An insurance company study says Rhode Island is the 10th healthiest state in the nation, but heavy drinking and childhood poverty remain stubborn public health concerns.
The report gives the Ocean State good scores for high childhood immunization rates, low numbers of uninsured residents and good access to primary care physicians.
But the report notes that 20 percent of the state's children live in poverty, and says too many Rhode Islanders engage in binge drinking. Rhode Island's 10th place finish is unchanged from last year's rankings.
The rankings come from a foundation created by health insurer UnitedHealthcare and were calculated from federal health statistics with help from the American Public Health Association.
Vermont took first place in the rankings.