Alabama is the fourth worst state to live and work in, according to a survey by CNBC.

It’s the flipside of the cable channel’s annual Top States for Business survey, and it takes into account a host of quality of life factors, including crime rates, environment, health care, childcare, inclusiveness in state laws, reproductive rights and voting rights.

Texas finished at the top, if you want to call it that, followed by Oklahoma and Louisiana. Alabama tied for fourth with South Carolina, just ahead of Missouri. Indiana was the only non-Southern state in top 10.

According to the survey, while Alabama has good air quality (usually), it ranks low in voting rights, worker protections, inclusiveness and health, with the fourth-highest rate of premature deaths.

“Worker protections are limited, as are protections against discrimination,” the survey stated.

It should be noted that Alabama routinely ranks high on economic development lists, such as in June when Area Development chose the state for a Silver Shovel Award, after a record-setting $10.1 billion in capital projects last year.

Incidentally, CNBC’s best states for business survey, which looks at 86 different metrics in 10 categories of competitiveness, places Alabama as the 42nd best state for business.