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Where you live influences how well and how long you live, new rankings show.

For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care.

"Certain health factors used in the county health rankings, such as unemployment, percent of children in poverty, high school graduation rate, and percent of children in single-parent households, are factors that can not be fixed overnight, or even in a few years", Terry Brecheisen, director of the Public Health Department for the Unified Government of Wyandotte County/Kansas City, Kansas, said in a statement.

Each county was measure by health outcomes, length of life, quality of life, health factors and behaviors, clinical care, social and economic factors and physical environment. In South Carolina, York County was ranked second behind only Beaufort County.

"I am pleased to see less years of productive life lost due to premature death", said Rebecca Kaufman, Director of Public Health for Broome County. 13 of Florida's 67 counties in health outcomes, with Flagler one spot behind. Hispanic teens have seen the most improvement in birth rates, falling from 77.7 to 31.9 births per 1,000 females- ages 15-19, from 2006 to 2016.

However, the more populous Tarrant and Dallas counties appear much farther down in the 2018 rankings.

A number of reasons can explain a county's change in rank, including the health outcomes and the performance of other county's, according to the Robert Wood Johnson Foundation. During opening ceremonies in March 2017, leaders said the health rankings data would help guide research that will lead to recommendations for new programs and approaches.

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The health factors rankings are similar.

David Plyler, the chairman of the Forsyth County Board of Commissioners, said the county could remain at its current ranking in the short term because "instant success is not always prevalent".

Census data supports the correlation: The median income in Rankin is $59,370, while in Holmes it's $20,800, the lowest in the state.

In North Iowa, Mitchell County was ranked the #10 healthiest in the state, followed by Winnebago County at #29, Howard County at #34, Worth County at #37, and Floyd County at #43.

The County has a 94% graduation rate, our unemployment rate is 3.5%, and we reported 158 violent crimes.

Lake County ranked dead last in the survey of 57 counties, down one spot from previous year.