Maui County — Maui, Molokai, Lanai and Kahoolawe — ranks healthiest in Hawaii while Hawaii County — the Big Island — is the least healthy county in the state.

Honolulu came in second, followed by Kauai.

That’s according to the sixth annual County Health Rankings, released this week by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

The rankings also compare the health of most counties across the country using local-level data.

Hawaii health map

The factors that influence health include education, housing, violent crime, jobs, diet and exercise.

Here are some study takeaways that apply nationally:

  • The healthiest counties in each state have higher college attendance, fewer preventable hospital stays and better access to parks and gyms.
  • The least healthy counties in each state have more smokers, more teen births and more alcohol related car crash deaths.
  • Violent crime rates are highest in the South.
  • One out of four children in the U.S. lives in poverty.
  • Unemployment rates are 1.5 times higher in the least healthy counties in each state as they are in the healthiest counties.

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