Who’s healthiest?

California may not have made Gallup’s list of the Top 10 states for well-being, but the Golden State wasn’t too far off the mark.

The state scored within the higher range (tied with Texas for 17th) of the well-being index (calculated on a scale of 0 to 100), which is based on the World Health Organization’s definition of health—a measure that takes into account mental and social well-being, including work environment and access to basic necessities, in addition to physical health and the absence of disease.

Western and Midwestern states comprised the majority of the top spots, while many Southern states appeared at the bottom of the list. Released last week, the poll was based on the responses of 178,545 people aged 18 and older. Here’s a look at the top 10 best and worst.

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Best   Hawaii 69.4 Utah 68.7 Montana 67.5 Iowa 67.5 North Dakota 67.2 Vermont 67 Kansas 66.9 Maryland 66.9 Minnesota 66.9 Virginia 66.8 Idaho 66.8 Worst   West Virginia 59.9 Kentucky 61.1 Arkansas 61.4 Mississippi 62.7 Ohio 63 Alabama 63.5 Indiana 63.5 Tennessee 63.6 Nevada 63.8 Rhode Island 63.8