FORT WAYNE, Ind. (WOWO) — A new study ranks Indiana as the ninth most stressed state in the U.S., with a stress score of 4.78.

The research looked at frequent mental and physical distress, finding that Hoosiers are reporting more unhealthy days than the national average.

Indiana trails just behind Kentucky, as stress continues to rise across the Midwest.

Experts point to economic pressure, limited access to care, and burnout as key factors.