The South and Midwest aren’t doing as well as the rest of the country — at least, according to the most recent edition of the Gallup-Healthways well-being index.

In its report on the index, Gallup and Healthways examined well-being across the country, looking at such factors as how well-being varies by state and which states do better or worse in each of the five elements of well-being: purpose, social, financial, community and physical.

There has been some improvement in specific areas, such as historically low smoking rates, which have fallen from more than 21.1 percent at the index’s inception in 2008 to 18.0 percent; historically high rates of exercise; and the highest scores on health care access measures, including health insurance coverage.

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