A new report ranks Washington counties based on a range of health-related factors, including residents' behaviors, length of life and physical environment. The eighth annual "County Health, Rankings and Road Maps" is a collaborative study by the University of Wisconsin and the Robert Wood Johnson Foundation. It says San Juan county has the healthiest residents, followed by King County.

Raquel Bournhonesque, a spokesperson for the researchers, says counties like Pierce and Yakima are trending in the wrong direction in rates of sexually transmitted diseases, physical inactivity and adult obesity. However, she notes that doesn't mean the trends have to continue downward.

Overall, the Evergreen state measured better than the national average in a number categories, including premature deaths, adult smoking rates and teen births. Washingtonians also have exceptionally high access to places for physical activity compared to the rest of the country. Yakima ranks 33rd, up from 37th in 2016 out of 39 counties for quality of life but it ranks 24th for its physical environment. Check out the rankings at countyhealthrankings.org