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The City in Every State with the Shortest Life Expectancy

The City in Every State with the Shortest Life Expectancy

Mortality is a concept all living beings must grapple with. It’s elusive, though. During times of good health and vitality, it’s easy to forget that you’re stepping closer to your demise with every passing second. But the reality of it hits you at some point, whether death touches a loved one or you experience the fragility of your own body. Even a seasonal flu can humble you. A good scare puts you on the right track to better your eating and exercise habits. Although there is very little you can control in the world, the good news is that you have agency when it comes to your health.

Knowing your family history helps you understand what diseases you may be more susceptible to. Armed with helpful information, you can alter your lifestyle choices to more closely align with the type of life you want to enjoy. No one is promised old age, but if you’re one of the lucky ones, you can relish your senior years instead of suffering through them. There’s no denying genetics are strong, but lifestyle habits are powerful enough to keep you from falling victim to some of the more severe and incapacitating conditions that plague humans in the modern world.

The formula for good health is rather simple. Eat well, exercise, stay hydrated, and sleep well. You’d think with such a simple formula, we’d all have it figured out. But temptations, vices, and stressors cause deviation. Good health and bad health require commitment — but only one of these commitments is fruitful. No matter your age, you can implement changes to extend your life expectancy. This is especially important if you reside in one of the cities listed below with the shortest life expectancy. Lifestyle changes for better health are challenging at first. But you can follow through and completely alter the course of your life.

To determine the cities in every state with the shortest life expectancy, 24/7 Tempo reviewed data on life expectancy in U.S. metropolitan areas from County Health Rankings & Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Additional data on smoking rate, physical inactivity, and insufficient sleep also came from the 2023 CHR. (Also See The 50 US Cities With the Worst Life Expectancy)

Alabama: Gadsden

Source: Public Domain / Wikimedia Commons

Source: Public Domain / Wikimedia Commons
  • Life expectancy: 72.54 years (Alabama: 74.84 years)
  • People who don’t exercise regularly: 29.3% (Alabama: 27.8%)
  • Adults who get fewer than 7 hrs of sleep: 39.8% (Alabama: 39.2%)
  • Adults who smoke regularly: 20.6% (Alabama: 19.5%)
  • Adult obesity rate: 41.1% (Alabama: 39.3%)

Alaska: Anchorage

Source: andykazie / iStock Editorial via Getty Images

Source: andykazie / iStock Editorial via Getty Images
  • Life expectancy: 78.77 years (Alaska: 78.62 years)
  • People who don’t exercise regularly: 20.3% (Alaska: 21.1%)
  • Adults who get fewer than 7 hrs of sleep: 31.3% (Alaska: 31.9%)
  • Adults who smoke regularly: 16.4% (Alaska: 18.0%)
  • Adult obesity rate: 30.0% (Alaska: 31.8%)

Arizona: Lake Havasu City-Kingman

Source: DenisTangneyJr / iStock via Getty Images

Source: DenisTangneyJr / iStock via Getty Images
  • Life expectancy: 75.47 years (Arizona: 79.06 years)
  • People who don’t exercise regularly: 28.7% (Arizona: 21.6%)
  • Adults who get fewer than 7 hrs of sleep: 37.6% (Arizona: 33.6%)
  • Adults who smoke regularly: 21.0% (Arizona: 13.7%)
  • Adult obesity rate: 35.7% (Arizona: 31.5%)

Arkansas: Pine Bluff

Main Street Clothing- Pine Bluff, Arkansas by pasa47
Source: Main Street Clothing- Pine Bluff, Arkansas by pasa47 / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 72.87 years (Arkansas: 75.49 years)
  • People who don’t exercise regularly: 33.7% (Arkansas: 28.8%)
  • Adults who get fewer than 7 hrs of sleep: 39.9% (Arkansas: 35.9%)
  • Adults who smoke regularly: 23.1% (Arkansas: 21.6%)
  • Adult obesity rate: 42.9% (Arkansas: 37.2%)

