This Is the Most Unhealthy State in America, According to Data

When it comes to overall health, this state has some serious work to do.

If the pandemic has done one thing, it's shown us the importance, and fragility, of our personal health. And while wearing a mask, social distancing, and frequent hand-washing can help stop the spread of diseases, there are many more factors that go into maintaining your overall physical health. Eating well, getting enough sleep, and exercising regularly are all essential to your well-being—not to mention, how important it is to have access to quality, affordable healthcare whenever you need it. So, to see where people in the U.S. are taking the best—and the worst—care of themselves, Best Life set out to determine the most unhealthy state in America.

First, we turned to US News & World Report, which ranked each state based on the availability, cost, and quality of healthcare accessible to residents, giving them a score from 1, being the best, to 50, being the worst. Then, we gathered the most recent data from the Centers for Disease Control and Prevention (CDC) for the next four metrics, beginning with the percentage of adults in each state who reported engaging in zero physical activity in the last 30 days. After that, we used CDC data—organized by America's Health Rankings—to find out the percentage of adults in each state who eat at least two servings of fruit and three servings of vegetables on a daily basis. Next, we factored in the percentage of adults who qualify as obese in each state, meaning they have a body mass index (BMI) over 30, according to the CDC.

Finally, we factored in the percentage of adults who regularly get an insufficient amount of sleep, defined as less than seven hours in a 24-hour period. We then gave each metric a weighted value before running them through our exclusive algorithm to see how each state scored on our 100-point scale Unhealthy Index. Read on to discover the most unhealthy state in America and find out where yours falls in the mix. And for the part of the country that poses a different kind of risk, check out The Most Dangerous Small Town in America, According to Data.

50
Vermont

lake champlain vermont
Shutterstock

Access to healthcare rank: 5

Physical inactivity prevalence: 20.5 percent

Fruit and vegetable consumption: 14.1 percent

Obesity prevalence: 26.6 percent

Lack of sleep prevalence: 29.9 percent

Unhealthy Index Score: 0.00

49
Colorado

Town in Colorado with vintage architecture on street park square in luxury expensive famous city during summer day
iStock

Access to healthcare rank: 29

Physical inactivity prevalence: 17.3 percent

Fruit and vegetable consumption: 9.0 percent

Obesity prevalence: 23.8 percent

Lack of sleep prevalence: 29.8 percent

Unhealthy Index Score: 16.81

48
Connecticut

Fair Haven is a neighborhood in the eastern part of the city of New Haven, Connecticut, between the Mill and Quinnipiac rivers.
iStock

Access to healthcare rank: 3

Physical inactivity prevalence: 22.7 percent

Fruit and vegetable consumption: 11.3 percent

Obesity prevalence: 29.1 percent

Lack of sleep prevalence: 33.2 percent

Unhealthy Index Score: 20.20

47
Washington

cityscape photo of a church, buildings, and trees in Spokane, Washington
Shutterstock

Access to healthcare rank: 12

Physical inactivity prevalence: 18.3 percent

Fruit and vegetable consumption: 8.7 percent

Obesity prevalence: 28.3 percent

Lack of sleep prevalence: 31.6 percent

Unhealthy Index Score: 20.63

46
Massachusetts

boats at a harbor during sunset
Shutterstock

Access to healthcare rank: 2

Physical inactivity prevalence: 23.3 percent

Fruit and vegetable consumption: 8.8 percent

Obesity prevalence: 25.2 percent

Lack of sleep prevalence: 33.9 percent

Unhealthy Index Score: 22.91

45
Minnesota

Magney State Park, Devil's Kettle Water Fall on the Brule River
Danita Delimont / Alamy

Access to healthcare rank: 18

Physical inactivity prevalence: 21.2 percent

Fruit and vegetable consumption: 8.5 percent

Obesity prevalence: 30.1 percent

Lack of sleep prevalence: 28.7 percent

Unhealthy Index Score: 26.55

44
California

The sun rises over the historical landmarks of West Sacramento, California.
Chris LaBasco / iStock

Access to healthcare rank: 21

Physical inactivity prevalence: 20.4 percent

Fruit and vegetable consumption: 8.7 percent

Obesity prevalence: 26.2 percent

Lack of sleep prevalence: 34.4 percent

Unhealthy Index Score: 30.70

And for the place that needs a few lessons when it comes to good manners, This Is the Rudest State in America, According to Data.

