Rural Health
Resources by Topic: Poverty
Associations Between Income and Coping Strategies among Households at Risk of Food Insecurity in a High Cost-of-Living Region
Surveys 1,021 food insecure adults in a rural, high cost of living region of Colorado to explore the associations between receiving charitable food and making economic tradeoffs for basic needs including medicine, housing, utilities, childcare, education, and transportation. Highlights trends within different ranges of the 2022 federal poverty level.
Author(s): Ana Altares, Laura L. Bellows, Rebecca Cleary, Carrie Chennault, Megan P. Mueller
Citation: Health Affairs Scholar, 4(4)
Date: 04/2026
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Surveys 1,021 food insecure adults in a rural, high cost of living region of Colorado to explore the associations between receiving charitable food and making economic tradeoffs for basic needs including medicine, housing, utilities, childcare, education, and transportation. Highlights trends within different ranges of the 2022 federal poverty level.
Author(s): Ana Altares, Laura L. Bellows, Rebecca Cleary, Carrie Chennault, Megan P. Mueller
Citation: Health Affairs Scholar, 4(4)
Date: 04/2026
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Review of Current Research Describing the Influence of Non-Health Care Drivers of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Aerobic Physical Activity Among Adults Age 18 and Older: United States, 2024
Offers data highlighting aerobic physical activity among adults. Includes a data breakdown by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Offers data highlighting aerobic physical activity among adults. Includes a data breakdown by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Acceptability and Satisfaction of Eat My ABCs: A Mindful Eating Program for Preschoolers in Low-Income Families
Examines a Head Start-based mindful eating program for low-income families in rural Michigan. Utilizes quantitative and qualitative satisfaction data from 192 caregivers and 23 classroom teachers and provides feedback on their perceived program acceptability and satisfaction. Discusses issues such as parent communication, availability of fresh fruits and vegetables, child comprehension of the program, recruitment strategies, and more.
Author(s): Hannah Lalonde, Esra'a Sawalmeh, Reese Buhlman, et al.
Citation: Nutrients, 18(7), 1103
Date: 03/2026
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Examines a Head Start-based mindful eating program for low-income families in rural Michigan. Utilizes quantitative and qualitative satisfaction data from 192 caregivers and 23 classroom teachers and provides feedback on their perceived program acceptability and satisfaction. Discusses issues such as parent communication, availability of fresh fruits and vegetables, child comprehension of the program, recruitment strategies, and more.
Author(s): Hannah Lalonde, Esra'a Sawalmeh, Reese Buhlman, et al.
Citation: Nutrients, 18(7), 1103
Date: 03/2026
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A Stubborn Problem: Unaffordable Health Costs Continue to Strain Californians' Finances
Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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Cardiovascular Mortality Risk After Cancer Diagnosis by County‐Level Characteristics in the United States 2000–2021
Examines how cardiovascular disease mortality among cancer survivors differs by county rural or urban status, persistent poverty, and racial composition, using 2000-2021 SEER 17 Registries data.
Author(s): Yenan Zhu, Ryan Suk, Yueh‐Yun Lin, Young‐Rock Hong, Beth Virnig
Citation: Cancer Medicine, 15(3), e71675
Date: 02/2026
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Examines how cardiovascular disease mortality among cancer survivors differs by county rural or urban status, persistent poverty, and racial composition, using 2000-2021 SEER 17 Registries data.
Author(s): Yenan Zhu, Ryan Suk, Yueh‐Yun Lin, Young‐Rock Hong, Beth Virnig
Citation: Cancer Medicine, 15(3), e71675
Date: 02/2026
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Rural Sleep Health and Sleep Health Disparities among Children and Adults in the United States
Examines sleep health characteristics among rural populations in the United States. Utilizes 2020 and 2022 National Health Interview Survey data to analyze the sleep health of 1,429 children and 8,673 adults residing in nonmetro counties, focusing on demographic variables, socioeconomic variables, and sleep health.
Author(s): Symielle A. Gaston, Christopher W. Payne, William Braxton Jackson, II, Chandra L. Jackson
Citation: Sleep Health, 12(1), 39-51
Date: 02/2026
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Examines sleep health characteristics among rural populations in the United States. Utilizes 2020 and 2022 National Health Interview Survey data to analyze the sleep health of 1,429 children and 8,673 adults residing in nonmetro counties, focusing on demographic variables, socioeconomic variables, and sleep health.
Author(s): Symielle A. Gaston, Christopher W. Payne, William Braxton Jackson, II, Chandra L. Jackson
Citation: Sleep Health, 12(1), 39-51
Date: 02/2026
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Snapshot of Rural Health in Colorado, 2026
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Rural America at a Glance: 2025 Edition
Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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