Score label
Top 100 most distressed counties ·
Rank County State Score Score Label Population Actions
1 Holmes County MS 100 extreme county distress 15,777 Profile
2 Washington County MS 99 extreme county distress 41,946 Profile
3 Dougherty County GA 99 extreme county distress 82,645 Profile
4 Dallas County AL 99 extreme county distress 36,165 Profile
5 Pemiscot County MO 99 extreme county distress 14,613 Profile
6 Wilcox County AL 99 extreme county distress 9,944 Profile
7 Hancock County GA 99 extreme county distress 8,676 Profile
8 Gadsden County FL 99 extreme county distress 43,833 Profile
9 Leflore County MS 99 extreme county distress 26,378 Profile
10 Coahoma County MS 99 extreme county distress 20,077 Profile
11 Noxubee County MS 99 extreme county distress 9,914 Profile
12 Phillips County AR 99 extreme county distress 14,961 Profile
13 East Carroll Parish LA 99 extreme county distress 6,829 Profile
14 Petersburg city VA 99 extreme county distress 33,309 Profile
15 Tunica County MS 99 extreme county distress 9,234 Profile
16 Crittenden County AR 99 extreme county distress 47,139 Profile
17 Concordia Parish LA 99 extreme county distress 17,688 Profile
18 Knox County KY 99 extreme county distress 29,794 Profile
19 Hopewell city VA 99 extreme county distress 22,752 Profile
20 Talbot County GA 99 extreme county distress 5,718 Profile
21 Bolivar County MS 99 extreme county distress 28,968 Profile
22 Bibb County GA 99 extreme county distress 156,512 Profile
23 St. Francis County AR 99 extreme county distress 22,101 Profile
24 McCreary County KY 99 extreme county distress 17,050 Profile
25 Greene County AL 99 extreme county distress 7,341 Profile
26 Perry County AL 99 extreme county distress 7,738 Profile
27 Williamsburg County SC 99 extreme county distress 29,891 Profile
28 Madison Parish LA 99 extreme county distress 9,246 Profile
29 Wilkinson County MS 99 extreme county distress 8,058 Profile
30 Edgecombe County NC 99 extreme county distress 48,832 Profile
31 Magoffin County KY 99 extreme county distress 11,228 Profile
32 Terrell County GA 99 extreme county distress 8,718 Profile
33 Morehouse Parish LA 98 extreme county distress 23,955 Profile
34 Hardeman County TN 98 extreme county distress 25,567 Profile
35 Yazoo County MS 98 extreme county distress 25,796 Profile
36 Richmond County GA 98 extreme county distress 205,414 Profile
37 St. John the Baptist Parish LA 98 extreme county distress 39,592 Profile
38 Halifax County NC 98 extreme county distress 47,298 Profile
39 Desha County AR 98 extreme county distress 10,479 Profile
40 Lee County AR 98 extreme county distress 8,201 Profile
41 Humphreys County MS 98 extreme county distress 7,216 Profile
42 Mississippi County MO 98 extreme county distress 11,822 Profile
43 Bell County KY 98 extreme county distress 23,317 Profile
44 Clay County KY 98 extreme county distress 19,648 Profile
45 Early County GA 98 extreme county distress 10,563 Profile
46 Pike County MS 98 extreme county distress 39,394 Profile
47 Adams County MS 98 extreme county distress 28,746 Profile
48 Franklin city VA 98 extreme county distress 8,339 Profile
49 Clayton County GA 98 extreme county distress 298,300 Profile
50 Russell County AL 98 extreme county distress 58,744 Profile
51 Hamilton County FL 98 extreme county distress 13,471 Profile
52 Lauderdale County TN 98 extreme county distress 24,610 Profile
53 Claiborne Parish LA 98 extreme county distress 13,670 Profile
54 Claiborne County MS 98 extreme county distress 8,617 Profile
55 Wayne County MI 98 extreme county distress 1,751,169 Profile
56 Bronx County NY 98 extreme county distress 1,356,476 Profile
57 Hinds County MS 98 extreme county distress 214,870 Profile
58 Webster Parish LA 98 extreme county distress 35,238 Profile
59 Brooks County GA 98 extreme county distress 16,245 Profile
60 Danville city VA 98 extreme county distress 41,837 Profile
61 Mitchell County GA 98 extreme county distress 21,114 Profile
62 Marlboro County SC 98 extreme county distress 25,704 Profile
63 Caddo Parish LA 98 extreme county distress 226,386 Profile
64 Harlan County KY 97 extreme county distress 25,324 Profile
65 Bamberg County SC 97 extreme county distress 12,974 Profile
66 Twiggs County GA 97 extreme county distress 7,691 Profile
67 Quitman County MS 97 extreme county distress 5,546 Profile
68 Jefferson County MS 97 extreme county distress 6,941 Profile
69 Lake County TN 97 extreme county distress 6,347 Profile
70 Natchitoches Parish LA 97 extreme county distress 36,291 Profile
71 Conecuh County AL 97 extreme county distress 11,174 Profile
72 Burke County GA 97 extreme county distress 24,438 Profile
73 Lowndes County AL 97 extreme county distress 9,717 Profile
74 Tensas Parish LA 97 extreme county distress 3,764 Profile
75 Macon County AL 97 extreme county distress 18,370 Profile
76 Chicot County AR 97 extreme county distress 9,538 Profile
77 Floyd County KY 97 extreme county distress 34,423 Profile
78 Miller County AR 97 extreme county distress 42,415 Profile
79 Mississippi County AR 97 extreme county distress 38,663 Profile
80 St. Bernard Parish LA 97 extreme county distress 44,463 Profile
81 Sumter County GA 97 extreme county distress 28,890 Profile
82 Marshall County MS 97 extreme county distress 34,123 Profile
83 Wayne County MO 97 extreme county distress 10,811 Profile
84 Darlington County SC 97 extreme county distress 62,416 Profile
85 Emporia city VA 97 extreme county distress 5,463 Profile
86 Montgomery County MS 97 extreme county distress 9,600 Profile
87 Avoyelles Parish LA 97 extreme county distress 38,408 Profile
88 Starr County TX 97 extreme county distress 65,934 Profile
89 Randolph County GA 97 extreme county distress 6,078 Profile
90 Robeson County NC 97 extreme county distress 117,365 Profile
91 Webster County WV 97 extreme county distress 8,045 Profile
92 Sumter County AL 97 extreme county distress 11,727 Profile
93 Seminole County OK 97 extreme county distress 23,565 Profile
94 Baltimore city MD 97 extreme county distress 565,239 Profile
95 Worth County GA 97 extreme county distress 20,273 Profile
96 Dunklin County MO 96 extreme county distress 27,032 Profile
97 Lee County SC 96 extreme county distress 15,967 Profile
98 Copiah County MS 96 extreme county distress 27,664 Profile
99 Lee County KY 96 extreme county distress 7,293 Profile
100 Fulton County KY 96 extreme county distress 6,338 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. That average is ranked once more against every county, so the score is the share of U.S. counties a county is more distressed than.