California: Redding

Source: Sundry Photography / iStock via Getty Images

Source: Sundry Photography / iStock via Getty Images
  • Life expectancy: 75.79 years (California: 81.01 years)
  • People who don’t exercise regularly: 19.6% (California: 21.1%)
  • Adults who get fewer than 7 hrs of sleep: 33.6% (California: 31.1%)
  • Adults who smoke regularly: 15.4% (California: 9.0%)
  • Adult obesity rate: 31.1% (California: 30.2%)

Colorado: Pueblo

Source: bboserup / iStock via Getty Images

Source: bboserup / iStock via Getty Images
  • Life expectancy: 75.12 years (Colorado: 79.98 years)
  • People who don’t exercise regularly: 24.4% (Colorado: 16.5%)
  • Adults who get fewer than 7 hrs of sleep: 33.9% (Colorado: 27.0%)
  • Adults who smoke regularly: 17.6% (Colorado: 12.6%)
  • Adult obesity rate: 29.6% (Colorado: 24.2%)

Connecticut: New Haven-Milford

Source: Jon Bilous / iStock via Getty Images

Source: Jon Bilous / iStock via Getty Images
  • Life expectancy: 79.19 years (Connecticut: 80.11 years)
  • People who don’t exercise regularly: 21.8% (Connecticut: 20.2%)
  • Adults who get fewer than 7 hrs of sleep: 36.4% (Connecticut: 33.0%)
  • Adults who smoke regularly: 15.4% (Connecticut: 12.6%)
  • Adult obesity rate: 33.3% (Connecticut: 29.5%)

Delaware: Dover

Source: gregobagel / iStock Unreleased via Getty Images

Source: gregobagel / iStock Unreleased via Getty Images
  • Life expectancy: 77.11 years (Delaware: 78.01 years)
  • People who don’t exercise regularly: 27.6% (Delaware: 23.6%)
  • Adults who get fewer than 7 hrs of sleep: 38.1% (Delaware: 33.9%)
  • Adults who smoke regularly: 20.0% (Delaware: 15.8%)
  • Adult obesity rate: 39.1% (Delaware: 36.2%)

Florida: Homosassa Springs

Cute Homosassa Springs, Florida Sign
Source: David Byron Keener / Shutterstock.com

Source: David Byron Keener / Shutterstock.com
  • Life expectancy: 74.52 years (Florida: 79.69 years)
  • People who don’t exercise regularly: 27.1% (Florida: 25.8%)
  • Adults who get fewer than 7 hrs of sleep: 38.0% (Florida: 34.3%)
  • Adults who smoke regularly: 23.4% (Florida: 15.5%)
  • Adult obesity rate: 31.6% (Florida: 28.3%)

Georgia: Albany

Source: Roberto Galan / iStock Editorial via Getty Images

Source: Roberto Galan / iStock Editorial via Getty Images
  • Life expectancy: 73.6 years (Georgia: 77.31 years)
  • People who don’t exercise regularly: 29.6% (Georgia: 24.5%)
  • Adults who get fewer than 7 hrs of sleep: 40.7% (Georgia: 35.8%)
  • Adults who smoke regularly: 21.1% (Georgia: 16.3%)
  • Adult obesity rate: 41.4% (Georgia: 34.3%)

Hawaii: Urban Honolulu

  • Life expectancy: 82.38 years (Hawaii: 82.26 years)
  • People who don’t exercise regularly: 19.8% (Hawaii: 18.4%)
  • Adults who get fewer than 7 hrs of sleep: 42.3% (Hawaii: 39.4%)
  • Adults who smoke regularly: 12.0% (Hawaii: 12.2%)
  • Adult obesity rate: 24.3% (Hawaii: 25.0%)

Idaho: Pocatello

1939: Pocatello, Idaho by dok1
Source: 1939: Pocatello, Idaho by dok1 / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 77.04 years (Idaho: 79.19 years)
  • People who don’t exercise regularly: 21.7% (Idaho: 19.7%)
  • Adults who get fewer than 7 hrs of sleep: 33.3% (Idaho: 29.8%)
  • Adults who smoke regularly: 18.2% (Idaho: 14.2%)
  • Adult obesity rate: 36.3% (Idaho: 31.3%)

