An annual national report on the well-being of children ranks Indiana as 33rd, the same rank the state received last year.

The annual Kids Count study by the national Annie E. Casey Foundation ranks various factors that influence how children fare in a state, such as teen birth rate and the percentage of children in poverty.

Indiana's results are a mixed bag. For example, the state ranks 37th in the country in the number of teenagers who aren't attending high school and haven't graduated.

But the state ranks 30th in its percentage of low birth weight babies -- tied with Illinois.

On the upside, Indiana followed the national trend and saw decreased numbers in infant mortality, the child death rate, the teen death rate and the teen birth rate. Likewise the state followed national increases in the percent of children living in poverty and the percent of children living in single-parent homes.

The recession is hurting kids nationwide, the study says, but the real impacts won't be known for a while.

"We won't be able to assess the full impact of the economic downturn on children and families for a number of years," said Laura Beavers, the study's coordinator.

The full results can be found at www.aecf.org.

The Lee Springfield Bureau contributed to this report.