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Whether it stems from receiving an unexpected bill or struggling with your workload, stress is often perceived as a personal matter.
But stress levels can also be shaped by more systemic factors such as poverty, crime, and childcare costs. For the most stressed cities in the US, poverty and high levels of violent crime consistently show up as contributing factors.
A recent study by WalletHub ranked 182 US cities based on four areas of stress: work, financial, family, and health and safety. The study evaluated the 150 most populated US cities, plus at least two of the most populated cities in each state.
WalletHub evaluated the four areas using 39 metrics. Each metric was graded on a 100-point scale, with 100 representing the highest level of stress, and the results were then combined to determine each city’s overall score.
For work stress, metrics included unemployment rate, average weekly work hours, job security, and traffic congestion.
Financial stress was evaluated with metrics such as median annual household income, share of households behind on bills, and the poverty rate. Family stress included factors such as separation and divorce rates, and childcare costs.
Health and safety stress included the share of adults who could not see a doctor because of cost, hate-crime incidents per capita, and the number of mass shootings.
Data for the ranking was compiled from federal agencies, such as the Bureau of Labor Statistics, as well as non-profits and research organizations.
The scores were then ranked from highest to lowest, with 100 being the highest level of stress.
Here’s a list of the 20 most stressed cities in the US.
20. San Antonio
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Total Score (out of 100): 51.37
Work Stress Rank: 67
Financial Stress Rank: 48
Family Stress Rank: 17
Health & Safety Stress Rank: 17
19. Indianapolis
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Total Score: 51.84
Work Stress Rank: 84
Financial Stress Rank: 14
Family Stress Rank: 42
Health & Safety Stress Rank: 34
18. Cincinnati
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Total Score: 52.00
Work Stress Rank: 25
Financial Stress Rank: 24
Family Stress Rank: 36
Health & Safety Stress Rank: 40
17. Columbus, Georgia
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Total Score: 52.27
Work Stress Rank: 109
Financial Stress Rank: 5
Family Stress Rank: 34
Health & Safety Stress Rank: 52
16. Montgomery, Alabama
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Total Score: 52.59
Work Stress Rank: 108
Financial Stress Rank: 12
Family Stress Rank: 45
Health & Safety Stress Rank: 18
15. Baton Rouge, Louisiana
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Total Score: 52.95
Work Stress Rank: 52
Financial Stress Rank: 23
Family Stress Rank: 25
Health & Safety Stress Rank: 20
14. New Orleans
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Total Score: 53.89
Work Stress Rank: 71
Financial Stress Rank: 10
Family Stress Rank: 41
Health & Safety Stress Rank: 24
13. Houston
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Total Score: 54.18
Work Stress Rank: 11
Financial Stress Rank: 56
Family Stress Rank: 15
Health & Safety Stress Rank: 8
12. Toledo, Ohio
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Work Stress Rank: 74
Financial Stress Rank: 15
Family Stress Rank: 11
Health & Safety Stress Rank: 23
11. Birmingham, Alabama
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Total Score: 54.42
Work Stress Rank: 119
Financial Stress Rank: 20
Family Stress Rank: 4
Health & Safety Stress Rank: 11
10. St. Louis
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Total Score: 54.60
Work Stress Rank: 24
Financial Stress Rank: 8
Family Stress Rank: 67
Health & Safety Stress Rank: 13
9. Akron, Ohio
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Total Score: 55.14
Work Stress Rank: 35
Financial Stress Rank: 18
Family Stress Rank: 9
Health & Safety Stress Rank: 22
8. Jackson, Mississippi
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Total Score: 56.03
Work Stress Rank: 39
Financial Stress Rank: 6
Family Stress Rank: 37
Health & Safety Stress Rank: 10
7. Philadelphia
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Total Score: 56.61
Work Stress Rank: 5
Financial Stress Rank: 9
Family Stress Rank: 33
Health & Safety Stress Rank: 26
6. Gulfport, Mississippi
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Total Score: 56.90
Work Stress Rank: 156
Financial Stress Rank: 17
Family Stress Rank: 1
Health & Safety Stress Rank: 7
5. Shreveport, Louisiana
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Total Score: 57.75
Work Stress Rank: 99
Financial Stress Rank: 4
Family Stress Rank: 8
Health & Safety Stress Rank: 3
4. Memphis, Tennessee
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Total Score: 59.24
Work Stress Rank: 63
Financial Stress Rank: 7
Family Stress Rank: 5
Health & Safety Stress Rank: 1
3. Cleveland
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Total Score: 59.35
Work Stress Rank: 111
Financial Stress Rank: 1
Family Stress Rank: 6
Health & Safety Stress Rank: 4
With low median household income, the second-highest poverty rate, and the highest separation and divorce rate among the cities analyzed, Cleveland has the third-most stressed residents in the US, WalletHub reported.
2. Baltimore
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Total Score: 59.73
Work Stress Rank: 1
Financial Stress Rank: 2
Family Stress Rank: 18
Health & Safety Stress Rank: 31
Baltimore came in second. Contributing factors include expensive rent — the average annual rent for a two-bedroom apartment is nearly 38% of the city’s median household income — and one of the highest violent crime rates among the cities analyzed, WalletHub reported.
1. Detroit
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Total Score: 62.78
Work Stress Rank: 14
Financial Stress Rank: 3
Family Stress Rank: 2
Health & Safety Stress Rank: 2
Detroit topped the ranking as the most stressed city in the US. This is partly attributed to it having the highest unemployment rate (10.4%) and poverty rate (32.7%) among cities in the study, as well as one of the highest violent crime rates.
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