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YOUNGSTOWN, Ohio- A recent list of the happiest and most miserable cities features five Ohio areas. But not in a positive way.

The MSN.com rankings are based on the 2014 Gallup-Healthways Well Being Index, which considers the following categories: purpose, social, financial, community and physical. Financial security is a key factor with six of the 10 most miserable cities having a poverty rate higher than the national average of 15.8 percent.

The happiest area was North Port, Sarasota and Bradenton, Florida, followed by urban Honolulu, Hawaii and Raleigh, North Carolina. The Youngstown area topped the most miserable list, with several other Midwest cities making the top 10.

Cleveland was not on either list.

Here’s the top 10 most miserable cities in America, according to the study:

1. Youngstown, Warren and Boardman, Ohio
2. Toledo, Ohio
3. Knoxville, Tennessee
4. Dayton, Ohio
5. Indianapolis, Carmel and Anderson, Indiana
6. Deltona, Daytona Beach and Ormond Beach, Florida
7. Scranton, Wilkes-Barre and Hazelton, Pennsylvania
8. Columbus, Ohio
9. Detroit, Warren and Dearborn, Michigan
10. Cincinnati, Ohio

Click here for the happiest cities list.