43
Oregon

Portland Aerial Tram with a view of Portland, Oregon with Mt. Hood in the background
iStock

Access to healthcare rank: 32

Physical inactivity prevalence: 19.2 percent

Fruit and vegetable consumption: 9.0 percent

Obesity prevalence: 29.0 percent

Lack of sleep prevalence: 32.1 percent

Unhealthy Index Score: 33.67

42
New Hampshire

bridge in manchester new hampshire,
Shutterstock

Access to healthcare rank: 9

Physical inactivity prevalence: 21.8 percent

Fruit and vegetable consumption: 9.1 percent

Obesity prevalence: 25.0 percent

Lack of sleep prevalence: 42.9 percent

Unhealthy Index Score: 34.05

41
Montana

grasshopper glacier in montana
Youtube/James Williams

Access to healthcare rank: 24

Physical inactivity prevalence: 22.5 percent

Fruit and vegetable consumption: 7.5 percent

Obesity prevalence: 28.3 percent

Lack of sleep prevalence: 30.1 percent

Unhealthy Index Score: 34.39

40
Utah

view from the top of the canyonlands national park
iStock

Access to healthcare rank: 30

Physical inactivity prevalence: 18.6 percent

Fruit and vegetable consumption: 7.4 percent

Obesity prevalence: 29.2 percent

Lack of sleep prevalence: 31.2 percent

Unhealthy Index Score: 34.72

39
Hawaii

cityscape photo of palm trees, buildings, and fast moving cars in Honolulu, Hawaii
Shutterstock

Access to healthcare rank: 1

Physical inactivity prevalence: 21.6 percent

Fruit and vegetable consumption: 9.1 percent

Obesity prevalence: 25.0 percent

Lack of sleep prevalence: 42.9 percent

Unhealthy Index Score: 34.91

38
Rhode Island

Beavertail Lighthouse, Jamestown, RI
Shutterstock

Access to healthcare rank: 4

Physical inactivity prevalence: 25.9percent

Fruit and vegetable consumption: 10.4 percent

Obesity prevalence: 30.0 percent

Lack of sleep prevalence: 36.5 percent

Unhealthy Index Score: 35.92

37
New York

Exterior of brick building in the historical centre in Saratoga NY.
iStock

Access to healthcare rank: 10

Physical inactivity prevalence: 26.6 percent

Fruit and vegetable consumption: 11.0 percent

Obesity prevalence: 27.1 percent

Lack of sleep prevalence: 38.6 percent

Unhealthy Index Score: 37.95

And for the place that's no stranger to bending the rules, This Is the Most Corrupt State in America, According to Data.

