16. Wisconsin
> Pct. of adults getting insufficient sleep: 32.2%
> Avg. number of poor mental health days (per month): 3.6 (22nd highest)
> Pct. of adults with heart disease: 3.7% (14th lowest)
> Pct. of adults who are physically active: 78.8% (15th highest)
> Personal income (per capita): $44,585 (25th lowest)
> Unemployment rate: 5.5% (18th lowest)

While it ranks worse than a number of states, Wisconsin still has a smaller share of adults getting enough sleep every night compared to the nation as a whole. Getting sufficient rest is tied to reducing the risk of a number of diseases, and indeed the state has relatively low rates of heart disease, heart attack, and diabetes.

17. North Carolina
Pct. of adults getting insufficient sleep: 32.4%
Avg. number of poor mental health days (per month): 3.6 (22nd highest)
Pct. of adults with heart disease: 5.0% (12th highest)
Pct. of adults who are physically active: 76.8% (25th lowest)
Personal income (per capita): $39,646 (13th lowest)
Unemployment rate: 6.1% (23rd highest)

Adults in North Carolina are more likely to be well rested than adults across America. However, they do not fare as well as their peers nationwide in several other healthy behaviors. A slightly higher share of adults in the state report a smoking habit and infrequent physical activity compared to the national rates.

18. New Hampshire
> Pct. of adults getting insufficient sleep: 32.5%
> Avg. number of poor mental health days (per month): 3.5 (21st lowest)
> Pct. of adults with heart disease: 4.2% (22nd highest)
> Pct. of adults who are physically active: 80.7% (8th highest)
> Personal income (per capita): $53,149 (7th highest)
> Unemployment rate: 4.3% (8th lowest)

A higher than average share of New Hampshire adults gets enough rest each night. The state has one of the lowest unemployment, poverty, and violent crime rates, all of which may reduce stress. A high degree of stress can cause difficulty sleeping, and the relative economic security and safety may help lower overall stress and therefore improve sleep among state adults.

19. Maine
> Pct. of adults getting insufficient sleep: 32.9%
> Avg. number of poor mental health days (per month): 3.8 (18th highest)
> Pct. of adults with heart disease: 5.4% (7th highest)
> Pct. of adults who are physically active: 80.3% (11th highest)
> Personal income (per capita): $42,071 (20th lowest)
> Unemployment rate: 5.7% (21st lowest)

Along with getting enough sleep, regular exercise is a crucial component of good health. In Maine, Less than 33% of adults are sleep deprived and less than 20% are physically inactive, each lower than the 35% and 23% national shares, respectively. Both factors likely contribute to the lower obesity rate among Maine adults compared to the rate among American adults.

20. Texas
> Pct. of adults getting insufficient sleep: 33.0%
> Avg. number of poor mental health days (per month): 3.0 (8th lowest)
> Pct. of adults with heart disease: 3.7% (14th lowest)
> Pct. of adults who are physically active: 72.4% (8th lowest)
> Personal income (per capita): $45,426 (24th highest)
> Unemployment rate: 5.1% (16th lowest)

A lack of sleep has been tied to a variety of negative health outcomes. Texas, which ranks just slightly better than the national average, has an above average obesity rate but a below average heart disease rate.