21. Arizona
> Pct. of adults getting insufficient sleep: 33.3%
> Avg. number of poor mental health days (per month): 3.6 (22nd highest)
> Pct. of adults with heart disease: 4.0% (21st lowest)
> Pct. of adults who are physically active: 78.8% (15th highest)
> Personal income (per capita): $37,895 (10th lowest)
> Unemployment rate: 6.9% (8th highest)

Exactly one-third of adults in Arizona are sleep deprived, a slightly smaller share than the 35.1% of American adults who do not get enough sleep. While most states with relatively well-rested adults have healthy economies, Arizona is an exception. The unemployment rate in the state is 6.9% compared to the 6.2% national unemployment rate.

22. California
> Pct. of adults getting insufficient sleep: 33.6%
> 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: 78.3% (21st highest)
> Personal income (per capita): $50,109 (10th highest)
> Unemployment rate: 7.5% (4th highest)

Californians appear to be relatively health conscious. Not only are they more likely to get an adequate amount of sleep than most Americans, but they also eat more fruits and vegetables on average than residents of any other state.

23. Missouri
> Pct. of adults getting insufficient sleep: 34.0%
> Avg. number of poor mental health days (per month): 3.6 (22nd highest)
> Pct. of adults with heart disease: 4.8% (13th highest)
> Pct. of adults who are physically active: 75.0% (15th lowest)
> Personal income (per capita): $41,613 (18th lowest)
> Unemployment rate: 6.1% (23rd highest)

Adults in Missouri are only slightly more likely than American adults to get enough sleep. By other health measures, Missouri lags behind the nation. Adults in the state are slightly more likely to be obese, have a smoking habit, and be physically inactive than the typical American adult.

24. Illinois
> Pct. of adults getting insufficient sleep: 34.4%
> Avg. number of poor mental health days (per month): 3.6 (22nd highest)
> Pct. of adults with heart disease: 3.6% (10th lowest)
> Pct. of adults who are physically active: 76.1% (17th lowest)
> Personal income (per capita): $48,120 (16th highest)
> Unemployment rate: 7.1% (7th highest)

A lack of sleep can lead to poor mental health and stress. Illinois, which has a slightly below average rate of adults getting sufficient sleep, also fares slightly worse than the nation in the average number of poor mental health days among adults.

25. Massachusetts
> Pct. of adults getting insufficient sleep: 34.5%
> Avg. number of poor mental health days (per month): 3.9 (14th highest)
> Pct. of adults with heart disease: 4.3% (21st highest)
> Pct. of adults who are physically active: 79.9% (12th highest)
> Personal income (per capita): $59,182 (2nd highest)
> Unemployment rate: 5.8% (24th lowest)

Sleep deprivation among adults in Massachusetts is nearly as common as it is among American adults. Stress resulting from financial insecurity is less likely to contribute to sleep deprivation in the Bay State as the unemployment rate is lower in Massachusetts than it is in the country as a whole. Also, at $59,182, personal income per capita in Massachusetts is the second highest of any state in the country.