36
Wisconsin

Wisconsin
Shutterstock

Access to healthcare rank: 15

Physical inactivity prevalence: 21.4 percent

Fruit and vegetable consumption: 7.5 percent

Obesity prevalence: 34.2 percent

Lack of sleep prevalence: 32.0 percent

Unhealthy Index Score: 40.39

35
Iowa

cityscape photo of Des Moines, Iowa at sunset
Shutterstock

Access to healthcare rank: 6

Physical inactivity prevalence: 24.2 percent

Fruit and vegetable consumption: 7.1 percent

Obesity prevalence: 33.9 percent

Lack of sleep prevalence: 31.7 percent

Unhealthy Index Score: 40.45

34
New Jersey

city skyline and the Passaic River in Newark, New Jersey
Shutterstock

Access to healthcare rank: 8

Physical inactivity prevalence: 28.7 percent

Fruit and vegetable consumption: 8.9 percent

Obesity prevalence: 25.6 percent

Lack of sleep prevalence: 37.6 percent

Unhealthy Index Score: 42.07

33
Maine

tall buildings and houses in downtown Portland, Maine at dusk
Shutterstock

Access to healthcare rank: 27

Physical inactivity prevalence: 23.2 percent

Fruit and vegetable consumption: 9.2 percent

Obesity prevalence: 31.7 percent

Lack of sleep prevalence: 33.2 percent

Unhealthy Index Score: 43.28

32
Idaho

the Sawtooth Mountain Range and lake in Stanley, Idaho
iStock

Access to healthcare rank: 39

Physical inactivity prevalence: 21.5 percent

Fruit and vegetable consumption: 8.3 percent

Obesity prevalence: 29.5 percent

Lack of sleep prevalence: 32.6 percent

Unhealthy Index Score: 44.73

31
Maryland

columbia maryland lake view
Shutterstock

Access to healthcare rank: 7

Physical inactivity prevalence: 23.9 percent

Fruit and vegetable consumption: 8.0 percent

Obesity prevalence: 32.3 percent

Lack of sleep prevalence: 37.1 percent

Unhealthy Index Score: 45.42

30
South Dakota

cityscape photo of downtown Sioux Falls, South Dakota
Shutterstock

Access to healthcare rank: 34

Physical inactivity prevalence: 22.3 percent

Fruit and vegetable consumption: 6.7 percent

Obesity prevalence: 33.0 percent

Lack of sleep prevalence: 29.1 percent

Unhealthy Index Score: 46.83

29
Illinois

cityscape of houses and shops downtown Galena, Illinois
Shutterstock

Access to healthcare rank: 20

Physical inactivity prevalence: 24.3 percent

Fruit and vegetable consumption: 6.9 percent

Obesity prevalence: 31.6 percent

Lack of sleep prevalence: 33.2 percent

Unhealthy Index Score: 47.67

28
Virginia

porsmouth virginia historic homes
Shutterstock/Paul Brady Photography

Access to healthcare rank: 14

Physical inactivity prevalence: 24.0 percent

Fruit and vegetable consumption: 8.8 percent

Obesity prevalence: 31.9 percent

Lack of sleep prevalence: 38.0 percent

Unhealthy Index Score: 48.05

27
Alaska

cityscape photo of mountains, buildings, and a river in Anchorage, Alaska
Shutterstock

Access to healthcare rank: 47

Physical inactivity prevalence: 20.3 percent

Fruit and vegetable consumption: 8.1 percent

Obesity prevalence: 30.5 percent

Lack of sleep prevalence: 33.5 percent

Unhealthy Index Score: 50.63

26
Arizona

cityscape photo of Phoenix, Arizona at night
Shutterstock

Access to healthcare rank: 43

Physical inactivity prevalence: 23.7 percent

Fruit and vegetable consumption: 10.2 percent

Obesity prevalence: 31.4 percent

Lack of sleep prevalence: 34.0 percent

Unhealthy Index Score: 50.67

25
Nebraska

Nebraska State Capitol and downtown Lincoln, Nebraska at sunrise
iStock

Access to healthcare rank: 28

Physical inactivity prevalence: 24.2 percent

Fruit and vegetable consumption: 7.3 percent

Obesity prevalence: 34.1 percent

Lack of sleep prevalence: 31.6 percent

Unhealthy Index Score: 51.45

24
New Mexico

buildings in and the city skyline of downtown Albuquerque, New Mexico
Shutterstock