Illinois: Danville

Source: paul_everett82 / Flickr

Source: paul_everett82 / Flickr
  • Life expectancy: 74.55 years (Illinois: 78.62 years)
  • People who don’t exercise regularly: 28.1% (Illinois: 24.4%)
  • Adults who get fewer than 7 hrs of sleep: 35.1% (Illinois: 31.9%)
  • Adults who smoke regularly: 22.1% (Illinois: 12.8%)
  • Adult obesity rate: 38.2% (Illinois: 32.5%)

Indiana: Kokomo

Source: davidwilson1949 / Flickr

Source: davidwilson1949 / Flickr
  • Life expectancy: 74.07 years (Indiana: 76.51 years)
  • People who don’t exercise regularly: 26.8% (Indiana: 25.6%)
  • Adults who get fewer than 7 hrs of sleep: 35.2% (Indiana: 35.9%)
  • Adults who smoke regularly: 21.8% (Indiana: 20.2%)
  • Adult obesity rate: 41.2% (Indiana: 37.2%)

Iowa-Nebraska-South Dakota: Sioux City

Source: dustin77a / iStock via Getty Images

Source: dustin77a / iStock via Getty Images
  • Life expectancy: 77.02 years (Iowa-Nebraska-South Dakota: 78.74 years)
  • People who don’t exercise regularly: 26.7% (Iowa-Nebraska-South Dakota: 22.7%)
  • Adults who get fewer than 7 hrs of sleep: 32.1% (Iowa-Nebraska-South Dakota: 31.6%)
  • Adults who smoke regularly: 17.5% (Iowa-Nebraska-South Dakota: 16.8%)
  • Adult obesity rate: 38.3% (Iowa-Nebraska-South Dakota: 37.2%)

Kansas: Wichita

Wichita Farm and Art Market by Ty Nigh
Source: Wichita Farm and Art Market by Ty Nigh / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 76.56 years (Kansas: 77.81 years)
  • People who don’t exercise regularly: 22.2% (Kansas: 21.4%)
  • Adults who get fewer than 7 hrs of sleep: 34.7% (Kansas: 33.0%)
  • Adults who smoke regularly: 18.9% (Kansas: 17.2%)
  • Adult obesity rate: 35.3% (Kansas: 35.8%)

Kentucky-Indiana: Louisville/Jefferson County

LouisvilleJefferson+County+metro+government+balance+Kentucky | Louisville, Kentucky
Source: kenlund / Flickr

Louisville is the largest city in the Commonwealth of Kentucky and the 28th most populous city in the United States. It is the states only designated first-class city. Louisville is the historical seat and, since 2003, the nominal seat of Jefferson County. Lousville was founded in 1778 by George Rogers Clark and is named after King Louis XVI of France, making Louisville one of the oldest cities west of the Appalachian Mountains. Sited beside the Falls of the Ohio, the only major obstruction to river traffic between the upper Ohio River and the Gulf of Mexico, the settlement first grew as a portage site. It was the founding city of the Louisville and Nashville Railroad, which grew into a 6,000-mile (9,700 km) system across 13 states. Today the city is known as the home of the Kentucky Derby, Kentucky Fried Chicken, the University of Louisville and its Louisville Cardinals athletic teams, Louisville Slugger baseball bats, and three of Kentuckys six Fortune 500 companies. Its main airp...

Source: kenlund / Flickr
  • Life expectancy: 75.79 years (Kentucky-Indiana: 75.08 years)
  • People who don’t exercise regularly: 26.4% (Kentucky-Indiana: 29.3%)
  • Adults who get fewer than 7 hrs of sleep: 36.2% (Kentucky-Indiana: 39.1%)
  • Adults who smoke regularly: 18.8% (Kentucky-Indiana: 22.2%)
  • Adult obesity rate: 36.9% (Kentucky-Indiana: 37.0%)

Louisiana: Monroe

Monroe, LA | Monroe
Source: wellesenterprises / iStock via Getty Images

A view of Monroe, Louisiana from across the Ouachita River.

