Mississippi is the least healthy state in the country according to the 2013 America's Health Rankings, The Clarion Ledger reported.
The southern state has always been in the bottom three since the rankings began in 1990.
The 2013 Health Rankings are comprised of data from the Centers for Disease Control and Prevention, American Medical Association, Census Bureau, Department of Education and even the FBI and includes obesity, lack of physical inactivity and diabetes, The Clarion Ledger reported.
Mississippi scored well for a low prevalence of binge drinking, a high rate of child immunizations and small disparity in health status between adults 25 and older who graduated from high school and those who didn't, according to the rankings.
The analysis measured 27 health indicators, including tobacco and alcohol abuse, exercise, infectious diseases, crime rates and even public health funding, according to the Ledger. State's access to immunizations is also taken into consideration.
Hawaii is the healthiest state with a low rate in uninsured individuals, among other 27 measures of health which were analyzed, according to USA Today.
Hawaii is rated as number one because of their high rates of childhood immunizations and a particularly low rate of obesity, which has not risen in the United States for the first time since last year, according to USA Today.
As a whole, the U.S. is doing better in this year's report than previous ones; smoking rates are down from 21 percent in 2012 to 19.6 percent, according to the rankings. Nevada, Maryland, Oklahoma, Kansas and Vermont have shown major drops in smoking.
Physical activity has also been on the rise. The ranking classify this health measurement as physical inactivity, which they defined as not doing any physical activity for 30 days, which is down at 22 percent from last years 26 percent.
States like Arkansas and Oregon vary from a high of 31 percent to a low of 16 percent in physical inactivity, The Clarion Ledger reported.
The adult obesity rates in the U.S. have levelled off since 2012 making 2013 the first year since 1998 in which obesity rates have not risen, according to The Ledger reported. Reed Tuckson, who is senior medical adviser to the not-for-profit United Health Foundation, says the rankings are encouraging for the country.
"Put all together, the big conclusion is that these trends give us reason to be empowered to do more. We're seeing it all across America - individuals and families are making the decision to be active, to eat a more appropriate diet, to stop smoking," Tuckson said, according to the Ledger. "We are seeing that people can do it. And we are encouraged by the work in communities to address these issues that compromise America's health and vitality. Now we have to do more of it."
"We are in no way declaring the war is over but are declaring that there is reason for optimism," he added.
Other challenges the U.S. faces is an increasing amount of adults who are being diagnosed with diabetes. This year the amount of adult affects was 9.7 percent, almost double the rate from the mid-1990s, according to USA Today.
"People love rankings, and they do provide a real positive function," Steven Wallace, the associate director of the UCLA Center for Health Policy Research, told the Ledger. "Being at the top is reason to crow, and being at bottom is a real motivator for policymakers, public health officials and communities to say we can do a lot better than we have been."
State-by-state rankings (ranking, state, score)
1. Hawaii 0.919
2. Vermont 0.868
3. Minnesota 0.731
4. Massachusetts 0.725
5. New Hampshire 0.703
6. Utah 0.695
7. Connecticut 0.649
8. Colorado 0.565
9. North Dakota 0.557
10. New Jersey 0.531
11. Nebraska 0.460
12. Idaho 0.442
13. Oregon 0.426
14. Washington 0.403
15. New York 0.370
16. Maine 0.366
17. Wyoming 0.355
18. Iowa 0.317
19. Rhode Island 0.317
20. Wisconsin 0.313
21. California 0.310
22. South Dakota 0.284
23. Montana 0.277
24. Maryland 0.276
25. Alaska 0.275
26. Virginia 0.259
27. Kansas 0.122
28. Arizona 0.020
29. Pennsylvania -0.022
30. Illinois -0.096
31. Delaware -0.097
32. New Mexico -0.175
33. Florida -0.210
34. Michigan -0.218
35 North Carolina -0.247
36. Texas -0.250
37. Nevada -0.294
38. Georgia -0.315
39. Missouri -0.373
40. Ohio -0.407
41. Indiana -0.487
42. Tennessee -0.579
43. South Carolina -0.635
44. Oklahoma -0.666
45. Kentucky -0.716
46. West Virginia -0.727
47. Alabama -0.822
48. Louisiana -0.844
49. Arkansas -0.893
50. Mississippi -0.894
