Skip to main content
RSS

Rural Aging Resources

Selected recent or important resources focusing on Rural Aging.

Aging in Rural America: Transportation: A Rural Imperative
Presentation slides discuss aging and rural transportation from the 2017 GIA annual conference. Includes presentations by Rural Philanthropic Analysis at Campbell University, the National Aging & Disability Transportation Center, the Maricopa Association of Governments, and NORC’s Walsh Center for Rural Health Analysis.
Author(s): Allen Smart, Carol Wright Kenderdine, Amy St. Peter, Alana Knudson
Date: 10/2017
Type: Presentation Slides
Sponsoring organization: Grantmakers In Aging
view details
Aging & Healthcare in Rural America: Overlooked Needs, Quiet Strength
Explores reasons for disparities of healthcare in rural areas, including provider shortages and greater burdens of disease among the elderly. Offers suggestions for solutions, such as greater community involvement and philanthropy.
Author(s): Cindy Padilla
Date: 09/2017
Type: Document
Sponsoring organization: American Society on Aging
view details
Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
view details
Heartache, Pain, and Hope: Rural Communities, Older People, and the Opioid Crisis: An Introduction for Funders
Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Type: Document
Sponsoring organization: Grantmakers In Aging
view details
Aging in Rural America: Overlooked Needs, Quiet Strength
Slides from a July 31, 2017 presentation highlighting the work of Grantmakers in Aging through its rural aging initiative. Includes tips for successful rural aging projects.
Author(s): Cindy Padilla
Date: 07/2017
Type: Presentation Slides
Sponsoring organization: Grantmakers In Aging
view details
Hunger in Older Adults: Challenges and Opportunities for the Aging Services Network
Report details the state of food security in older adults throughout the nation. Examines some of the negative health outcomes caused or worsened by malnutrition at an advanced age. Discusses some of the barriers that inhibit many elderly people from accessing food, such as immobility, lack of transportation, and poverty, among others.
Date: 02/2017
Type: Document
Sponsoring organization: Meals on Wheels America
view details
2016 Transportation Trends: A Look at the Year’s Top Mobility Challenges & Opportunities
Identifies issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural and frontier areas to address transportation needs.
Date: 02/2017
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
view details
Using the Centers for Disease Control and Prevention’s Stay Independent Checklist to Engage a Community of American Indians and Raise Awareness About Risk of Falls, 2016
Describes a program implemented to help prevent falls among elders in the Zuni Pueblo community in rural western New Mexico.
Author(s): Janet Popp, Debra L. Waters, Karen Leekity, et al.
Location: Preventing Chronic Disease, 14
Date: 01/2017
Type: Document
view details
National Survey of Area Agencies on Aging 2017 Report and Toolkit
An overview of the work of Area Agencies on Aging (AAAs), covering staffing, budget and services, and initiatives underway at AAAs. Includes information on rural AAAs. Also provides access to state-level reports for states that met the required survey response rate, as well as a presentation slidedeck and brochure that agencies can customize and use.
Additional links: National Survey of Area Agencies on Aging 2017 Report: Serving America's Older Adults
Date: 2017
Type: Document
Sponsoring organization: National Association of Area Agencies on Aging
view details
America’s Health Rankings Senior Report 2017
Provides a national and state-by-state overview of population health for older adults across 34 measures. National findings include data for rural, urban, and suburban areas for physical activity, obesity, tobacco and alcohol use, dental visits, and pain management.
Date: 2017
Type: Document
Sponsoring organization: United Health Foundation
view details
New Frontiers for Funding: An Introduction to Grantmaking in Rural Aging
Guide for grantmakers interested in supporting projects related to aging in rural communities. Discusses areas of greatest potential and greatest need, how to find partners and grantees, and tips for developing successful rural aging projects. Includes examples of successful projects.
Date: 2017
Type: Document
Sponsoring organization: Grantmakers In Aging
view details
Aging in Rural Communities: Older Persons’ Narratives of Relocating in Place to Maintain Rural Identity
Uses data from 16 in-depth, semi-structured interviews with older persons living in a rural area to examine their assessment of their current living situation. Seeks to understand the perspective of older persons who move from a rural area to a more populous, but still rural, community. Also discusses the influence of overall health status and access to healthcare services when making relocation decisions.
Author(s): Joyce Weil
Location: Online Journal of Rural Research & Policy, 12(1),
Date: 2017
Type: Document
view details
Access to Services Diminishes in Rural America as Populations Age
With data derived from the Bureau of Labor Statistics and the American Community Survey this brief investigates the effect of a changing median age and population size in metropolitan and nonmetropolitan counties of the U.S. Population decline and population aging in nonmetropolitan counties is described as negatively impacting the local economies resulting in fewer health and education services available locally.
