The University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation released the report. Researchers look at factors like rates of low infant birth weight, smoking, obesity as well as access to healthier foods.

This year’s Rankings include several new measures, such as how many fast-food restaurants are in a county and levels of physical inactivity among residents.

Dr. Claude Earl Fox is executive director of the Florida Public Health Institute. When it comes to health outcomes, he says a lot of weight should be put on social and economic factors.

“Although we all obsess, including myself, over clinical care, that’s not the biggest factor here,” said Fox. “So I think the need to look at other things within the community is really the take-home messages of these rankings.”

Fox adds there is no coincidence that the counties with the highest rankings also have the highest levels of income, education and insurance, and the lowest ratio of doctors to patients.

“This is an attempt really to have the counties see where they are,” said Fox. “The whole point of this is this is kind of a call to action.”

As for other counties in Southwest Florida, Collier ranked 4^th, Lee ranked 24^th and Charlotte ranked 25^th.