Access to healthcare rank: 38

Physical inactivity prevalence: 22.3 percent

Fruit and vegetable consumption: 6.6 percent

Obesity prevalence: 31.7 percent

Lack of sleep prevalence: 32.6 percent

Unhealthy Index Score: 53.60

23
Pennsylvania

city skyline of downtown Pittsburgh, Pennsylvania at twilight
Shutterstock

Access to healthcare rank: 11

Physical inactivity prevalence: 24.8 percent

Fruit and vegetable consumption: 7.0 percent

Obesity prevalence: 33.2 percent

Lack of sleep prevalence: 37.5 percent

Unhealthy Index Score: 53.86

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22
North Carolina

city skyline of Greensboro, North Carolina
iStock

Access to healthcare rank: 25

Physical inactivity prevalence: 24.8 percent

Fruit and vegetable consumption: 7.0 percent

Obesity prevalence: 33.2 percent

Lack of sleep prevalence: 37.5 percent

Unhealthy Index Score: 55.03

21
Delaware

a bridge over and water flowing into Silver Lake in Dover, Delaware
Shutterstock

Access to healthcare rank: 13

Physical inactivity prevalence: 28.4 percent

Fruit and vegetable consumption: 8.4 percent

Obesity prevalence: 34.4 percent

Lack of sleep prevalence: 35.5 percent

Unhealthy Index Score: 55.16

20
Kansas

cityscape photo of downtown Wichita, Kansas at night
iStock

Access to healthcare rank: 31

Physical inactivity prevalence: 25.0 percent

Fruit and vegetable consumption: 8.6 percent

Obesity prevalence: 35.2 percent

Lack of sleep prevalence: 33.1 percent

Unhealthy Index Score: 55.17

19
Wyoming

Panoramic aerial view of Jackson Hole homes and beautiful mountains on a summer morning, Wyoming.
iStock

Access to healthcare rank: 44

Physical inactivity prevalence: 24.1 percent

Fruit and vegetable consumption: 6.9 percent

Obesity prevalence: 29.7 percent

Lack of sleep prevalence: 32.9 percent

Unhealthy Index Score: 56.36

18
North Dakota

north dakota capitol tower
Shutterstock

Access to healthcare rank: 33

Physical inactivity prevalence: 24.6 percent

Fruit and vegetable consumption: 5.8 percent

Obesity prevalence: 34.8 percent

Lack of sleep prevalence: 32.0 percent

Unhealthy Index Score: 60.66

17
Indiana

Indianapolis, Indiana, USA downtown cityscape on the White River at dusk.
iStock

Access to healthcare rank: 23

Physical inactivity prevalence: 28.3 percent

Fruit and vegetable consumption: 9.1 percent

Obesity prevalence: 35.3 percent

Lack of sleep prevalence: 36.9 percent

Unhealthy Index Score: 62.20

16
Florida

landscape photo of a piece and Cocoa Beach, Florida at sunset
ESB Professional/Shutterstock

Access to healthcare rank: 41

Physical inactivity prevalence: 28 percent

Fruit and vegetable consumption: 7.1 percent

Obesity prevalence: 27.0 percent

Lack of sleep prevalence: 36.5 percent

Unhealthy Index Score: 63.16

15
Texas

cityscape photo of courthouse building and illuminated street in Forth Worth, Texas
iStock

Access to healthcare rank: 45

Physical inactivity prevalence: 27.9 percent

Fruit and vegetable consumption: 9.6 percent

Obesity prevalence: 34.0 percent

Lack of sleep prevalence: 34.5 percent

Unhealthy Index Score: 65.16

And for more on the place where people care a lot about money, This Is the Greediest State in America, According to Data.

14
Michigan

ocean and rocks in Munising, Michigan at dusk
Shutterstock

Access to healthcare rank: 17

Physical inactivity prevalence: 25.1 percent

Fruit and vegetable consumption: 6.5 percent

Obesity prevalence: 36.0 percent

Lack of sleep prevalence: 39.0 percent

Unhealthy Index Score: 65.88

13
Missouri

cityscape photo of Kansas City, Missouri
Shutterstock

Access to healthcare rank: 36

Physical inactivity prevalence: 26.8 percent

Fruit and vegetable consumption: 6.1. percent

Obesity prevalence: 34.8 percent

Lack of sleep prevalence: 34.0 percent

Unhealthy Index Score: 68.69

12
Ohio

cityscape photo of Roebling Suspension Bridge in and skyline of Cincinnati, Ohio
iStock

