Raising kids is hard. It's not only expensive but there are many other factors that need to be taken into consideration to ensure the child's well-being.
The Annie E. Casey Foundation studied 2015 data from the Population Reference Bureau to rank the best and worst states for raising kids.
RELATED: White House fathers -- presidents and their kids
White House fathers -- presidents and their kids
White House fathers -- presidents and their kids
(Original Caption) First family views Black Match. Washington: President and Mrs. Kennedy and their two children, Caroline and John Jr., watch, from the balcony today, the Black Watch Royal Highland Regiment perform on the south lawn of the White House. The Kennedy's invited 1,700 children, from child care agencies, to see the program. At left is Maj. W.M. Wingate Gray, commander of the Black Watch.
President John F. Kennedy and Jacqueline Kennedy arrive at the White House with children Caroline and John Jr. after a trip to Florida, 1961. (Photo by ï¿½ CORBIS/Corbis via Getty Images)
(Original Caption) Perhaps just a mite tuckered out after his pint sized social whirl, the little man of the White House still wanted to see what's going on here. Caroline holds Daddy's hand as the First Family says 'hello' to some of the guests after the performance by the Black Watch. Caroline was getting to be quite a little Lady too. She was to be six on November 27th, two days after John Jr.'s birthday.
A photograph of former U.S. President John F. Kennedy, his wife Jacqueline Kennedy Onassis and their two children Caroline (R) and John, Jr. (L) is displayed before an upcoming Bonhams auction in New York, December 7, 2010. The photograph, taken by White House photographer Cecil Stoughton, is one of 12,000 photographs, many which have never before been seen by the public. REUTERS/Jessica Rinaldi (UNITED STATES - Tags: SOCIETY POLITICS)
(Original Caption) The White House lawn is just a pasture for Caroline Kennedy's pony, Macaroni, as the animal grazed at will on the vast area south of the President's office. The pony arrived March 15th, several hours before the return of four year old Caroline and her brother John Jr., 16 months old, from Palm Beach, Florida. Macaroni was hauled in a van from Glenn Ora, the leased Presidential estate at Middleburg, Virginia, presumably for Caroline to ride during the next few days.
Tricia Nixon on her way to the Rose Garden with her father, President Richard Nixon, at her White House wedding. (Photo by Paul Demaria/NY Daily News Archive via Getty Images)
(Original Caption) Washington, DC.: President Nixon and Patricia Nixon pose with newlyweds, their daughter Tricia and Edward Finch Cox, for family portraits in the White House after the rose garden wedding.
Susan Ford and her escort, William Pifer, dance during the 1975 Holton Arms School Senior Prom, held in the East Room of the White House. (Photo by ï¿½ CORBIS/Corbis via Getty Images)
(Original Caption) 5/7/1980-Washington: President Carter shares a secret with his daughter Amy 5/7 during an inaugural ceremony for the new Dept. of Education on the south lawn of the White House. At right is Mrs. Carter. UPI amk/Valerie Hodgson
(Original Caption) 1/24/1977-Washington, D.C.: Amy Carter holds her new puppy, Grits, which was presented to her at the White House. The twelve-week-old black and white puppy, born on election day, is part Springer Spaniel and part neighborhood dog. At right is Verona Medder, Amy's teacher who gave her the dog.
