Score label
Top 100 most distressed counties ·
Rank County State Score Score Label Population Actions
1 Washington County MS 93.1 extreme county distress 41,946 Profile
2 Holmes County MS 92.7 extreme county distress 15,777 Profile
3 Petersburg city VA 92.5 extreme county distress 33,309 Profile
4 Coahoma County MS 92.1 extreme county distress 20,077 Profile
5 Dallas County AL 91.9 extreme county distress 36,165 Profile
6 Leflore County MS 91.8 extreme county distress 26,378 Profile
7 Dougherty County GA 91.8 extreme county distress 82,645 Profile
8 Noxubee County MS 91.0 extreme county distress 9,914 Profile
9 Wilcox County AL 90.9 extreme county distress 9,944 Profile
10 East Carroll Parish LA 90.9 extreme county distress 6,829 Profile
11 Phillips County AR 90.5 extreme county distress 14,961 Profile
12 Williamsburg County SC 90.5 extreme county distress 29,891 Profile
13 Gadsden County FL 90.3 extreme county distress 43,833 Profile
14 Pemiscot County MO 90.2 extreme county distress 14,613 Profile
15 Yazoo County MS 89.9 very high county distress 25,796 Profile
16 Tunica County MS 89.9 very high county distress 9,234 Profile
17 Morehouse Parish LA 89.9 very high county distress 23,955 Profile
18 Hancock County GA 89.7 very high county distress 8,676 Profile
19 Hopewell city VA 89.3 very high county distress 22,752 Profile
20 Crittenden County AR 89.0 very high county distress 47,139 Profile
21 Desha County AR 88.7 very high county distress 10,479 Profile
22 Humphreys County MS 88.0 very high county distress 7,216 Profile
23 Bell County KY 88.0 very high county distress 23,317 Profile
24 Concordia Parish LA 87.8 very high county distress 17,688 Profile
25 Bolivar County MS 87.6 very high county distress 28,968 Profile
26 Bibb County GA 87.4 very high county distress 156,512 Profile
27 Baltimore city MD 87.3 very high county distress 565,239 Profile
28 Richmond County GA 87.2 very high county distress 205,414 Profile
29 Edgecombe County NC 86.6 very high county distress 48,832 Profile
30 Madison Parish LA 86.6 very high county distress 9,246 Profile
31 Sumter County AL 86.5 very high county distress 11,727 Profile
32 Caddo Parish LA 86.4 very high county distress 226,386 Profile
33 Lee County AR 86.3 very high county distress 8,201 Profile
34 Greene County AL 86.3 very high county distress 7,341 Profile
35 Wayne County MI 86.2 very high county distress 1,751,169 Profile
36 Knox County KY 86.2 very high county distress 29,794 Profile
37 St. Bernard Parish LA 85.9 very high county distress 44,463 Profile
38 Chicot County AR 85.9 very high county distress 9,538 Profile
39 Bronx County NY 85.7 very high county distress 1,356,476 Profile
40 Natchitoches Parish LA 85.6 very high county distress 36,291 Profile
41 Bamberg County SC 85.6 very high county distress 12,974 Profile
42 McCreary County KY 85.5 very high county distress 17,050 Profile
43 Halifax County NC 85.5 very high county distress 47,298 Profile
44 Macon County AL 85.4 very high county distress 18,370 Profile
45 St. Francis County AR 85.3 very high county distress 22,101 Profile
46 Hamilton County FL 85.2 very high county distress 13,471 Profile
47 Martinsville city VA 85.1 very high county distress 13,763 Profile
48 Clayton County GA 85.1 very high county distress 298,300 Profile
49 Sharkey County MS 85.1 very high county distress 3,336 Profile
50 Clay County KY 85.1 very high county distress 19,648 Profile
51 Danville city VA 85.0 very high county distress 41,837 Profile
52 Terrell County GA 84.9 very high county distress 8,718 Profile
53 Marlboro County SC 84.7 very high county distress 25,704 Profile
54 Fulton County KY 84.6 very high county distress 6,338 Profile
55 Mitchell County GA 84.5 very high county distress 21,114 Profile
56 Magoffin County KY 84.5 very high county distress 11,228 Profile
57 Pike County MS 84.5 very high county distress 39,394 Profile
58 Early County GA 84.5 very high county distress 10,563 Profile
