7. Egypt
> Disapproval rating: 58.0%
> GDP per capita: $10,877
> Unemployment rate: 13.4%
> Life expectancy: 71.1 years

While the United States and Egypt both belong to the UN, IMF, World Bank, and WTO, and have been trade partners for many years, 58% of Egyptians disapprove of U.S. leadership — the seventh worst rating among countries reviewed. Egypt is the most populous country in the Arab world and a key ally of the U.S. in its effort to fight terrorism and promote stability in the region. The disapproval rating remained flat since the ousting of democratically elected President Mohamed Morsi. However, the subsequent cuts to the U.S aid budget to Egypt and its condemnation of Morsi’s ousting likely did not help improve the disapproval rating. Ties with the country’s newly elected president, former General Abdel Fattah el-Sisi, remain strained.

6. Iran
> Disapproval rating: 61.0%
> GDP per capita: $16,881
> Unemployment rate: 11.2%
> Life expectancy: 74.1 years

The United States and Iran’s deep dislike for one another spans many years. In 1953, the CIA helped oust Iran’s Prime Minister Mohammed Mossadegh to prevent the country from supporting the Soviet Union. Once leadership was secured under America’s favored ruler Reza Shah Pahlavi, Iran grew powerful with vast oil revenues and U.S. weapons. However, the Shah had to later flee to Egypt amid the growing Iranian Revolution, which opposed the Shah’s “anti-Islamic” and Westernizing government. In 1979, Iranian revolutionaries seized the U.S. embassy in Tehran, taking 66 Americans hostage for 444 days. There have been U.S. restrictions on activities with Iran in one form or another since then. More recently, the United States and other Western nations have imposed extremely severe sanctions on Iran in an attempt to curb its nuclear capabilities. This April, the world’s major powers agreed on a framework for a nuclear deal with Iran. The country’s foreign minister said Iran will continue its nuclear enrichment program if all sanctions are not lifted by the end of negotiations.

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5. Pakistan
> Disapproval rating: 65.0%
> GDP per capita: $4,574
> Unemployment rate: 6.2%
> Life expectancy: 66.6 years

Pakistan’s disapproval rating of U.S. leadership is greater than all but four other countries. According to the U.S. State Department, Pakistan has received well over $4 billion in civilian assistance from the United States from 2009 through 2013. In addition, the country has received about $13 billion from the United States in military aid over the past 13 years. America’s involvement in the country may actually be the problem, however. The United States focused its operations in Pakistan after the 9/11 attacks, and it continues to maintain a strong presence in the country to combat terrorism. Osama Bin Laden was hiding in Pakistan, and the U.S. mission to kill him may have also increased disapproval among many Pakistanis.