(BOISE) -- Boise ranked low in a new study that measured and ranked how healthy Idaho counties were, The Idaho Statesman reports.

Boise ranked placed 40th out of 44 counties. Madison County won the title of Idaho’s healthiest.

The study by researchers at the University of Wisconsin and Robert Wood Johnson Foundation used numerous factors to measure how healthy Idaho counties are. Mortality, morbidity, and obesity rates were measured, along with smoking and drinking habits and social and economic factors.

Dave Fotsch, a public information officer for Central District Health Department told The Idaho Statesman that the rankings are “a way to start the conversation about what makes a healthy community."

"We know it's an imperfect tool," he added.

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