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British Columbians rate their mental health as nearly the lowest in the country despite being more physically active, eating more fruits and vegetables, and having generally healthier lifestyles, the province’s top doctor says.

Dr. Bonnie Henry issued a report Friday that said more people in B.C. are experiencing mental health woes even though the province has the highest life expectancy in the country.

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“It’s concerning to me that the percentage of British Columbians who report positive mental health has gone down,” Henry told a news conference. “This is one of the measures where we were are actually falling behind in Canada and the rest of the world.”

Her report is based on performance measures toward seven goals the Health Ministry set in 2013 and are expected to be met by 2023.

Some of the goals are related to environmental and mental health as well as prevention of harm to children from substances including the use of alcohol and cannabis before age 15.