No. 6: Alabama
Like several other Southern states, Alabama was hit by poor health care quality and low scores from a Gallup-Healthways' survey that showed weak emotional and physical health among residents.
Dan Witters, a Gallup research director who directed the Gallup-Healthways' Well-Being Index, says states with low scores tend to follow similar patterns.
"The food they eat, basic access to health care, income, access to dentistry -- it's all really crummy. Rates of smoking are a lot higher," Witters said. "That stuff permeates throughout the community. It's consistent."
In addition, Alabama's crime rate is higher than average, and its weather is typically uncomfortably hot and humid.