Source data: the Urban Institute Debt in America dataset, U.S. Census Bureau SAIPE and ACS, U.S. Bureau of Labor Statistics LAUS and QCEW, Administrative Office of the U.S. Courts bankruptcy statistics, and U.S. Department of Housing and Urban Development Fair Market Rents. Rank #1 is the most distressed county in the current cross-section. National ranks are shown for the 100 most and 100 least distressed counties; in between, ranks move between updates, so the score says where a county stands. Counties with identical composite scores share a rank, marked T- for tied. Score labels translate the 0 to 100 score into plain-language distress ranges, each covering about a tenth of counties.

Urban Institute data: Breno Braga, Signe-Mary McKernan, Samantha Atherton, and Kassandra Martinchek, "Debt in America," last updated November 20, 2025, https://datacatalog.urban.org/dataset/debt-america-2025. Licensed under ODC-By 1.0. The County Distress Index is American Default Research's own calculation; the Urban Institute does not produce or endorse it.

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.

Questions about the most distressed counties

Which county is the most distressed in America?

In the current County Distress Index data, Holmes County, Mississippi ranks first with a composite score of 100 on the 0 to 100 scale. We expect two approved ranking releases each year, after the needed inputs arrive and are reviewed.

How often is the ranking updated?

The County Distress Index has two expected release windows each year, after its inputs land and are reviewed. The current release was approved on Oct 26, 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. Our analysis is free to use with attribution to American Default Research. Source data stays under each publisher's terms; cite the source named here. 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.

Sources and method

We write with assistance from AI tools. Figures come from the data and sources named on this page.