MONTPELIER, Vt. — The latest national health rankings show that once again Vermont is the healthiest state in the nation.

The study done by the United Health Foundation ranked Vermont the most healthy for the third year in a row and the fourth time in the last five years.

New Hampshire ranked as the second healthiest state and Maine ranked eighth.

For the 10th year in a row, Mississippi ranked as the least healthy state.

In this year’s rankings, Vermont was tops in 15 of 23 measures of public health relating to behavior, community and environment, health policies, clinical care, and health outcomes.

The Vermont Health Department says the state still faces challenges: About 76,000 Vermonters smoke, 17 percent of adults binge drink and a growing number of Vermonters are overweight or obese.