President Carter in the Oval Office with a group of senators, his wife Rosalynn, and his daughter Amy during his signing of Emergency Energy Act #6a-11a. Washington D.C., February 2, 1977. | Location: The Oval Office, The White House, Washington D.C., USA. (Photo by ï¿½ CORBIS/Corbis via Getty Images)
American President JImmy Carter talks with his daughter Amy, who sits on his lap, in the Oval Office of the White House, Washington DC, 1978. (Photo by Katherine Young/Getty Images)
WASHINGTON, DC - MAY 23: U.S. President Bill Clinton (L) and his daughter Chelsea (R) are accompanied by security personnel as they walk back to the White House 23 May 1993 after shopping at a dowtown book store. (Photo credit should read ROBERT GIROUX/AFP/Getty Images)
1993: American statesman Bill Clinton, 42nd President of the United States with his daughter Chelsea at the White House, Washington DC. (Photo by Consolidated News Pictures/Getty Images)
UNITED STATES - JUNE 17: First Lady Hillary Rodham Clinton, Chelsea Clinton and President Bill Clinton return to the White House amidst allegations of improprieties involving the first lady's actions in Whitewater. The Senate Whitewater Committee is expected to release their finding Tuesday stating that someone at the White House obstructed investigators by witholding billing records. (Photo by Harry Hamburg/NY Daily News Archive via Getty Images)
11/26/97 NP - White House First Lady Hillary Rodham Clinton, President Bill Clinton and daughter Chelsea Clinton leave from the South Lawn for Thanksgiving at Camp David . PHOTOG: Frank Johnston/TWP. (Photo by Frank Johnston/The Washington Post/Getty Images)
UNITED STATES - JULY 18: President Bill Clinton with wife, Hillary Rodham Clinton, and daughter Chelsea arriving at the White House from Camp David. (Photo by Harry Hamburg/NY Daily News Archive via Getty Images)
DALLAS, TX: (FILE PHOTO) George W. Bush holds his twins, Barbara and Jenna, in the fall of 1981 in Dallas, Texas. The ladies mark their 21st birthday November 25, 2002 in Texas, staying clear of the spotlight as Barbara and Jenna have had encounters with the law for underage drinking. Their birthday will be celebrated over the Thanksgiving holiday weekend. (Photo by Getty Images)
George W. Bush's daughters Jenna (L) and Barbara attend the presidential inauguration at the U.S. Capitol in Washington, January 20, 2001. [George W. Bush will be the first president's son to take over the White House since John Quincy Adams in 1825. ]
WASHINGTON - JANUARY 6: President George W. Bush, first lady Laura Bush, former first lady Barbara Bush and former President George H.W. Bush sit surrounded by family in the Red Room of the White House January 6, 2005 in Washington, DC. Friends and family joined former President Bush and Barbara Bush in celebrating their 60th wedding anniversary at a dinner. Also pictured are: (L to R) Georgia Grace Koch, Margaret Bush, Walker Bush, Marvin Bush, Jenna Bush, Doro Koch, Barbara Bush, Robert P. Koch, Pierce M. Bush, Maria Bush, Neil Bush, Ashley Bush, Sam LeBlond, Robert Koch, Nancy Ellis LeBlond, John Ellis Bush, Jr., Florida Gov. John Ellis 'Jeb' Bush, Mandi Bush, George P. Bush, and Columba Bush. (Photo by Eric Draper/White House via Getty Images)
WASHINGTON, UNITED STATES: Jenna(L) and Barbara Bush, daughters of US President George W. Bush, listen as their father gives his victory speech 03 November at the Ronald Reagan Building in Washington, DC. Democratic challenger John Kerry conceded the US presidential election in a phone call to Bush at the White House earlier 03 November. AFP PHOTO/ Brendan SMIALOWSKI/bp (Photo credit should read BRENDAN SMIALOWSKI/AFP/Getty Images)
WASHINGTON, UNITED STATES: US President George W. Bush (3L) and First Lady Laura Bush (4R) are joined by daughters Barbara (4L), Jenna (2L), nephew Sam LeBlond (L), former US president George H. Bush (3R) and his wife former first lady Barbara (2R) and sister Dora (R) watch election returns in the White House residence 02 November 2004 in Washington, DC. With early election returns pouring in, Bush told reporters that he was 'very upbeat' and predicted that he would defeat Democratic White House hopeful John Kerry. Asked during a very rare public appearance in the presidential mansion whether there would be an outright winner by the end of the night, Bush replied: 'I believe I will win.' AFP PHOTO/Stephen JAFFE (Photo credit should read STEPHEN JAFFE/AFP/Getty Images)
CRAWFORD, TX - MAY 10: In this handout image provided by the White House, U.S. President George W. Bush and Mrs. Laura Bush pose with daughters Jenna (R) and Barbara (L) prior to the wedding of Jenna and Henry Hager May 10, 2008 near Crawford, Texas. (Photo by Shealah Craighead/The White House via Getty Images)