Source: wellesenterprises / iStock via Getty Images
  • Life expectancy: 73.31 years (Louisiana: 75.22 years)
  • People who don’t exercise regularly: 33.0% (Louisiana: 28.2%)
  • Adults who get fewer than 7 hrs of sleep: 38.5% (Louisiana: 36.6%)
  • Adults who smoke regularly: 21.2% (Louisiana: 18.9%)
  • Adult obesity rate: 42.4% (Louisiana: 38.3%)

Maine: Lewiston-Auburn

Lewiston Auburn relay 2008 by Sam T
Source: samm4mrox / Flickr

  • Life expectancy: 76.81 years (Maine: 78.56 years)
  • People who don’t exercise regularly: 24.3% (Maine: 19.7%)
  • Adults who get fewer than 7 hrs of sleep: 35.0% (Maine: 31.2%)
  • Adults who smoke regularly: 19.5% (Maine: 18.0%)
  • Adult obesity rate: 35.0% (Maine: 31.3%)

Maryland-West Virginia: Hagerstown-Martinsburg

Source: elipousson / Flickr

Source: elipousson / Flickr
  • Life expectancy: 75.45 years (Maryland-West Virginia: 78.58 years)
  • People who don’t exercise regularly: 27.0% (Maryland-West Virginia: 20.6%)
  • Adults who get fewer than 7 hrs of sleep: 38.0% (Maryland-West Virginia: 34.1%)
  • Adults who smoke regularly: 20.4% (Maryland-West Virginia: 11.1%)
  • Adult obesity rate: 37.7% (Maryland-West Virginia: 30.9%)

Massachusetts: Pittsfield

20060304 15 Pittsfield, MA by davidwilson1949
Source: 20060304 15 Pittsfield, MA by davidwilson1949 / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 78.02 years (Massachusetts: 80.19 years)
  • People who don’t exercise regularly: 19.6% (Massachusetts: 19.4%)
  • Adults who get fewer than 7 hrs of sleep: 31.3% (Massachusetts: 31.6%)
  • Adults who smoke regularly: 15.1% (Massachusetts: 11.4%)
  • Adult obesity rate: 24.7% (Massachusetts: 24.5%)

Michigan: Flint

Source: hudopa / Flickr

Source: hudopa / Flickr
  • Life expectancy: 74.82 years (Michigan: 77.48 years)
  • People who don’t exercise regularly: 24.7% (Michigan: 20.2%)
  • Adults who get fewer than 7 hrs of sleep: 40.1% (Michigan: 35.5%)
  • Adults who smoke regularly: 22.2% (Michigan: 19.3%)
  • Adult obesity rate: 42.1% (Michigan: 35.3%)

Minnesota-Wisconsin: Duluth

Cathy Stepp, Wisconsin DNR Secretary, Lorna Gleason, Vice-Chair of the Nature Conservancy, Tom Melius, USFWS Midwest Regional Director, and Tom Landwehr, Minnesota DNR Commissioner, welcomed the group to the tour of Clough Island. USFWS Photo. by U.S. Fish and Wildlife Service - Midwest Region
Source: Cathy Stepp, Wisconsin DNR Secretary, Lorna Gleason, Vice-Chair of the Nature Conservancy, Tom Melius, USFWS Midwest Regional Director, and Tom Landwehr, Minnesota DNR Commissioner, welcomed the group to the tour of Clough Island. USFWS Photo. by U.S. Fish and Wildlife Service - Midwest Region / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 78.37 years (Minnesota-Wisconsin: 80.4 years)
  • People who don’t exercise regularly: 19.9% (Minnesota-Wisconsin: 18.7%)
  • Adults who get fewer than 7 hrs of sleep: 31.7% (Minnesota-Wisconsin: 27.8%)
  • Adults who smoke regularly: 20.5% (Minnesota-Wisconsin: 14.3%)
  • Adult obesity rate: 33.0% (Minnesota-Wisconsin: 30.6%)

Mississippi: Gulfport-Biloxi

Source: jiangkeren / Flickr

Source: jiangkeren / Flickr
  • Life expectancy: 74.9 years (Mississippi: 73.89 years)
  • People who don’t exercise regularly: 26.5% (Mississippi: 28.9%)
  • Adults who get fewer than 7 hrs of sleep: 35.0% (Mississippi: 35.3%)
  • Adults who smoke regularly: 19.0% (Mississippi: 20.7%)
  • Adult obesity rate: 36.5% (Mississippi: 39.9%)

