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Rural Health Information Hub


Iowa covers 55,869 square miles, with a 2021 estimated population of 3,193,079 people - 1,265,172 living in rural Iowa (USDA-ERS). Des Moines, the state capital, is located in the south-central region of the state. The state's largest cities are Des Moines, Davenport, and Cedar Rapids. According to 2021 data from the U.S. Census Bureau, an estimated 90.6% of the state's population is white, 4.1% is African-American, 2.7% is Asian, 0.5% is American Indian or Alaska Native, 0.2% is Native Hawaiian or Other Pacific Islander, and 6.3% is of Hispanic or Latino origin.

Iowa Rural Healthcare Facilities

Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers*
Short Term/PPS Hospitals*
*Sites located outside of Urbanized Areas according to April 2022.

Selected Social Determinants of Health for Rural Iowa

6.1% of Iowa residents lack health insurance (Kaiser, 2020). According to the USDA Economic Research Service, the average per capita income for Iowans in 2020 was $53,478, with the rural per capita at $50,626. The ERS reports, based on 2020 ACS data, that the poverty rate in rural Iowa is 10.3%, compared with 10.2% in urban areas of the state. 8.5% of the rural population has not completed high school, while 6.8% of the urban population lacks a high school diploma according to 2016-2020 ACS data reported by ERS. The unemployment rate in rural Iowa is at 4.1% while in urban Iowa it is at 4.3% (USDA-ERS, 2021).

For a national comparison, please see an overview of the United States.

Data Sources
Kaiser Family Foundation State Health Facts; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


Iowa State Office of Rural Health and Primary Care
Phone: 515.281.7689
Helps rural communities and organizations build rural health infrastructure. Supports health systems programming to enhance effectiveness and eliminate health disparities. Provides rural health advocacy and outreach, coordination of rural health resources, and consultation to healthcare communities and providers in rural Iowa.
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There are more organizations related to Iowa in the organizations section.

Last Reviewed: 2/25/2021