Author(s): Brian C. Thiede, David L. Brown, Scott R. Sanders, Nina Glasgow, László J. Kulcsár
Date: 12/2016
Type: Document
Sponsoring organization: Applied Population Laboratory
view details
Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community
Provides an overview of the Program of All-Inclusive Care for the Elderly (PACE) model, which offer participants comprehensive medical and long-term services and supports. Highlights Mountain Empire’s PACE, which serves older adults in rural Virginia.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Looking Ahead: Rural-Urban Differences in Anticipated Need for Aging-Related Assistance
Findings brief using information collected through the 2011-2012 National Health Interview Survey, describing the degree to which rural and urban adults ages 40-64 anticipate that they may need help later in life, and where they expect they will find it. Features statistics with breakdowns by race or ethnicity, urban or rural location, insurance status, overall health quality, amount of anticipated need for assistance, and reported activity limitations.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Karen M. Jones
Date: 06/2016
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
view details
Are Rural Older Adults Benefiting from Increased State Spending on Medicaid Home and Community-Based Services?
Discusses the availability and use of home and community-based services (HCBS) by rural and urban elderly receiving Medicaid funding for long term services and supports (LTSS) using national Medicaid Analytical Extract claims data.
Author(s): Andrew F. Coburn, Eileen Griffin, Deborah Thayer, Zachariah Croll, Erika C. Ziller
Date: 06/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Older Americans Act
Official compilation of the Older Americans Act of 1965, as amended through P.L. 114-144, enacted April 19, 2016. Provides federal funding for programs that support services for older adults. Includes provisions to strengthen the Long-Term Care Ombudsman program and elder abuse screening and prevention efforts. Supports evidence-based programs, such as falls prevention and chronic disease self-management programs. Includes discussion of services to help rural older adults.
Date: 04/2016
Type: Document
view details
Aging in Place, Stuck without Options: Fixing the Mobility Crisis Threatening the Baby Boom Generation
Reports on the state of transportation access for members of the baby boom generation who are currently aging in place. Breaks down geographic distribution of Americans age 65 and older in rural, suburban, and metro areas and discusses the transportation options available to them. Presents detailed maps of several small metro areas.
Author(s): Kevin DeGood, David Goldberg, Nick Donohue, Lilly Shoup
Date: 2016
Type: Document
Sponsoring organization: Transportation for America
view details
Hope for the Best and Plan for the Worst: Can You Age-in-Place in YOUR Home?
Discussion of the options for older adults to remain in their home. Includes guidelines for assessing current housing, establishing a network of support, using assistive technology, and general resources for aging-in-place.
Author(s): Mindy Oxman Renfro
Location: Rural Connections, 10(1), 29-32
Date: 2016
Type: Document
Sponsoring organization: Western Rural Development Center
view details
Aging Well in the 21st Century: Strategic Directions for Research on Aging
Outlines the priorities of the National Institute on Aging (NIA). Goal F focuses on improving the health status of older adults in diverse populations, including rural older adults.
Date: 2016
Type: Document
Sponsoring organization: National Institute on Aging
view details
Senior Housing and Services: Challenges and Opportunities in Rural America
Summary report of a panel of housing and health experts convened to discuss needs, barriers, and experiences with aging in place, and feasibility of programs to support independence for rural seniors. Includes discussion of emerging trends and potential service models.
Date: 10/2015
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
view details
Contributing Factors to American Indian/ Alaskan Native Elders’ Quality of Life
Analyzes reported rates of hearing loss and oral health of American Indians and Alaska Natives over time.
Author(s): Laine Lyons, Melissa Wheeler, Jacqueline S. Gray, et al.
Date: 08/2015
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
view details
Grandparent Caregiving Among Rural African Americans in a Community in the American South: Challenges to Health and Wellbeing
Findings from an interview-based qualitative study analyzing grandparent caregiving among low-income, African American grandmothers in rural Georgia, and discusses the challenges to their health associated with child caregiving.
Author(s): Emmanuel Clottey, Alison Scott, Moya Alfonso
Location: Rural and Remote Health, 15, 3313
Date: 08/2015
Type: Document
view details
Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen Brenes, Suzanne Danhauer, Mary Lyles, Patricia Hogan, Michael Miller
Location: JAMA Psychiatry
Date: 08/2015
Type: Document
view details
Older Americans Act: Updated Information on Unmet Need for Services
Examines older adults' reported need for home and community-based services and the potential unmet need for these services. Includes metropolitan and non-metropolitan data on food insecurity and receipt of congregate and home-delivered meals.
