Less than a month before U.S. midterm elections, President Joe Biden’s approval rating remains stuck near the lowest numbers of his presidency, according to a new poll.

The Reuters/Ipsos opinion poll shows 40% of Americans approve of Biden’s handling of the presidency. That figure is unchanged from a week ago and comes just ahead of the Nov. 8 mid-term elections.

Fifty-four percent disapproved of the job Biden is doing, the poll showed.

Biden’s approval among Democrats is at 79% with 20% disapproval; 91% of Republicans disapprove of Biden’s performance compared to a dismal 8% that approve. Among whites, 60 disapprove of the job Biden is doing compared to 35% that approve. The numbers are much closer among non-whites – 48% approve of Biden’s performance, 43% disapprove.

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Biden is upside down in disapproval ratings among both men and women, the poll shows. Among male voters, 53% said they disapprove of Biden’s performance compared to 42% that approve; 55% of women voters said they disapprove of Biden compared to 37% that approve.

Disapproval ratings for Biden are the highest in the South and West, both at 56%, compared to 53% in the Midwest and 48% in Northeast.

The biggest issue concerning voters, the poll showed, was the economy (31%), followed by crime (8%), environment (8%) and the healthcare system (7%).

The Reuters/Ipsos poll includes responses from 1,002 adults, including 446 Democrats and 353 Republicans. It has a credibility interval of 4 percentage points.