Just how healthy is your county compared to the rest of the Sunshine State?

This annual County Health Rankings and Roadmaps report, released Wednesday, found that Seminole and Orange counties are once again among the healthiest in Florida, though both have slipped slightly since last year's rankings.

Seminole is Florida's No. 4 healthiest county, dropping from 3rd in 2014 while swapping places in the rankings with Martin County, in South Florida.

Orange County is the state's 13th healthiest this year, down from 12th last year.

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Florida's County Health Rankings

Explore Florida's 2015 full health report from the Univ. of Wisconsin Population Health Institute.

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Central Florida counties in depth

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Just behind Orange this year is Osceola County, which improved to 14th from 15th last year, one of just two Central Florida counties that went up in the rankings. The other was Sumter County, which jumped three places from 30th to 27th.

The rankings, which have been put together for the past six years by the University of Wisconsin and the Robert Wood Johnson Foundation, looks at the community factors that affect the health of the county's residents.

Brevard County fell from 25th to 32nd this year. The rest of Central Florida's counties only dropped one or two places.

Volusia was ranked the lowest in Central Florida, coming in at 45th out of Florida's 67 counties, a drop from 43rd in 2014.

The annual study by the University of Wisconsin Population Health Institute looked at two kinds of data: health outcomes and health factors. Each section was further divided into subgroups.

Under health outcomes, the main county rankings, researchers looked at length and quality of life. Under health factors, researchers took into consideration health behaviors, clinical care, social and economic factors and physical environment.

This year, for the first time, the study's authors included economic inequality as a factor, part of the study's guiding philosophy that health is is more than just a matter of access to health providers and insurance.

The study found nearly one in four Floridians did not have health insurance. Most of Central Florida's counties averaged slightly better, ranging from 19 percent uninsured in Seminole County to 25 percent in Marion and Osceola.

Also of note, about one-fourth of Florida's children live in poverty. In Sumter County, 34 percent of children come from poor families.

In six Central Florida counties, including Polk County, one in every five adults smokes, more than the state average of 18 percent. Flagler County had the highest percentage of smokers, at 23 percent.

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In Depth: Central Florida counties listed by 2015 ranking

Seminole County

  • 4th in health outcomes
  • 4th in health factors

Seminole was the healthiest overall county in Central Florida, but its ratings in the region were lower in clinical care (20th). Compared to other counties in the Orlando area, Seminole has the fewest primary care physicians per resident, with a population–doctor ratio of 1,359:1; and the largest percentage of commuters who drive alone to work (84%).

Seminole County was also ranked the highest in Central Florida concerning length (4th) and quality of life (6th), and the county has the highest access to exercise opportunities (99%) and percentage of students students who attend college (71.9%) in Central Florida.

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Orange County

  • 13th in health outcomes
  • 18th in health factors

Orange County had the highest percentage in Central Florida of babies born with low birthweight (9%), and the Orlando area's highest number of violent crimes (730) and sexually transmitted infections (529). Statewide, Orange ranks 9th for length of life, but drops to 24th for quality of life.

Home to multiple hospitals in Orlando and the surrounding areas within the county, Orange had the region's lowest ratio of doctors per resident (1,280:1 ratio). There were also little to no drinking water violations in Orlando and Orange County in 2014.

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Osceola County

  • 14th in health outcomes
  • 45th in health factors

Though Osceola has improved in health outcomes from last year, it was Central Florida's lowest ranked county in health factors, specifically clinical care (54th) and physical environment (65th). It also had the region's most number of preventable hospital stays in the last year (83).

Among Osceola's children, 32 percent come from poor families, the second highest in Central Florida. Many of those families live in hotel rooms along U.S. Highway 192, near Walt Disney World.

Osceola County also ranked the lowest in the area in social associations (4.8) and income equality (3.8), and the highest in drinking water violations (40%) and commuters who drive alone on a long commute to work (54%).