Missouri: Joplin

Source: tusafb / Flickr

Source: tusafb / Flickr
  • Life expectancy: 75.66 years (Missouri: 76.64 years)
  • People who don’t exercise regularly: 27.1% (Missouri: 24.9%)
  • Adults who get fewer than 7 hrs of sleep: 34.7% (Missouri: 34.2%)
  • Adults who smoke regularly: 22.2% (Missouri: 18.6%)
  • Adult obesity rate: 36.5% (Missouri: 34.2%)

Montana: Great Falls

Beautiful view of the Great Falls in Montana in twilight
Source: Victoria Ditkovsky / Shutterstock.com

Source: Victoria Ditkovsky / Shutterstock.com
  • Life expectancy: 77.09 years (Montana: 78.37 years)
  • People who don’t exercise regularly: 21.3% (Montana: 18.0%)
  • Adults who get fewer than 7 hrs of sleep: 31.0% (Montana: 29.7%)
  • Adults who smoke regularly: 18.6% (Montana: 17.5%)
  • Adult obesity rate: 35.0% (Montana: 28.9%)

Nebraska: Grand Island

German Heritage by Grand Island Tourism
Source: greatergrandisland / Flickr

  • Life expectancy: 77.91 years (Nebraska: 79.02 years)
  • People who don’t exercise regularly: 25.7% (Nebraska: 21.0%)
  • Adults who get fewer than 7 hrs of sleep: 29.9% (Nebraska: 28.9%)
  • Adults who smoke regularly: 17.3% (Nebraska: 14.5%)
  • Adult obesity rate: 39.0% (Nebraska: 34.0%)

Nevada: Carson City

Ken, Welcome to Nevada, Interstate 80, West Wendover, Nevada by Ken Lund
Source: Ken, Welcome to Nevada, Interstate 80, West Wendover, Nevada by Ken Lund / BY-SA 2.0 (https://creativecommons.org/licenses/by-sa/2.0/)

  • Life expectancy: 74.41 years (Nevada: 78.11 years)
  • People who don’t exercise regularly: 23.1% (Nevada: 24.9%)
  • Adults who get fewer than 7 hrs of sleep: 35.4% (Nevada: 35.3%)
  • Adults who smoke regularly: 18.4% (Nevada: 14.1%)
  • Adult obesity rate: 34.4% (Nevada: 28.1%)

New Hampshire: Manchester-Nashua

Source: Sean Pavone / iStock via Getty Images

Source: Sean Pavone / iStock via Getty Images
  • Life expectancy: 79.42 years (New Hampshire: 79.59 years)
  • People who don’t exercise regularly: 19.9% (New Hampshire: 18.6%)
  • Adults who get fewer than 7 hrs of sleep: 33.2% (New Hampshire: 31.0%)
  • Adults who smoke regularly: 14.1% (New Hampshire: 14.7%)
  • Adult obesity rate: 29.2% (New Hampshire: 30.5%)

New Jersey: Vineland-Bridgeton

Source: AUDREY SCRIPP / iStock via Getty Images

Source: AUDREY SCRIPP / iStock via Getty Images
  • Life expectancy: 74.6 years (New Jersey: 79.49 years)
  • People who don’t exercise regularly: 30.8% (New Jersey: 20.2%)
  • Adults who get fewer than 7 hrs of sleep: 39.6% (New Jersey: 32.3%)
  • Adults who smoke regularly: 19.1% (New Jersey: 11.1%)
  • Adult obesity rate: 35.7% (New Jersey: 27.7%)

New Mexico: Farmington

Kevin Kunkel, BLM New Mexico Intern by mypubliclands
Source: Kevin Kunkel, BLM New Mexico Intern by mypubliclands / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 74.04 years (New Mexico: 76.88 years)
  • People who don’t exercise regularly: 23.9% (New Mexico: 22.5%)
  • Adults who get fewer than 7 hrs of sleep: 36.3% (New Mexico: 30.8%)
  • Adults who smoke regularly: 22.6% (New Mexico: 16.9%)
  • Adult obesity rate: 35.0% (New Mexico: 31.7%)

