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United States

The United States covers 3,537,438 square miles, with a 2019 estimated population of 328,239,523 people – 46,063,061 living in rural areas (USDA-ERS). According to 2018 data from the U.S. Census Bureau, 69.1% of the nation's population is white, 26.8% is African-American, 1.5% is Asian, 0.7% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 4.4% is of Hispanic or Latino origin.

Rural Healthcare Facilities

According to, as of January 2020 the United States had:

  • 1,355 Critical Access Hospitals
  • 4,478 Rural Health Clinics
  • 3,896 Federally Qualified Health Centers located outside of Urbanized Areas
  • 1,095 short term hospitals located outside of Urbanized Areas

Selected Social Determinants of Health

Most Americans have some form of health insurance coverage, however 9% of the nation's residents are uninsured (Kaiser, 2017). According to the Economic Research Service, the average per capita income for all Americans in 2018 was $54,446, although rural per capita income lagged at $35,765. The ERS reports, based on 2018 ACS data, that the poverty rate in the rural U.S. is 16.1%, compared with 12.6% nationwide. 14.0% of the rural population has not completed high school, while 12.1% across the nation lacks a high school diploma according to 2014-2018 ACS data reported by ERS. The rural unemployment rate is at 4.1% while it is 3.6% nationwide (USDA-ERS, 2019).

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