,794 Profile
36 Magoffin County KY 85.9 Most distressed fifth 11,228 Profile
37 Hamilton County FL 85.9 Most distressed fifth 13,471 Profile
38 Greene County AL 85.8 Most distressed fifth 7,341 Profile
39 Halifax County NC 85.7 Most distressed fifth 47,298 Profile
40 Wayne County MI 85.7 Most distressed fifth 1,751,169 Profile
41 Portsmouth city VA 85.6 Most distressed fifth 96,793 Profile
42 Richmond County GA 85.6 Most distressed fifth 205,414 Profile
43 Hardeman County TN 85.4 Most distressed fifth 25,567 Profile
44 Clay County KY 85.3 Most distressed fifth 19,648 Profile
45 Martin County KY 85.3 Most distressed fifth 10,928 Profile
46 Starr County TX 85.1 Most distressed fifth 65,934 Profile
47 Danville city VA 85.1 Most distressed fifth 41,837 Profile
48 Wilkinson County MS 84.9 Most distressed fifth 8,058 Profile
49 Marlboro County SC 84.7 Most distressed fifth 25,704 Profile
50 Martinsville city VA 84.7 Most distressed fifth 13,763 Profile
51 Mississippi County MO 84.7 Most distressed fifth 11,822 Profile
52 McCreary County KY 84.7 Most distressed fifth 17,050 Profile
53 Tensas Parish LA 84.7 Most distressed fifth 3,764 Profile
54 Emporia city VA 84.6 Most distressed fifth 5,463 Profile
55 Bamberg County SC 84.6 Most distressed fifth 12,974 Profile
56 Jefferson County AR 84.5 Most distressed fifth 63,661 Profile
57 Harlan County KY 84.5 Most distressed fifth 25,324 Profile
58 Jefferson County MS 84.4 Most distressed fifth 6,941 Profile
59 Natchitoches Parish LA 84.3 Most distressed fifth 36,291 Profile
60 Clayton County GA 84.3 Most distressed fifth 298,300 Profile
61 St. Bernard Parish LA 84.2 Most distressed fifth 44,463 Profile
62 Caddo Parish LA 84.1 Most distressed fifth 226,386 Profile
63 Sharkey County MS 84.0 Most distressed fifth 3,336 Profile
64 Perry County AL 84.0 Most distressed fifth 7,738 Profile
65 Cumberland County NJ 84.0 Most distressed fifth 152,326 Profile
66 Floyd County KY 83.9 Most distressed fifth 34,423 Profile
67 Scotland County NC 83.8 Most distressed fifth 34,376 Profile
68 Claiborne County MS 83.7 Most distressed fifth 8,617 Profile
69 Orangeburg County SC 83.7 Most distressed fifth 82,820 Profile
70 Terrell County GA 83.7 Most distressed fifth 8,718 Profile
71 Pike County KY 83.6 Most distressed fifth 55,973 Profile
72 Webster Parish LA 83.6 Most distressed fifth 35,238 Profile
73 Vance County NC 83.5 Most distressed fifth 42,301 Profile
74 Somerset County MD 83.4 Most distressed fifth 24,910 Profile
75 Fulton County KY 83.3 Most distressed fifth 6,338 Profile
76 Robeson County NC 83.3 Most distressed fifth 117,365 Profile
77 Lee County SC 83.1 Most distressed fifth 15,967 Profile
78 Wayne County KY 83.0 Most distressed fifth 19,580 Profile
79 Bienville Parish LA 82.9 Most distressed fifth 12,366 Profile
80 Menominee County WI 82.9 Most distressed fifth 4,226 Profile
81 Quitman County MS 82.8 Most distressed fifth 5,546 Profile
82 Shelby County TN 82.7 Most distressed fifth 910,042 Profile
83 Sunflower County MS 82.7 Most distressed fifth 24,468 Profile
84 Telfair County GA 82.7 Most distressed fifth 10,920 Profile
85 Fairfield County SC 82.6 Most distressed fifth 20,422 Profile
86 Adams County MS 82.5 Most distressed fifth 28,746 Profile
87 Monroe County AR 82.4 Most distressed fifth 6,512 Profile
88 Greensville County VA 82.3 Most distressed fifth 11,133 Profile
89 Catahoula Parish LA 82.3 Most distressed fifth 8,414 Profile
90 Seminole County OK 82.3 Most distressed fifth 23,565 Profile
91 Dunklin County MO 82.3 Most distressed fifth 27,032 Profile
92 St. Helena Parish LA 82.3 Most distressed fifth 10,774 Profile
93 Burke County GA 82.1 Most distressed fifth 24,438 Profile
94 Christian County KY 82.1 Most distressed fifth 72,032 Profile
95 Pike County MS 82.0 Most distressed fifth 39,394 Profile
96 Highlands County FL 81.9 Most distressed fifth 107,614 Profile
97 Early County GA 81.8 Most distressed fifth 10,563 Profile
98 Bertie County NC 81.8 Most distressed fifth 16,922 Profile
99 Orleans Parish LA 81.7 Most distressed fifth 364,136 Profile
100 Wayne County MO 81.7 Most distressed fifth 10,811 Profile

How the ranking is built

The County Distress Index scores all 3,144 U.S. counties on a 0 to 100 scale using five equal-weighted domains: delinquency, default and legal, debt burden, labor, and safety net and buffer. Each input is ranked against the current county cross-section, then averaged within its domain, then averaged across the five domains.

Source data: the Urban Institute Debt in America dataset, U.S. Census Bureau SAIPE and ACS, Bureau of Labor Statistics LAUS and QCEW, U.S. Courts bankruptcy statistics, and HUD Fair Market Rents. Rank #1 is the most distressed county in the current cross-section; distress fifth labels group counties by rank.

For journalists and researchers

The ranking is free to cite and redistribute with attribution. Every county row links to a detailed county profile with domain breakdowns and source context. A machine-readable Dataset schema is embedded in this page for LLM ingestion.

Frequently asked questions

Which county is the most distressed in America?

As of the most recent CDI release, Holmes County, Mississippi ranks first with a composite score of 93.1 on the 0 to 100 scale. The ranking is recomputed annually as new Census ACS and Urban Institute Debt in America data become available.

How often is the ranking updated?

The County Distress Index refreshes annually, aligned to the Census American Community Survey release window and the Urban Institute Debt in America update. The current release compiled on Jun 14, 2026. Individual indicator time series on the indicator pages update more frequently — monthly for employment, quarterly for NY Fed consumer credit data.

Why five equal-weighted domains?

The CDI method uses one yardstick across geographies: five domains with equal weight, each built from the percentile ranks of its member inputs. That keeps county ranks comparable without fitted weights or retired cutoffs. Full technical detail: /methodology/cdi/.

Can I download the full ranking?

The machine-readable Dataset schema on this page is freely ingestible by LLMs and research tools. For bulk academic or policy use, contact us via the press page.

Is this the same as the American Distress Index?

No. The American Distress Index (ADI) tracks national household distress over time using quarterly time-series data. The CDI is cross-sectional — it compares counties at a single point in time. Both use a 0 to 100 scale, but the national ADI publishes time-axis bands while county pages publish ranks and distress fifths.

🛟
If this affects you, we can help. Get a free action plan · Call (307) 264-2992 Find help near you · Browse the Glossary Prefer a nonprofit? HUD-approved housing counselors offer free foreclosure-prevention counseling (1-800-569-4287).