Date: 06/2015
Type: Document
Sponsoring organization: Government Accountability Office
view details
Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
view details
Geriatrician and Other Physician Disciplines as the Usual Source of Care for Rural and Urban Older Adults: 2004-2010 Medical Expenditure Panel Survey
Discusses rates that rural and urban older adults use family practitioners, internists, or geriatricians as their usual source care using data from the 2004 to 2010 Medical Expenditure Panel Survey.
Author(s): Wei-Chen Lee, Ciro V. Sumaya
Location: Online Journal of Rural Research and Policy, 10(1), 1-17
Date: 2015
Type: Document
view details
Older Americans With a Disability: 2008-2012
Provides information on adults 65 and over with a disability, based on 2008-2012 American Community Survey data. Includes three national maps showing county-level data for this population.
Author(s): Wan He, Luke J. Larsen
Date: 12/2014
Type: Document
Sponsoring organization: U.S. Census Bureau
view details
Volunteering A Win-Win for Seniors and Rural Communities
Discusses the role of senior volunteers in rural communities and how rural nonprofit organizations benefit from their expertise.
Author(s): Candi Helseth
Location: Rural Monitor, 2014(Fall)
Date: 11/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Housing an Aging Rural America: Rural Seniors and Their Homes
Discusses housing options to help rural seniors age in place. Topics covered include assisted living, home modification, transportation and other supportive services. Also addresses housing quality and affordability.
Date: 10/2014
Type: Document
Sponsoring organization: Housing Assistance Council
view details
Keeping PACE with the Rural Elderly
PACE, the Program of All-inclusive Care that helps elderly people remain independent, is especially needed in rural areas.
Author(s): Kathleen Belanger
Location: Rural Monitor, 2014(Summer)
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Integrated Care for Older Adults in Rural Communities
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Aging in Every Place: Supportive Service Programs for High and Low Density Communities
Identifies noteworthy programs in rural places that offer transportation to medical services, shopping and social activities, or bring services to the homes of older adults who are unable to travel, with the goal of keeping them in their homes as they age.
Author(s): Janet Viveiros, Maya Brennan
Date: 03/2014
Type: Document
Sponsoring organization: National Housing Conference - Center for Housing Policy
view details
Elder Health in Rural America
An overview and analysis of the current status of rural communities and rural elder health, including policy, and practice. Suggests recommendations for future policy based on a systems approach which incorporates sustainability, best practice, quality, efficiency, and effectiveness.
Author(s): Rebecca M. Hartman, Florence M. Weierbach
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
view details
Rural Domestic and Sexual Abuse Program Advocates: Making a Difference in the Lives of Older Survivors of Abuse
An overview of abuse in later life and step-by-step instructions to designing services for older victims. Includes a section on outreach in rural communities and coordinated care efforts.
Author(s): Ann Turner
Date: 2013
Type: Document
Sponsoring organization: National Clearinghouse on Abuse in Later Life (NCALL)
view details
Meeting Older Adults’ Mobility Needs: Health Care and Transportation in Rural Communities
Discusses the obstacles older adults living in rural communities face in accessing needed medical services due to long distances and lack of public transit options.
Date: 03/2012
Type: Document
Sponsoring organization: AARP
view details
Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey
Reports results of a study examining the quality of life of adults 65 years and older in rural and urban areas. Considered health, social functioning and emotional well-being. Looked at a range of factors that could impact quality of life, including health behaviors and health needs.
Author(s): Marianne Baernholdt, Guofen Yan, Ivora Hinton, et al.
Location: Journal of Rural Health, 28(4), 339-347
Date: 02/2012
Type: Document
view details
Affordable Care Act Provisions Affecting the Rural Elderly
Discusses a number of provisions from the Patient Protection and Affordable Care Act that focus on elderly health and human service needs.
Date: 12/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
The Aging Services Network: Serving a Vulnerable and Growing Elderly Population in Tough Economic Times
Discusses the historical development, functions, and governance of the Older Americans Act aging services network. Discusses populations served, including rural.
Author(s): Carol V. O'Shaughnessy
Date: 12/2011
Type: Document
Sponsoring organization: National Health Policy Forum
view details
Aging in Place: A State Survey of Livability Policies and Practices
Examines state policies regarding land use, transportation, and housing in relation to the ability of older adults to live in their home and community safety, independently, and comfortably. Includes rural access and transportation issues older adults encounter.
