Wisconsin is ranked 19th in the country for the health of its women and children, according to the latest report from the United Health Foundation.

That’s down five spots from last year’s ranking of 14th, but still better than the state’s overall health ranking of 23rd in the organization’s most recent annual report. Wisconsin’s lower ranking in the latest report represents one of the larger drops across the country.

The report highlights factors negatively impacting the health of women and children in the state, including excessive drinking for adult women, a high rate of tobacco use among pregnant women, rising drug deaths and teen suicides.

On top of that, Wisconsin has a relatively low number of children with “adequate” health insurance, according to the report.

Still, the state ranked above the U.S. average in a number of areas including behavioral health for children, for which Wisconsin was ranked 10th in the nation.

Wisconsin was also ranked above average for health policy related to women and children, though policy related to infants in particular was ranked just below the national average.  Read the full story here.