A previous version of this story referred to the civilian participation rate, when the data presented was the employment-to-population ratio. This story also has been updated to incorporate both revised and more recent data from the Bureau of Labor Statistics.

WASHINGTON (MarketWatch) — West Virginia has a dubious distinction: Less than half of its adult civilians have a job.

State data compiled by the Labor Department show that West Virginia’s employment-to-population rate has fallen to 49.1% in January.

In December, Mississippi became the second state to have an employment-to-population rate below 50%, at 49.7%, but, by January, that state’s figure had edged up to exactly 50%.

The troubles that have befallen West Virginia have been well publicized. Notable among them is a diminished demand for coal.

At 5.9%, West Virginia doesn’t have close to the worst state unemployment rate. But it’s a state where many have given up trying to find a job. At 17.6%, West Virginia has the highest percentage of working-age people on disability benefits, above the national average of 10.4%, according to 2012 data.

West Virginia also has the worst rates of obesity, cancer and diabetes.

Beyond the troubled economic environment — and, in part, because of it — West Virginia also has an older population. At 41.9, West Virginia has the fourth-highest median age, according to Census Bureau data from 2013.

On the other end of the spectrum, the highest employment-to-population rate belongs to North Dakota, where a fracking revolution has drawn workers to the state.