The Road to Rural Health

Understanding and addressing challenges faced by about 60 million people in the U.S.

Small towns have a big problem with health care. But they also have the resilience to meet the problem. People in rural communities live almost three years fewer than urban and suburban dwellers, and they’re more likely to develop heart disease or have a stroke.

The reasons are varied and not always understood.

Higher rates of tobacco use, physical inactivity, obesity, diabetes and high blood pressure increase the risk for serious diseases. Rural communities face severe shortages of health care professionals. They may live a long way from hospitals or clinics. Or they may reside in “food deserts,” remote from reliable access to healthy food.

Even so, the advantages of rural life, including a strong sense of connection, of neighbors helping neighbors, provide a sturdy foundation for overcoming these health disparities.


People who live in rural areas get sicker and die sooner than people in urban areas. But the American Heart Association – working with people in rural communities – is committed to changing that picture.

Stories from rural America

A look at some of the major health issues facing people in rural America.
The American Heart Association visited five states to try to understand the rural health challenge people face, and how they are working to overcome them. Watch our Health Wanted video reports from Alaska, Kansas, Kentucky, North Dakota and West Virginia.

Alaska

Great distances and multiple health care systems in the nation’s largest state.

Kansas

The Ioway tribe grapples with food insecurity by returning to traditional farming methods.

Kentucky

People face rugged terrain, long distances and other barriers to health.

North Dakota

Long distances and fewer medical professionals impact emergency response.

West Virginia

While the state ranks low in many health categories, people there are working to make a difference.

The AHA responds

The AHA has issued a Presidential Advisory identifying rural health challenge as one of three main barriers to health equity and is making a wide-ranging effort to address it in close cooperation with communities that are affected.

The Advisory highlights these urgent needs:

  • Increase access to care
  • Improve quality of care
  • Reduce risk factors

Initiatives in action

Removing barriers to health in rural areas is a top priority for the AHA, which is directing energy and resources to close the gap between rural and urban care. Here’s how:

Rural Health Care Outcomes Accelerator

Image of a country road with road sign saying "Hospital"

Improving care at hospitals and clinics with no-cost access to Get With the Guidelines® programs for coronary artery disease, heart failure and stroke.

HeartCorps

AmeriCorps smiling young woman volunteer posing in front of abstract mural

Enlisting service-minded people to work in rural communities to improve heart health.

HeartCorps is a service opportunity for those interested in driving health equity in rural America with the AHA.

More rural health headlines