58 Claiborne Parish LA 84.5 very high county distress 13,670 Profile
60 Starr County TX 84.4 very high county distress 65,934 Profile
61 Mississippi County MO 84.4 very high county distress 11,822 Profile
62 Webster Parish LA 84.4 very high county distress 35,238 Profile
63 Orleans Parish LA 84.3 very high county distress 364,136 Profile
64 Harlan County KY 84.2 very high county distress 25,324 Profile
65 Perry County AL 84.2 very high county distress 7,738 Profile
66 Catahoula Parish LA 84.2 very high county distress 8,414 Profile
67 Emporia city VA 84.1 very high county distress 5,463 Profile
68 Jefferson County AR 84.1 very high county distress 63,661 Profile
69 Martin County KY 84.0 very high county distress 10,928 Profile
70 Vance County NC 83.8 very high county distress 42,301 Profile
71 Hale County AL 83.8 very high county distress 14,888 Profile
72 Tensas Parish LA 83.7 very high county distress 3,764 Profile
73 Christian County KY 83.7 very high county distress 72,032 Profile
74 Floyd County KY 83.6 very high county distress 34,423 Profile
75 Wilkinson County MS 83.6 very high county distress 8,058 Profile
76 Seminole County OK 83.6 very high county distress 23,565 Profile
77 Portsmouth city VA 83.5 very high county distress 96,793 Profile
78 Crisp County GA 83.5 very high county distress 19,631 Profile
79 Bienville Parish LA 83.5 very high county distress 12,366 Profile
80 Marshall County MS 83.4 very high county distress 34,123 Profile
81 Russell County AL 83.3 very high county distress 58,744 Profile
82 Burke County GA 83.3 very high county distress 24,438 Profile
83 Orangeburg County SC 83.2 very high county distress 82,820 Profile
84 Hinds County MS 83.2 very high county distress 214,870 Profile
85 Adams County MS 83.2 very high county distress 28,746 Profile
86 Jefferson County MS 83.1 very high county distress 6,941 Profile
87 Cumberland County NJ 83.0 very high county distress 152,326 Profile
88 Hardeman County TN 83.0 very high county distress 25,567 Profile
89 Pike County KY 82.8 very high county distress 55,973 Profile
90 Telfair County GA 82.7 very high county distress 10,920 Profile
91 Wayne County KY 82.6 very high county distress 19,580 Profile
92 Claiborne County MS 82.6 very high county distress 8,617 Profile
93 Robeson County NC 82.6 very high county distress 117,365 Profile
94 Scotland County NC 82.5 very high county distress 34,376 Profile
95 Lee County SC 82.4 very high county distress 15,967 Profile
96 Adair County OK 82.4 very high county distress 19,627 Profile
97 Sunflower County MS 82.2 very high county distress 24,468 Profile
98 St. Helena Parish LA 82.2 very high county distress 10,774 Profile
99 Muskogee County OK 82.2 very high county distress 66,677 Profile
100 Tangipahoa Parish LA 82.1 very high county distress 138,064 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; score labels translate the 0 to 100 score into plain-language distress ranges.

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. Download the full ranking as CSV or JSON, or ingest the machine-readable Dataset schema embedded in this page.

More distress rankings

Three more views of household distress, each from its own source. See the most distressed county in every state, bankruptcy filing rates by county from U.S. Courts data, and where the job market is strong and the bills go unpaid.

Frequently asked questions

Which county is the most distressed in America?

As of the most recent CDI release, Washington 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 Jul 28, 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?

Yes. Download every U.S. county ranked by the County Distress Index as CSV or JSON — free to use with attribution. A machine-readable Dataset schema is also embedded on this page for LLMs and research tools.

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 score labels.

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