That’s according to a new study conducted by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.

The study looks at factors outside of the doctor’s office, such as high school graduation rates, access to healthier foods, air pollution levels, income, and rates of smoking, obesity and teen births.

Out of ten counties in Western New York, Chautauqua County finished last in health ranking and of the 62 counties in the state it was ranked 58th. Only Chemung, Greene, Sullivan and Bronx counties were rated worse.

Chautauqua Scored in the bottom half in most categories, with the only exception being clinical care. In that area, the county ranked 22nd in the state – placing near the top third of all counties in New York.

The rest of the counties in Western New York didn’t fair much better. Oneida County is ranked 49th, Cattaraugus 53rd, Erie 54th and Niagara was 56th. The healthiest County in WNY was Wyoming, ranking 17th overall in the state. For the entire state, Rockland County – just north of NYC – was no. 1.

The complete results can be found at www.countyhealthrankings.org.