New York: Elmira

Source: DenisTangneyJr / iStock via Getty Images

Source: DenisTangneyJr / iStock via Getty Images
  • Life expectancy: 76.35 years (New York: 80.26 years)
  • People who don’t exercise regularly: 25.2% (New York: 25.2%)
  • Adults who get fewer than 7 hrs of sleep: 35.1% (New York: 33.1%)
  • Adults who smoke regularly: 19.1% (New York: 12.3%)
  • Adult obesity rate: 33.0% (New York: 26.5%)

North Carolina: Rocky Mount

Neighborhood analysis, Rocky Mount, North Carolina, page 35 (1962) by Government & Heritage Library, State Library of NC
Source: Neighborhood analysis, Rocky Mount, North Carolina, page 35 (1962) by Government & Heritage Library, State Library of NC / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 74.03 years (North Carolina: 77.68 years)
  • People who don’t exercise regularly: 26.7% (North Carolina: 21.9%)
  • Adults who get fewer than 7 hrs of sleep: 35.8% (North Carolina: 31.8%)
  • Adults who smoke regularly: 20.9% (North Carolina: 17.0%)
  • Adult obesity rate: 39.0% (North Carolina: 33.6%)

North Dakota-Minnesota: Grand Forks

Bridge Crossing Red River of the North Between Fargo, North Dakota and Moorhead, Minnesota by Ken Lund
Source: Bridge Crossing Red River of the North Between Fargo, North Dakota and Moorhead, Minnesota by Ken Lund / BY-SA 2.0 (https://creativecommons.org/licenses/by-sa/2.0/)

  • Life expectancy: 78.47 years (North Dakota-Minnesota: 78.77 years)
  • People who don’t exercise regularly: 23.4% (North Dakota-Minnesota: 24.6%)
  • Adults who get fewer than 7 hrs of sleep: 31.9% (North Dakota-Minnesota: 30.5%)
  • Adults who smoke regularly: 17.8% (North Dakota-Minnesota: 17.9%)
  • Adult obesity rate: 35.9% (North Dakota-Minnesota: 33.6%)

Ohio: Springfield

Source: Rob Hat / Wikimedia Commons

Source: Rob Hat / Wikimedia Commons
  • Life expectancy: 73.9 years (Ohio: 76.52 years)
  • People who don’t exercise regularly: 29.0% (Ohio: 23.5%)
  • Adults who get fewer than 7 hrs of sleep: 40.6% (Ohio: 36.5%)
  • Adults who smoke regularly: 23.9% (Ohio: 20.2%)
  • Adult obesity rate: 36.7% (Ohio: 35.8%)

Oklahoma: Enid

2015-06-25_18-53-28 by joannapoe
Source: jopoe / Flickr

  • Life expectancy: 74.99 years (Oklahoma: 75.54 years)
  • People who don’t exercise regularly: 29.6% (Oklahoma: 27.9%)
  • Adults who get fewer than 7 hrs of sleep: 35.0% (Oklahoma: 33.8%)
  • Adults who smoke regularly: 19.8% (Oklahoma: 19.6%)
  • Adult obesity rate: 37.9% (Oklahoma: 37.1%)

Oregon: Grants Pass

Grants+Pass+Oregon | Caveman Bridge_Grants Pass
Source: oregondot / Flickr

Newly refurbished Caveman Bridge in the early morning light, May 3, 2019 (from ODOT drone)

Source: oregondot / Flickr
  • Life expectancy: 76.42 years (Oregon: 79.7 years)
  • People who don’t exercise regularly: 21.2% (Oregon: 17.6%)
  • Adults who get fewer than 7 hrs of sleep: 33.7% (Oregon: 29.0%)
  • Adults who smoke regularly: 19.1% (Oregon: 13.6%)
  • Adult obesity rate: 30.4% (Oregon: 28.3%)

