What are underlying issues that impact the publics health in rural communities?
Many social and economic challenges unique to rural areas impact health status. Some examples include lower wages, disproportionately high housing costs (relative to wages), psychological impacts associated with increased isolation, fewer jobs, high numbers of underinsured or uninsured, increased risk of poverty, and lack of educational opportunities. The average age of people in rural communities is rising as a result of youth migration, which leaves behind an older population with limited support systems. Taken together, these factors contribute to increased inequities in the health status of rural residents.