A new Gallup-Healthways Well-Being Index report suggests that Louisiana is among the most miserable states in the country.

The Bayou State came in at number ten on the most miserable states list, or number 41 overall. North Dakota was rated the most content state in the nation.

According to the report,

Louisiana residents suffered from limited access to basic needs. Last year, nearly 9% of those surveyed in the state noted they did not have easy access to clean and safe drinking water, while nearly 12% of residents lacked easy access to medicine, both among the worst rates in the nation. Just 61.4% of respondents felt safe walking home alone at night, the lowest rate in the U.S., and significantly lower than the national rate of more than 70% who felt safe in the same circumstances. Louisiana also ranked among the lowest in healthy behaviors because of its residents’ high smoking rate and limited healthy eating. As of 2010, there were 229.4 deaths due to heart disease per 100,000 people in the state, fourth-highest nationally. That same year, life expectancy at birth in the state was just 75.7 years, one of the worst figures in the nation.