Pennsylvania: Johnstown

19671111 16 JTC 705 Johnstown, PA by davidwilson1949
Source: 19671111 16 JTC 705 Johnstown, PA by davidwilson1949 / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 75.81 years (Pennsylvania: 78.02 years)
  • People who don’t exercise regularly: 23.9% (Pennsylvania: 23.4%)
  • Adults who get fewer than 7 hrs of sleep: 37.3% (Pennsylvania: 37.0%)
  • Adults who smoke regularly: 20.8% (Pennsylvania: 16.7%)
  • Adult obesity rate: 33.2% (Pennsylvania: 31.6%)

Rhode Island-Massachusetts: Providence-Warwick

Rhode+Island | B_07A Downtown - Masonic Temple (1929) (now Renaissance Providence Hotel) - 5 Avenue of the Arts and the Rhode Island State House (1895-1904) - 90 Smith Street - Looking West from Prospect Terrace
Source: B_07A Downtown - Masonic Temple (1929) (now Renaissance Providence Hotel) - 5 Avenue of the Arts and the Rhode Island State House (1895-1904) - 90 Smith Street - Looking West from Prospect Terrace by CthulhuWho1 (Will Hart) / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

Source: B_07A Downtown – Masonic Temple (1929) (now Renaissance Providence Hotel) – 5 Avenue of the Arts and the Rhode Island State House (1895-1904) – 90 Smith Street – Looking West from Prospect Terrace by CthulhuWho1 (Will Hart) / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)
  • Life expectancy: 78.98 years (Rhode Island-Massachusetts: 79.37 years)
  • People who don’t exercise regularly: 22.6% (Rhode Island-Massachusetts: 22.9%)
  • Adults who get fewer than 7 hrs of sleep: 35.2% (Rhode Island-Massachusetts: 32.8%)
  • Adults who smoke regularly: 15.6% (Rhode Island-Massachusetts: 14.1%)
  • Adult obesity rate: 29.6% (Rhode Island-Massachusetts: 30.6%)

South Carolina: Florence

Source: DenisTangneyJr / iStock via Getty Images

Source: DenisTangneyJr / iStock via Getty Images
  • Life expectancy: 72.6 years (South Carolina: 76.44 years)
  • People who don’t exercise regularly: 30.8% (South Carolina: 25.6%)
  • Adults who get fewer than 7 hrs of sleep: 38.4% (South Carolina: 34.7%)
  • Adults who smoke regularly: 20.8% (South Carolina: 19.1%)
  • Adult obesity rate: 41.7% (South Carolina: 36.7%)

South Dakota: Rapid City

Source: James_Gabbert / Getty Images

Source: James_Gabbert / Getty Images
  • Life expectancy: 78.43 years (South Dakota: 78.19 years)
  • People who don’t exercise regularly: 21.3% (South Dakota: 21.6%)
  • Adults who get fewer than 7 hrs of sleep: 28.6% (South Dakota: 29.5%)
  • Adults who smoke regularly: 18.0% (South Dakota: 19.0%)
  • Adult obesity rate: 32.8% (South Dakota: 33.4%)

Tennessee: Jackson

JACKSON -- Tennessee State Capitol Nashville 2011 by Ron Cogswell
Source: JACKSON -- Tennessee State Capitol Nashville 2011 by Ron Cogswell / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 74.27 years (Tennessee: 75.33 years)
  • People who don’t exercise regularly: 27.1% (Tennessee: 23.6%)
  • Adults who get fewer than 7 hrs of sleep: 35.4% (Tennessee: 34.4%)
  • Adults who smoke regularly: 23.2% (Tennessee: 19.7%)
  • Adult obesity rate: 40.7% (Tennessee: 35.8%)

Texas: Odessa

Source: 2015 Getty Images / Getty Images News via Getty Images

Source: 2015 Getty Images / Getty Images News via Getty Images
  • Life expectancy: 73.8 years (Texas: 78.39 years)
  • People who don’t exercise regularly: 31.1% (Texas: 25.4%)
  • Adults who get fewer than 7 hrs of sleep: 36.3% (Texas: 33.4%)
  • Adults who smoke regularly: 17.3% (Texas: 13.3%)
  • Adult obesity rate: 39.6% (Texas: 35.8%)