Access to healthcare rank: 19

Physical inactivity prevalence: 27.0 percent

Fruit and vegetable consumption: 6.3 percent

Obesity prevalence: 34.8 percent

Lack of sleep prevalence: 39.7 percent

Unhealthy Index Score: 70.06

11
South Carolina

Scenic View of the St. Michaels Church from Broad St. in Charleston, SC
iStock

Access to healthcare rank: 35

Physical inactivity prevalence: 27.2 percent

Fruit and vegetable consumption: 7.2 percent

Obesity prevalence: 35.4 percent

Lack of sleep prevalence: 37.4 percent

Unhealthy Index Score: 72.93

10
Nevada

Virginia City, Nevada - Sep 17, 2017: The downtown overhang main street in the morning - Image
Shutterstock/PurpleXSU

Access to healthcare rank: 50

Physical inactivity prevalence: 25.6 percent

Fruit and vegetable consumption: 5.4 percent

Obesity prevalence: 30.6 percent

Lack of sleep prevalence: 37.0 percent

Unhealthy Index Score: 74.99

9
Louisiana

french quarter in louisiana, iconic state photos
Shutterstock

Access to healthcare rank: 26

Physical inactivity prevalence: 30.9 percent

Fruit and vegetable consumption: 6.9 percent

Obesity prevalence: 35.9 percent

Lack of sleep prevalence: 37.5 percent

Unhealthy Index Score: 76.15

8
Georgia

shops and road in Americus, Georgia
iStock

Access to healthcare rank: 46

Physical inactivity prevalence: 28.5 percent

Fruit and vegetable consumption: 7.6 percent

Obesity prevalence: 33.1 percent

Lack of sleep prevalence: 38.0 percent

Unhealthy Index Score: 77.28

7
Tennessee

cityscape photo of Nashville, Tennessee at dusk
Shutterstock

Access to healthcare rank: 37

Physical inactivity prevalence: 30.0 percent

Fruit and vegetable consumption: 8.6 percent

Obesity prevalence: 36.5 percent

Lack of sleep prevalence: 40.0 percent

Unhealthy Index Score: 81.17

6
Arkansas

green trees and Hamilton Lake at sunset in Garland County, Arkansas
Shutterstock

Access to healthcare rank: 40

Physical inactivity prevalence: 32.5 percent

Fruit and vegetable consumption: 8.0 percent

Obesity prevalence: 37.4 percent

Lack of sleep prevalence: 36.1 percent

Unhealthy Index Score: 82.77

5
Kentucky

An aerial view of downtown Lexington, Kentucky on a clear day
iStock

Access to healthcare rank: 16

Physical inactivity prevalence: 32.2 percent

Fruit and vegetable consumption: 4.7 percent

Obesity prevalence: 36.5 percent

Lack of sleep prevalence: 41.1 percent

Unhealthy Index Score: 86.70

4
Alabama

mobile alabama at dusk featuring the battle house tower
Shutterstock

Access to healthcare rank: 42

Physical inactivity prevalence: 31.0 percent

Fruit and vegetable consumption: 5.9 percent

Obesity prevalence: 36.1 percent

Lack of sleep prevalence: 38.6 percent

Unhealthy Index Score: 89.72

3
West Virginia

city skyline and river in downtown Charleston, West Virginia at dusk
Shutterstock

Access to healthcare rank: 22

Physical inactivity prevalence: 29.8 percent

Fruit and vegetable consumption: 5.2 percent

Obesity prevalence: 39.7 percent

Lack of sleep prevalence: 41.4 percent

Unhealthy Index Score: 89.90

2
Oklahoma

Oklahoma City
Shutterstock

Access to healthcare rank: 48

Physical inactivity prevalence: 30.2 percent

Fruit and vegetable consumption: 5.1 percent

Obesity prevalence: 36.8 percent

Lack of sleep prevalence: 37.0 percent

Unhealthy Index Score: 91.87

1
Mississippi

cityscape photos of a traffic on a street next to the Biloxi Lighthouse in Biloxi, Mississippi at night
Shutterstock

Access to healthcare rank: 49

Physical inactivity prevalence: 33 percent

Fruit and vegetable consumption: 6.3 percent

Obesity prevalence: 40.8 percent

Lack of sleep prevalence: 37.1 percent

Unhealthy Index Score: 100.00

And for the place where a lack of safety is a major problem, This Is the Most Dangerous State in America, According to Data.

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