Oxford County remains the least healthy county in the state, according to annual County Health Rankings released today by the Robert Wood Johnson Foundation.

The rankings include every county in all 50 states and measure how healthy people are and how long they will live.

While Franklin County is one of the five healthiest counties in Maine, according to the survey, Oxford County was listed as the least healthy for the second year in a row. Androscoggin County was also listed as one of the least healthy counties in Maine.

The rankings showed that 17 percent of adults in Oxford County reported being in fair health, compared to 13 percent in Hancock County – the healthiest county in the state. A total of 26 percent of Oxford County residents smoke and 21 percent of the children in Oxford County live in poverty.

Ken Morse, director of Healthy Oxford Hills in Norway, said Wednesday that the news comes as a little surprise. Economics, he said, is considered to be the most significant factor in the low ranking for Oxford County.