The annual Kids Count report card was released overnight and Tennessee is ranked 39 for children's well-being.
The state dropped three spots after being ranked 36 last year.
The rankings are based on four areas:
Family & Community
The study said Tennessee was 37 for the economic well-being of kids. More than one in four children in Tennessee lives in poverty. More than one in three lives in a family where neither parent has full-time work.
Tennessee only ranked 42 in education, according to the report. Three out of four fourth graders scored below proficient reading levels, and three out of four eighth graders scored below proficient math levels.
The state's best ranking was in children's health, which was 33 out of the 50 states. The downside is that the state was ranked 16 in the same category last year.
According to this year's study, the state improved on child and teen deaths and babies with low birth weight.
However, Tennessee fell in the rankings when it comes to children without healthcare, and reporting child alcohol and drug problems.
Tennessee ranked 37 for access to preschool. According to the report 60 percent of the state's 3- and 4-year-olds are not attending pre-school.
One of the most positive findings from the study was that Tennessee scored higher than the national average when it came to high school seniors graduating on-time.
The study is done each year by the Annie E. Casey Foundation and seeks to "enrich local, state and national discussions concerning ways to secure better futures for all children."
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