(FOX19) - In a new national study released Wednesday, Ohio, Kentucky and Indiana rank low compared to the rest of the country when it comes to overall health.
According to America's Health Rankings, Ohio ranks 36th when it comes to overall health, Indiana ranks as the 38th healthiest state, and Kentucky is the 44th healthiest state.
Ohio's ranking dropped the most in the yearly study; last year it was ranked 33rd in the study. One of the reasons for the drop in health is the increase in smoking in the state. According to the study, smoking increased in the past year from 20.3 percent to 22.5 percent of the adult population, with nearly 2.0 million adults who still smoke.
The survey also says that Kentucky is the second highest population of smokers in the country, with 24.8 percent of the adult population smokers. This is despite a slight decrease in the number of smokers in the state. Indiana also contains a high number of smokers, with 21.2 percent of the adult population admitting to smoking.
The study also says Ohio, Kentucky and Indiana have high levels of air pollution, which also contributes to the low rankings.
Across the nation, the annual improvement in America's health has declined 69 percent since the 1990's.
For more information on the survey, click here.