Author(s): Nicholas Farber, Douglas Shinkle, Jana Lynott, Wendy Fox-Grage, Rodney Harrell
Date: 12/2011
Type: Document
Sponsoring organizations: AARP Public Policy Institute, National Conference of State Legislatures
view details
Rural Seniors and Their Homes
Describes the increase in rural elderly populations, discusses their housing needs and identifies rural housing programs.
Date: 08/2011
Type: Document
Sponsoring organization: Housing Assistance Council
view details
Affordable Housing and Services for Seniors: The Challenges in Rural America
Provides an overview of the current housing challenges and strategies affecting seniors in rural communities. Discusses the need for health and supportive services to help seniors stay in their homes, and the challenges of providing these services in rural areas.
Author(s): Nancy Libson, Robyn Stone
Location: Rural Voices, 17(4), 4-5
Date: 2011
Type: Document
Sponsoring organization: Housing Assistance Council
view details
The 2010 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services on issues related to rural America. Topics include home and community based care for rural seniors, rural primary care workforce, and rural health care provider integration.
Date: 05/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
Crossing Great Divides: A Guide to Elder Mobility Resources and Solutions in Indian Country
Discusses the impact of transportation services on healthcare access for American Indian, Alaska Native, and Native Hawaiian older adults. Provides information about transportation funding opportunities to meet the needs of elders living on reservations. Describes Title VI Aging Services and Tribal Transit Programs.
Date: 2010
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
view details
Population Over Age 65 by County
Printable map that shows the percent of population who are 65 years or older nationwide by county. Data source: U.S. Census Bureau, 2010 Decennial Census, Summary File 1.
Date: 2010
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
view details
Older Americans in Rural America: 2000 to 2009
Shows the change in the share of over 65 population in each rural county between 2000 and 2009. With the exception of the Great Plains and parts of Central Texas, rural areas have shown an increase of the 65 and over demographic.
Date: 2009
Type: Map/Mapping System
view details
Program Helps Frail Rural Elderly Live at Home
Highlights the Rural PACE grant program and how it is helping providers meet the needs of seniors who want to live at home.
Author(s): Candi Helseth
Location: Rural Monitor, 2008(Fall)
Date: 08/2008
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Rural Aging in Place Toolkit
Resources and best practices to help rural communities support aging in place. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
view details
Rural Aging
Provides an overview of Grantmakers In Aging resources and initiatives related to rural aging, including the three-year program, Creating a Sustainable Network for the Rural Aging Movement. Provides resource lists on a variety of rural aging topics, including health, housing, poverty, and more.
Type: Website
Sponsoring organization: Grantmakers In Aging
view details
AGing Integrated Database (AGID): County-Level Population Estimates Data Custom Tables
Access to multiple years of county-level population estimates for adults aged 60 and older. Includes data by gender and race/ethnicity and for different age ranges.
Type: Database
Sponsoring organization: Administration for Community Living
view details
AGing Integrated Database (AGID): ACL Special Tabulations
Provides access to American Community Survey data for the 60 and older population, covering topics that include demographics, employment, poverty, disability status, and more. Also provides county-level data. The 2008-2012 ACS Special Tabulation includes data for rural and urban areas nationally and by state.
Type: Database
Sponsoring organization: Administration for Community Living
view details
ACL Regional Support Centers
Directory of Administration for Community Living Regional Support Centers, which serve as the focal point for the development, coordination, and administration of Administration for Community Living (ACL) programs and activities within their region.
Type: Directory
Sponsoring organization: Administration for Community Living
view details
PubMed Search: Aging and Rural Health
Searches PubMed's collection of journal article citations on the topic of aging and rural health.
Type: Literature Search
Sponsoring organization: National Library of Medicine
view details
National Center on Elder Abuse State Resources
Provides a state listing of resources related to elder mistreatment, including helplines and government agencies. Also provides information on relevant state laws and regulations.
Type: Website
Sponsoring organization: National Center on Elder Abuse
view details
Program of All-Inclusive Care for the Elderly (PACE)
An overview of the PACE program, which provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Eldercare Locator
Connects older Americans and their caregivers with sources of information on senior services. Links those who need assistance with state and local area agencies on aging and community-based organizations that serve older adults and their caregivers.
Type: Directory
Sponsoring organization: Administration for Community Living
view details
Native Aging Visions
Newsletter with articles that address Native aging, health, and related issues. Also includes updates on the work of the National Resource Center on Native American Aging.
Type: Journal/Newsletter
Sponsoring organization: National Resource Center on Native American Aging
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 12/11/2017