Study Reveals the States with the Most Physically and Mentally Unhealthy Days
- West Virginia tops the list with the highest average of 5.35 unhealthy days per month, including 6.2 mentally unhealthy days—the most of any state.
- Southern states dominate the rankings, with Arkansas, Kentucky, Louisiana, and Tennessee all averaging around 5 or more “bad days” per month.
- Mental health struggles are widespread, as every state in the top 10 reports over 5 mentally unhealthy days on average.
- Ohio rounds out the list, reporting 4.55 average bad days.
- Hawaii ranks as the happiest state, with an average of just “3 bad days”.
New data shows that some states are struggling more than others, with West Virginia leading the list for the most “bad days” each month.
A recent study by Manhattan Mental Health Counseling analyzed the average number of physically unhealthy days and mentally unhealthy days across all 50 states to see where people experience the most health-related struggles.
The rankings are based on the average number of bad days per month, with states reporting the highest numbers placed at the top.
West Virginia tops the list of U.S. states with the highest number of “bad days,” a measure combining physically and mentally unhealthy days reported by residents. With an average of 5.35 bad days per month, the state ranks first, driven largely by its 6.2 mentally unhealthy days, higher than any other state in the top ten.
Arkansas follows in second place, recording 5.05 bad days per month. The state’s 4.3 physically unhealthy days are slightly lower than West Virginia’s, but its 5.8 mentally unhealthy days keep it near the top. Kentucky ranks third, with an even split of 4.5 physically unhealthy days and 5.5 mentally unhealthy days, bringing its overall bad days to 5.
Louisiana and Tennessee share an average of 4.95 bad days per month, with Tennessee reporting a slightly higher number of mentally unhealthy days at 5.8 compared to Louisiana’s 5.7.
Alabama, with 4.9 bad days, sees a similar pattern, more mentally unhealthy days (5.9) than physically unhealthy days (3.9).
Nevada ranks seventh with 4.8 bad days per month, its numbers closely mirroring those of Tennessee, except for a slightly lower count of mentally unhealthy days (5.5).
Oklahoma, South Carolina, and Ohio round out the top ten, all averaging between 4.65 and 4.55 bad days per month.
The full list of states with the most ‘Bad days”:
Rank |
State |
Average Number of Physically Unhealthy Days |
Average Number of Mentally Unhealthy Days |
Average Number of “Bad Days” |
1 |
West Virginia |
4.5 |
6.2 |
5.35 |
2 |
Arkansas |
4.3 |
5.8 |
5.05 |
3 |
Kentucky |
4.5 |
5.5 |
5 |
4 |
Louisiana |
4.2 |
5.7 |
4.95 |
5 |
Tennessee |
4.1 |
5.8 |
4.95 |
6 |
Alabama |
3.9 |
5.9 |
4.9 |
7 |
Nevada |
4.1 |
5.5 |
4.8 |
8 |
Oklahoma |
3.8 |
5.5 |
4.65 |
9 |
South Carolina |
3.8 |
5.4 |
4.6 |
10 |
Ohio |
3.6 |
5.5 |
4.55 |
11 |
Michigan |
3.6 |
5.3 |
4.45 |
12 |
Missouri |
3.7 |
5.2 |
4.45 |
13 |
Utah |
3.6 |
5.2 |
4.4 |
14 |
Indiana |
3.5 |
5.2 |
4.35 |
15 |
Maine |
3.5 |
5.2 |
4.35 |
16 |
Oregon |
3.3 |
5.4 |
4.35 |
17 |
Washington |
3.5 |
5.2 |
4.35 |
18 |
Vermont |
3.1 |
5.5 |
4.3 |
19 |
Montana |
3.6 |
4.9 |
4.25 |
20 |
Arizona |
3.5 |
4.9 |
4.2 |
21 |
Georgia |
3.6 |
4.8 |
4.2 |
22 |
Mississippi |
3.7 |
4.7 |
4.2 |
23 |
Wyoming |
3.5 |
4.9 |
4.2 |
24 |
Alaska |
3.6 |
4.6 |
4.1 |
25 |
Kansas |
3.2 |
5 |
4.1 |
26 |
New Hampshire |
3 |
5.2 |
4.1 |
27 |
Virginia |
3.2 |
4.9 |
4.05 |
28 |
Pennsylvania |
3.4 |
4.7 |
4.05 |
29 |
Rhode Island |
3.3 |
4.8 |
4.05 |
30 |
Idaho |
3.3 |
4.7 |
4 |
31 |
New Mexico |
3.3 |
4.7 |
4 |
32 |
Colorado |
3.1 |
4.8 |
3.95 |
33 |
Wisconsin |
3.1 |
4.8 |
3.95 |
34 |
Texas |
3.3 |
4.6 |
3.95 |
35 |
California |
3.1 |
4.7 |
3.9 |
36 |
North Carolina |
3.3 |
4.5 |
3.9 |
37 |
Delaware |
3.3 |
4.4 |
3.85 |
38 |
New Jersey |
3.2 |
4.4 |
3.8 |
39 |
Illinois |
3.2 |
4.2 |
3.7 |
40 |
Iowa |
2.9 |
4.5 |
3.7 |
41 |
Connecticut |
2.9 |
4.4 |
3.65 |
42 |
New York |
3.1 |
4.2 |
3.65 |
43 |
Florida |
3 |
4.2 |
3.6 |
44 |
Maryland |
2.8 |
4.4 |
3.6 |
45 |
Nebraska |
2.9 |
4.3 |
3.6 |
46 |
Massachusetts |
2.7 |
4.4 |
3.55 |
47 |
North Dakota |
3.1 |
4.0 |
3.55 |
48 |
Minnesota |
2.7 |
4.3 |
3.5 |
49 |
South Dakota |
2.8 |
3.9 |
3.35 |
50 |
Hawaii |
2.3 |
3.7 |
3 |
Methodology
To identify the states with the most “bad days,” the research team analyzed the average number of physically unhealthy days and mentally unhealthy days reported by residents. The study compared these averages across all U.S. states to find where people experience the most days of poor health.
The states were then ranked from highest to lowest based on the average number of bad days per month, with those reporting the most unhealthy days placed at the top of the list.
Source
Country Health Rankings & Roadmaps
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