An estimated 32% of adults in Logan County, West Virginia, have been diagnosed with depression — the highest rate in the United States and nearly double the national rate, according to a report released in June by the Centers for Disease Control and Prevention. The study, which provided estimates by county based on a national survey of nearly 400,000 people conducted in 2020, showed depression rates varied widely by region and even within states. Most counties with the highest rates were in a 13-state swath of Appalachia; the southern Mississippi River Valley, particularly Arkansas, Louisiana, and Tennessee; and Missouri, Oklahoma, and Washington. The states with the lowest rates included California, Illinois, Alaska, and Hawaii. West Virginia, which also has some of the nation’s highest rates of poverty and poor health, is home to eight of the 10 counties with the highest estimated rates of adult depression, the CDC survey found.

From epidemic illnesses impacting pigs to falling commodity prices to increasing farm debt load, many factors cause stress among pig farmers today. Find out how to recognize the warning signs of stress, practical ways to deal with tough times and 3 tips to get your health on track in Farm Journal’s PORK’s new e-book, “Your Guide to Mental Health.” As National Mental Health Awareness Month draws to a close, check out these 10 articles that tackle mental health and suicide awareness to help reduce the stigma so many experience.