WASHINGTON - APRIL 14: U.S. President Barack Obama (L), and his daughters, Sasha (R) and Malia, introduce their new dog, a Portuguese water dog named Bo, to the White House press corps on the South Lawn of the White House April 14, 2009 in Washington, DC. The six-month-old puppy is a gift from Sen. Edward M. Kennedy (D-MA) who owns several Portuguese water dogs himself. This breed of dog is considered a good pet for children who have allergies, as Malia does. (Photo by Chip Somodevilla/Getty Images)
WASHINGTON - SEPTEMBER 15: (AFP OUT) President Barack Obama gets a warm welcome home from daughters Sasha (L), Malia and dog Bo on the South lawn of the White House September 15, 2009 in Washington DC. Obama traveled to Ohio and Pennsylvania today where he about his health care plan. (Photo by Dennis Brack-Pool/Getty Images)
US President Barack Obama's daughter Sasha Obama pets a turkey named Courage while standing alongside her sister Malia (2nd R), Obama (R) and National Turkey Federation Chairman Walter Pelletier (2nd L), during the annual turkey pardoning ceremony for Thanksgiving on the North Portico of the White House in Washington, DC, on November 25, 2009. After the ceremony, the 20-week-old, turkey from Princeton, North Carolina, along with a backup named Carolina should Courage get stage fright, will fly to Disneyland in southern California to take part in the theme park's annual Thanksgiving Day parade. AFP PHOTO / Saul LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)
US President Barack Obama laughs with his daughters Sasha (C) and Malia in the Rose Garden of the White House during the annual Thanksgiving turkey pardon November 21, 2012 in Washington, DC, with the turkey Cobbler. Obama pardoned turkeys Cobbler and Gobbler, both raised in Rockingham County, Virginia. The turkeys will then spend the rest of the holiday season on display at George Washington's Mount Vernon estate. The turkeys were raised by Craig and Nancy Miller in Rockingham County, Virginia. AFP Photo/Jim WATSON (Photo credit should read JIM WATSON/AFP/Getty Images)
U.S. President Barack Obama walks out with his daughter Sasha from the White House in Washington before departure to New York July 17, 2015. President Obama and Sasha are traveling to New York City to meet up with Obama's other daughter Malia for some father-daughter time. REUTERS/Yuri Gripas
United States President Barack Obama, along with daughters Sasha (L) and Malia (R), attends the 68th annual pardoning of Thanksgiving turkey Abe (not pictured in the Rose Garden of the White House in Washington November 25, 2015. REUTERS/Gary Cameron
WASHINGTON, DC - JULY 4: President Barack Obama hugs his daughter Malia Obama at the Fourth of July White House party on July 4, 2016 in Washington, DC. Maila Obama celebrated her 18th birthday during the party, which featured guests including singers Janelle Monae and Kendrick Lamar. (Photo by Aude Guerrucci-Pool/Getty Images)
WASHINGTON, D.C. - JUNE 11: (AFP-OUT) U.S. President Donald Trump, first lady Melania Trump and their son Barron Trump arrive at the White House June 11, 2017 in Washington, DC. According to reports, Melania and Barron will soon be moving from Trump Tower in New York City to the White House. (Photo by Chris Kleponis-Pool/Getty Images)
WASHINGTON, DC - APRIL 17: U.S. President Donald Trump (R) delivers remarks from the Truman Balcony with first lady Melania Trump and their son Barron Trump (L) during the 139th Easter Egg Roll on the South Lawn of the White House April 17, 2017 in Washington, DC. The White House said 21,000 people are expected to attend the annual tradition of rolling colored eggs down the White House lawn that was started by President Rutherford B. Hayes in 1878. (Photo by Chip Somodevilla/Getty Images)
WASHINGTON, DC - JUNE 13: U.S. President Donald Trump and daughter Ivanka Trump walk toward Marine One before departing from the White House on June 13, 2017 in Washington, DC. President Trump is traveling to Milwaukee, Wisconsin. Trump will visit Waukesha County Technical College and also appear at a political fundraiser.
(Photo by Mark Wilson/Getty Images)
TOPSHOT - Ivanka Trump listens while her father US President Donald Trump speaks via video with NASA astronauts aboard the International Space Station from the Oval Office of the White House April 24, 2017 in Washington, DC. / AFP PHOTO / Brendan Smialowski (Photo credit should read BRENDAN SMIALOWSKI/AFP/Getty Images)
US President Donald Trump and his daughter Ivanka walk to board Marine One at the White House in Washington, DC, on February 1, 2017. / AFP / NICHOLAS KAMM (Photo credit should read NICHOLAS KAMM/AFP/Getty Images)
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The top five states were Iowa in fifth place, Minnesota in fourth, Vermont in third, Massachusetts in second and New Hampshire at the top of the list.
The worst states are Arizona in 46th, Nevada in 47th, Louisiana in 48th, New México 49th, and Mississippi at the bottom of the list for the second year in a row.
Some surprises from the report show that both high school dropout rates and teen birth rates lowered from 2010 estimates.