These are the healthiest and least healthy states in America

Health rankings in the US

Health rankings in the US

"Mississippi and Louisiana have major health challenges, including a high prevalence of smoking, obesity and children in poverty", the report reads.

Hawaii had previously held the spot for the past five years. That is the largest improvement for any state since 2012 but is still 2.5 percent higher than the national average of 17.1 percent. It's a joint effort by the United Health Foundation and the American Public Health Association. Disturbing Trends in U.S. Mortality: Increases in Premature Deaths, Drug Deaths and Cardiovascular Deaths The report finds increases in the rates for three key mortality indicators.

Here's the list of the 10 unhealthiest states, according to the report.

It also fell from a ranking of 31 in drug deaths last year to 35 this year.

"Rhode Island, Massachusetts, New York and CT have more than 200 primary care physicians per 100,000 population, compared with fewer than 100 physicians per 100,000 in Utah and Idaho", the authors wrote.

The report also noted that the number of adults in MA who smoke dropped from 18.2 percent of all adults to 13.6 percent over the last five years. Instead, it's based on a model that takes into account physical, mental and social well-being (think: air pollution, obesity rates, number of health-care providers, number of smokers and physical inactivity metrics)-so when the annual report is released, ranking all 50 states on their "healthiness", it's noteworthy.

West Virginia, Alabama, Arkansas, Louisiana and MS rank as the least healthy.

MA ranked the healthiest state for the first time in the ranking's 28-year history.

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