In 2016’s Robert Wood Johnson Health Rankings Report, Allen County has gone further back within the pack of Indiana counties. The county has below the state average of primary care doctors and lower uninsured people as compared to past years, even then, it has ranked 39th among 92 counties of Indiana in health outcomes.

The ranking was based on premature deaths and quality-of-life measures. In the state, the county has ranked as the 44th healthiest.

Allen County has reached nine spots below last year’s health outcomes rank of 30 to the neighborhood where it’s been hanging for many years. In 2014, the county ranked 37th, 40th in 2013 and 35th in 2012 and 2011, which was the survey’s first year.

On the whole, the health ranking hasn’t seen any change from previous year, though it has gone down from 29 in 2012. The ranking has been done on the basis of various factors, influencing the health of residents. The factors include water quality, toll of physicians, air pollution and permission to exercise opportunities and good food, among others.

The number of alcohol-related driving deaths in the county was 5% above the Indiana average and 16% above the best counties of the nation.

Sexually transmitted infection incidents have also gone roughly a third higher as compared to the Indiana average and roughly 75% higher as compared to the best US counties. The mammography screening ranking was also less than both the state average and the nation’s top-performing counties.

The toll of teen births and underweight baby births were also a bit above the state averages, and the rate of teenagers delivering babies was twice the rate of the best performing counties of the country.