Utah: Salt Lake City

Salt Lake City panoramic
Source: Joe Guetzloff / Shutterstock.com

Source: Joe Guetzloff / Shutterstock.com
  • Life expectancy: 79.26 years (Utah: 79.72 years)
  • People who don’t exercise regularly: 17.6% (Utah: 16.3%)
  • Adults who get fewer than 7 hrs of sleep: 30.2% (Utah: 30.9%)
  • Adults who smoke regularly: 9.2% (Utah: 8.3%)
  • Adult obesity rate: 30.2% (Utah: 29.3%)

Vermont: Burlington-South Burlington

Burlington Breakwater South Lighthouse by Tony Fischer Photography
Source: Burlington Breakwater South Lighthouse by Tony Fischer Photography / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 81.03 years (Vermont: 79.67 years)
  • People who don’t exercise regularly: 15.2% (Vermont: 17.1%)
  • Adults who get fewer than 7 hrs of sleep: 27.0% (Vermont: 28.9%)
  • Adults who smoke regularly: 13.0% (Vermont: 14.4%)
  • Adult obesity rate: 24.4% (Vermont: 26.3%)

Virginia: Roanoke

Source: SeanPavonePhoto / iStock via Getty Images

Source: SeanPavonePhoto / iStock via Getty Images
  • Life expectancy: 76.5 years (Virginia: 79.07 years)
  • People who don’t exercise regularly: 23.0% (Virginia: 20.4%)
  • Adults who get fewer than 7 hrs of sleep: 33.9% (Virginia: 34.5%)
  • Adults who smoke regularly: 18.6% (Virginia: 13.9%)
  • Adult obesity rate: 35.0% (Virginia: 32.4%)

Washington: Yakima

Yakima Farmer's Market by Jeff Keyzer
Source: mightyohm / Flickr

  • Life expectancy: 76.95 years (Washington: 80.21 years)
  • People who don’t exercise regularly: 25.3% (Washington: 17.5%)
  • Adults who get fewer than 7 hrs of sleep: 31.7% (Washington: 29.9%)
  • Adults who smoke regularly: 17.5% (Washington: 11.6%)
  • Adult obesity rate: 37.1% (Washington: 28.0%)

West Virginia: Beckley

Source: usnationalarchives / Flickr

Source: usnationalarchives / Flickr
  • Life expectancy: 71.93 years (West Virginia: 74.26 years)
  • People who don’t exercise regularly: 30.5% (West Virginia: 27.4%)
  • Adults who get fewer than 7 hrs of sleep: 43.2% (West Virginia: 40.5%)
  • Adults who smoke regularly: 25.8% (West Virginia: 24.0%)
  • Adult obesity rate: 41.8% (West Virginia: 39.6%)

Wisconsin: Racine

Racine Maritime Underground Railroad Monument by puroticorico
Source: Racine Maritime Underground Railroad Monument by puroticorico / BY 2.0 (https://creativecommons.org/licenses/by/2.0/)

  • Life expectancy: 77.46 years (Wisconsin: 78.87 years)
  • People who don’t exercise regularly: 21.3% (Wisconsin: 19.8%)
  • Adults who get fewer than 7 hrs of sleep: 33.3% (Wisconsin: 31.2%)
  • Adults who smoke regularly: 18.3% (Wisconsin: 16.1%)
  • Adult obesity rate: 36.1% (Wisconsin: 32.7%)

Wyoming: Casper

Aerial View of Downtown Casper, Wyoming at Dusk on Christmas Day
Source: Jacob Boomsma / Shutterstock.com

Source: Jacob Boomsma / Shutterstock.com
  • Life expectancy: 76.57 years (Wyoming: 78.08 years)
  • People who don’t exercise regularly: 25.0% (Wyoming: 21.6%)
  • Adults who get fewer than 7 hrs of sleep: 33.5% (Wyoming: 33.1%)
  • Adults who smoke regularly: 20.3% (Wyoming: 19.4%)
  • Adult obesity rate: 34.0% (Wyoming: 30.6%)
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