More Americans are finding it difficult to make ends meet, with the financial difficulties varying in each state, according to a study by personal finance website SmartAsset.

In its fourth annual study on the states where residents are financially hurting, SmartAsset compared all 50 states across seven different metrics that focus on poverty, unemployment, inflation, as well as food and housing insecurity. Data was culled from the Census Bureau, the Labor Department,  the Consumer Price Index and local area employment statistics.

The study cited a survey by the Census Bureau, conducted in early February with more than 75,000 responses, that found that 39.7% of consumers are having difficulty paying for usual household expenses. That rose from 34.9% o adults who said the same in February 2021.

Here, in descending order, are the15 states where residents are financially hurting the most, according to SmartAsset:

15. Maryland

The Old Line State has one of the highest rates (13%) of people facing food insufficiency. That is adults who either sometimes or often do not enough to eat in the last seven days. Also, 6.2% of the state’s adults have either missed last month’s rent or mortgage payment, or are not confident that they can pay next month’s rent or mortgage rate on time. It also has a 10.3% poverty rate and a 4% unemployment rate.