Ohio fell one spot from 39th to 40th amid all 50 states according to the United Health Foundation's 2018 health rankings report.

While our state never came in last place for a category, Ohio did end up towards the bottom for many. The United Health Foundation took a look at four different factors to figure each state's overall health outcome. The categories are behaviors, community and the environment, policy and clinical care.

According to the study, only New Hampshire and West Virginia fell behind Ohio is drug deaths. The National Institute on Drug Abuse reported 3,613 people died from opioid-related overdoses in 2016 alone.

Our state also has a higher rate of smoking among adults. We ranked 46th in air pollution and in public health funding. We also ranked 45th in immunizations for children.

"When we look at the areas where Ohio has the greatest challenges and opportunity to improve, a high prevelance of smoking really sticks out as a the greatest area where Ohio has a challenge," Rhonda L. Randall, D.O. said.

Randall is the Chief Medical Officer and spokesperson for the United Health Foundation.

"That concerns us becuase we know smoking is the leading cause of cancer deaths. It also very significantly contributes to heart disease and chronic lung disease and when a state has a lower percentage of adults who are smoking, the overall health of that state generally is improved because it has such an influence on all of those other measures of health," she said.

According to the report, Ohio's strengths include a low percentage of uniinsured, a high rate of primary care physicians and a low occupational fatality rate.