Despite a lot of binge drinking and Salmonella, Hawaii has retained its title as the healthiest state, according to America’s Health Rankings.

For four straight years Hawaii’s low prevalence of obesity, low rate of preventable hospitalizations and few uninsured residents have helped rank the state above the rest.

A woman does yoga on the beach in Hawaii, the healthiest state in 2015.

A woman does yoga on the beach in Hawaii, the healthiest state in 2015.

Open Space Yoga Hawaii/Flickr

In the past five years, there’s been a decrease of 25 percent of the population that lacks insurance — from 8 percent to 6 percent.

But there are some troubling trends too, according to the findings by United Health Foundation, which does the rankings.

In the past 20 years, children in poverty increased 32 percent — from 13 percent to 17 percent of children.

And in the past two years, diabetes increased 26 percent, rising from 8 percent of adults to 10 percent.

Although less of a factor in the weight of the rankings, Hawaii residents get less sleep than another other state. Forty-four percent reported sleeping less than seven hours a night, which is 10 percent higher than the national average.

Just over one out of every five adults reported binge drinking in Hawaii in 2015.

Just over one out of every five adults reported binge drinking in Hawaii in 2015.

Sarah Rose/Flickr

Just over one out of every five adults reported binge drinking — consuming four or more (women) or five or more (men) alcoholic beverages on a single occasion in the last month — or chronic drinking — consuming eight or more (women) or 15 or more (men) alcoholic beverages per week.

When it comes to Salmonella, there were 25 new cases per 100,000 residents reported, 11 more than the national average.

Learn more about the results here.

Read a cautionary tale about just how healthy Hawaii actually is in this piece by Civil Beat columnist Dr. Kathleen Kozak.

2015 Hawaii infographic based on America's Health Rankings.

2015 Hawaii infographic based on America’s Health Rankings.

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