The 20 US cities where people are the most stressed

Poverty is a contributing factor to stress.Tiago_Fernandez/Getty ImagesWhere you live can have a big impact on your level of stress.WalletHub evaluated 182 cities in the US based on four dimensions of stress.Detroit topped the most-stressed-cities list, due in part to its high unemployment and crime rate.Whether it stems from receiving an unexpected bill or struggling with your workload, stress is often perceived as a personal matter.But stress levels can also be shaped by more systemic factors such as poverty, crime, and childcare costs. For the most stressed cities in the US, poverty and high levels of violent crime consistently show up as contributing factors.A recent study by WalletHub ranked 182 US cities based on four areas of stress: work, financial, family, and health and safety. The study evaluated the 150 most populated US cities, plus at least two of the most populated cities in each state.WalletHub evaluated the four areas using 39 metrics. Each metric was graded on a 100-point scale, with 100 representing the highest level of stress, and the results were then combined to determine each city's overall score.For work stress, metrics included unemployment rate, average weekly work hours, job security, and traffic congestion.Financial stress was evaluated with metrics such as median annual household income, share of households behind on bills, and the poverty rate. Family stress included factors such as separation and divorce rates, and childcare costs.Health and safety stress included the share of adults who could not see a doctor because of cost, hate-crime incidents per capita, and the number of mass shootings.Data for the ranking was compiled from federal agencies, such as the Bureau of Labor Statistics, as well as non-profits and research organizations.The scores were then ranked from highest to lowest, with 100 being the highest level of stress.Here's a list of the 20 most stressed cities in the US.20. San AntonioThe San Antonio River Walk.f11photo/Getty Images/iStockphotoTotal Score (out of 100): 51.37Work Stress Rank: 67Financial Stress Rank: 48Family Stress Rank: 17Health & Safety Stress Rank: 1719. IndianapolisIndianapolis, Indiana.Nicholas Klein/Getty ImagesTotal Score: 51.84Work Stress Rank: 84Financial Stress Rank: 14Family Stress Rank: 42Health & Safety Stress Rank: 3418. CincinnatiThe Smale Riverfront Park in downtown Cincinnati.alexeys/Getty ImagesTotal Score: 52.00Work Stress Rank: 25Financial Stress Rank: 24Family Stress Rank: 36Health & Safety Stress Rank: 4017. Columbus, GeorgiaColumbus, Georgia's skyline.SeanPavonePhoto/Getty Images/iStockphotoTotal Score: 52.27Work Stress Rank: 109Financial Stress Rank: 5Family Stress Rank: 34Health & Safety Stress Rank: 5216. Montgomery, AlabamaMontgomery is Alabama's capital city.Kruck20/Getty ImagesTotal Score: 52.59Work Stress Rank: 108Financial Stress Rank: 12Family Stress Rank: 45Health & Safety Stress Rank: 1815. Baton Rouge, LouisianaThe State Capitol Park in Baton Rouge is by the Mississippi River.felixmizioznikov/Getty ImagesTotal Score: 52.95Work Stress Rank: 52Financial Stress Rank: 23Family Stress Rank: 25Health & Safety Stress Rank: 2014. New OrleansThe historical LaBrance House in New Orleans' French Quarter.Delpixart/Getty ImagesTotal Score: 53.89Work Stress Rank: 71Financial Stress Rank: 10Family Stress Rank: 41Health & Safety Stress Rank: 2413. HoustonThe Buffalo Bayou Park in Houston.Nantiya Rattanatum/Getty ImagesTotal Score: 54.18Work Stress Rank: 11Financial Stress Rank: 56Family Stress Rank: 15Health & Safety Stress Rank: 812. Toledo, OhioThe Maumee River runs through Toledo.Jacob Boomsma/Getty ImagesWork Stress Rank: 74Financial Stress Rank: 15Family Stress Rank: 11Health & Safety Stress Rank: 2311. Birmingham, AlabamaThe downtown cityscape of Birmingham, Alabama.Sean Pavone/Getty ImagesTotal Score: 54.42Work Stress Rank: 119Financial Stress Rank: 20Family Stress Rank: 4Health & Safety Stress Rank: 1110. St. LouisSt Louis' city centre framed by the Gateway Arch monument.Wirestock/Getty ImagesTotal Score: 54.60Work Stress Rank: 24Financial Stress Rank: 8Family Stress Rank: 67Health & Safety Stress Rank: 139. Akron, OhioThe downtown skyline of Akron, Ohio.Sean Pavone/Getty Images/iStockphotoTotal Score: 55.14Work Stress Rank: 35Financial Stress Rank: 18Family Stress Rank: 9Health & Safety Stress Rank: 228. Jackson, MississippiThe Jackson cityscape at dusk.SeanPavonePhoto/Getty Images/iStockphotoTotal Score: 56.03Work Stress Rank: 39Financial Stress Rank: 6Family Stress Rank: 37Health & Safety Stress Rank: 107. PhiladelphiaThe Benjamin Franklin Parkway leads to the Philadelphia City Hall.Sean Pavone/Getty ImagesTotal Score: 56.61Work Stress Rank: 5Financial Stress Rank: 9Family Stress Rank: 33Health & Safety Stress Rank: 266. Gulfport, MississippiA water tower in Gulfport, which is a port city.Rex_Wholster/Getty Images/iStockphotoTotal Score: 56.90Work Stress Rank: 156Financial Stress Rank: 17Family Stress Rank: 1Health &

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