This is the 20th year United Health Foundation, the American Public Health Association and Partnership for Prevention have ranked states' health. Though some progress has been made - infant mortality, crime rates and infectious disease have declined - lack of insurance and prenatal care and the high school dropout rate continue to rise, it states.
But the biggest problem is obesity - more than one in four Americans are now considered obese - followed closely by smoking, a habit of one in five Americans. Nearly a quarter of Tennesseans smoke.
Read the complete report at the Knoxville News Sentinel's Web site.