This week, Christian persecution advocacy group Open Doors announced its annual list of 50 countries where it’s hardest to be a Christian.

At the top: North Korea, a country that has held the dubious distinction for 14 years. The majority of the countries are in the Middle East, Sub-Saharan Africa, and South and Southeast Asia. Here’s the full list.

The list scores each country in terms in five quality-of-life areas and also looks at religiously motivated violence. For the third year in a row, the scores have gone up, suggesting that persecution against Christians has increased worldwide.

American Christians could do so much more to help their vulnerable siblings in the faith, said David Curry, who serves as Open Doors USA’s president and CEO.

“If I had the feeling that the American church, in all of my travels, was praying—​at least, praying for the persecuted believers—I would feel much better than I do,” said Curry. “I just don’t think that happens on a wide scale.”

Curry joined assistant editor Morgan Lee and editor-in-chief Mark Galli to discuss drug cartel persecution in Mexico, what keeps North Korea on the top of the list, and American Christian apathy.

Additional Reading

World Watch List 2016

World Watch List 2015

World Watch List 2014

World Watch List 2013

World Watch List 2012,

2016’s 12 most-read stories of the persecuted church.