Special Report

This Is the Least Healthy State in America

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Study after study tries to determine how the health of Americans differs by age, location, race, and access to health care, as well as health behaviors and circumstances like smоking, driving, and overeating as well as income, education, and air pollution. The results don’t always line up as there is no single gold standard for the research, but they often come close.

Among the most extensive studies on the subject is the UnitedHealthcare America’s Health Rankings, which offers conclusions nationally and by state. The 2021 report is the 32nd annual analysis in the series. Based on this report, the least healthy state in America is Louisiana. (Find out where Louisiana ranks on this list: this is the state where the most people are getting cancer.)

The researchers of the report considered a vast amount of data, “81 measures from 30 unique data sources to understand the impact that social, economic, environmental and other factors have on health, as well as trends that reflect the nation’s changing health over time,” according to the methodology.

Among the health conditions and outcomes measured were arthritis, asthma, cancer, cardiovascular disease, kidney disease, obstructive pulmonary disease, depression, and diabetes. Other measures included alcohol consumption, sleep patterns, mental health, drug death, and e-сigarette use.

Dr. Georges Benjamin, executive director of the American Public Health Association, commented on the study: “It is my hope that we use this data to build a public health system that can work to protect all Americans and address health inequities.”

One conclusion was among the most obvious. The COVID-19 pandemic has had a major effect on the health and death rates of Americans. The effects of the disease have carried from last year into this year and will continue into 2022 as well. Part of the preventive care measures include flu and other vaccinations. COVID-19 vaccination rates would become an important part as well.

The study also considered health measures by ethnicity and by location at the state level. The state rankings use the same data as the national analysis. Each state received a “value” based on how well or poorly it did in each of the study’s yardsticks, including an overall value score. 24/7 Wall St. reviewed the study to rank states by their health value score.

Massachusetts ranked first with a score of 0.819. Hawaii followed at 0.801, then Connecticut (0.663), and Idaho (0.639). Many of the states at the top of the list are located in the Northeast. (Find out where states rank in states with the highest smоking rates.) 

The state with the worst score was Louisiana at −1.063. It was followed by Alabama (−0.857) and West Virginia (−0.834). Most of the states with the worst scores are in the South. (This is the least healthy city in every state.)

Click here to see the least healthy state in America

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1. Massachusetts
> Score: 0.819

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2. Hawaii
> Score: 0.801

Source: SeanPavonePhoto / iStock via Getty Images

3. Connecticut
> Score: 0.663

Source: peeterv / iStock via Getty Images

4. Idaho
> Score: 0.639

Source: Sharan Singh / iStock via Getty Images

5. Vermont
> Score: 0.600

Source: DenisTangneyJr / E+ via Getty Images

6. New Jersey
> Score: 0.538

Source: Sean Pavone / iStock via Getty Images

7. New Hampshire
> Score: 0.523

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8. Utah
> Score: 0.486

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9. New York
> Score: 0.479

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10. Maryland
> Score: 0.477

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11. Rhode Island
> Score: 0.394

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12. Washington
> Score: 0.391

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13. California
> Score: 0.365

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14. Minnesota
> Score: 0.345

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15. Colorado
> Score: 0.337

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16. Virginia
> Score: 0.322

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17. Illinois
> Score: 0.303

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18. Maine
> Score: 0.294

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19. South Dakota
> Score: 0.266

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20. Oregon
> Score: 0.264

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21. Florida
> Score: 0.170

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22. Texas
> Score: 0.119

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23. North Dakota
> Score: 0.108

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24. Nebraska
> Score: 0.098

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25. Wyoming
> Score: 0.094

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26. Arizona
> Score: 0.062

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27. Alaska
> Score: 0.059

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28. Montana
> Score: 0.020

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29. Iowa
> Score: -0.006

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30. Delaware
> Score: -0.069

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31. Wisconsin
> Score: -0.098

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32. North Carolina
> Score: -0.116

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33. Kansas
> Score: -0.142

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34. Pennsylvania
> Score: -0.185

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35. Indiana
> Score: -0.261

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36. Georgia
> Score: -0.266

Source: Sean Pavone / iStock via Getty Images

37. New Mexico
> Score: -0.318

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38. Ohio
> Score: -0.351

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39. Nevada
> Score: -0.411

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40. Michigan
> Score: -0.470

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41. Tennessee
> Score: -0.577

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42. Missouri
> Score: -0.581

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43. Mississippi
> Score: -0.622

Source: Sean Pavone / iStock via Getty Images

44. Oklahoma
> Score: -0.639

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45. South Carolina
> Score: -0.673

Source: Sean Pavone / iStock via Getty Images

46. Arkansas
> Score: -0.798

Source: Mike Worley / iStock Editorial via Getty Images

47. Kentucky
> Score: -0.813

Source: Sean Pavone / iStock via Getty Images

48. West Virginia
> Score: -0.834

Source: Sean Pavone / iStock via Getty Images

49. Alabama
> Score: -0.857

Source: felixmizioznikov / iStock via Getty Images

50. Louisiana
> Score: -1.063

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