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Lake County

  • 19th in health outcomes
  • 16th in health factors

Lake County ranked second in Central Florida in terms of quality of life (15%), but second to worst in the area when it comes to alcohol-related driving deaths (36%).

Lake County's children also come from the lowest percentage of single-parent households in Central Florida (30%). Lake's social association factor (8.8) was also the highest in the region.

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Flagler County

  • 22nd in health outcomes
  • 29th in health factors

In Central Florida, Flagler County ranked second in quality of life (15th) and clinical care (10th), having the region's fewest number of preventable hospital stays (43) and fewest percentage of babies born at low birthweight (7.9%). Flagler also topped the region in the percentage of alcohol-related driving deaths (42%).

But Flagler remains the highest in Central Florida in unemployment, with a rate last year of 10.2 percent. Flagler got some better news for January, however, when it dropped out of the top 3 counties in the state, following to 14th among Florida's 67 counties. That led to a worse social and economic factor rating (42nd), the third worst in Central Florida.

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Sumter County

  • 27th in health outcomes
  • 7th in health factors

Sumter was one of just two Central Florida counties to improve in health outcomes rank from 2014 to 2015, thanks in part to a high health factor ranking, as well as the highest area rating in health behaviors (6th), clinical care (6th), and physical environment (5th).

A fewer percentage of adults smoke (13%) and drink excessively (11%) in Sumter than any other county in Central Florida, though residents have the lowest access to exercise opportunities in the region (78%). Sumter also had the most teen births (70) over the last year.

Only 19 percent of Sumter County residents do not have health insurance, and the county has the highest ratios of residents to primary care physicians (5,348:1), dentists (3,692:1) and mental health providers (2,549:1). Sumter's patients with diabetes received the highest percentage of diabetic monitoring (89%).

Sumter has Central Florida's highest percentage of children living in poverty (34%), and fewer Sumter students attend college than in any other Central Florida county (37.3%), but the county also had the lowest unemployment rate in the region (5.9%) and rate of residents with severe housing problems  (13%).

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Polk County

  • 29th in health outcomes
  • 36th in health factors

Polk County was ranked 16th in the state in physical environment factors like drinking water problems, air pollution and severe housing problems, the second highest ranking in Central Florida.

However, the rankings were considerably lower when it came to clinical care (37th) and social and economic factors (45th). Poverty impacts 29 percent of the county's children, only 68 percent of the county's adults are high school graduates, and 23 percent do not have health insurance. In addition, more than one-third of the county's adults are obese, tied for the highest obesity rating in Central Florida.

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Brevard County

  • 32nd in health outcomes
  • 23rd  in health factors

The Space Coast ranked largely in the middle of the road compared to other Central Florida counties, but had notably low access to doctors (1,393:1), dentists (1,181:1) and mental health providers (695:1).

Brevard County ranked second in Central Florida regarding social and economic factors (16th), having the highest percentage of residents who have graduated high school (85%), and the lowest rate of drivers who take a long commute to work alone (29%).

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Marion County

  • 42nd in health outcomes
  • 38th in health factors

Marion tied with Polk for the highest obesity rating (31%) in Central Florida, and topped the region regarding physical inactivity (28%). This could be attributed with the lowest rating of access to exercise opportunities in the Orlando area (81%).

Marion County was ranked lowest in Central Florida in health behaviors (42nd) and social and economic factors (49th), but was third from the highest in physical environment (19th). Two in five Marion County children (40%) live in single-parent households, the highest in Central Florida, and the county also had the region's most injury deaths in the last year (97).

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Volusia County

  • 45th in health outcomes
  • 27th in health factors

Volusia had Central Florida's lowest rank in health outcomes (45th) and quality of life (50th). One in four Volusia County children live in poverty, and 21 percent of residents were in poor or fair health.

Volusia's drinking violation percentage (27%) was the second highest in Central Florida, and life expectancy was second from the lowest ranking (46th).