wide view of a dirt road in rural North Dakota

The Road to Rural Health

Join us on the “Road to Rural Health” as we celebrate National Rural Health Day on November 19th and recognize the strengths of small-town communities.

Rural America is home to 66 million people, about 1 in every 5 Americans. Yet where someone lives can still have a profound impact on how long and how well they live. People in rural communities live almost three years less than people in urban areas, while heart disease and stroke continue to take a disproportionate toll.

The challenges go beyond individual health choices. Rural communities often face shortages of health care professionals, long distances to hospitals and clinics, and fewer resources to prevent and manage chronic conditions. Higher rates of tobacco use, physical inactivity, obesity, diabetes and high blood pressure can add to these challenges.

But rural communities are more than the health challenges they face. Strong relationships, trusted local leaders and a culture of neighbors helping neighbors are powerful assets for building healthier communities. Through community readiness, self-managed blood pressure education, nutrition security and trusted local Community Connectors, the American Heart Association is working alongside rural communities to help ensure lifesaving resources and care are available closer to home.


People who live in rural areas get sicker and die sooner than people in urban areas. But the American Heart Association – working with people in rural communities – is committed to changing that picture.

Stories from rural America

Imagine not having a doctor in town. Think what it would mean to live 200 miles from the nearest hospital. One in five people in the U.S. may face just such realities because of where they live. We’re zeroing in on some of the major health issues facing rural America and what’s being done about them.
The American Heart Association visited Alaska, Kansas, Kentucky, The Dakotas and West Virginia to try to understand the rural health challenges people face, and how they are working to overcome them. Watch our Health Wanted video reports and download the Discussion Guides to continue the conversation in your community.

Alaska

Great distances and multiple healthcare systems in the nation’s largest state.

Kansas

The Ioway tribe grapples with food insecurity by returning to traditional farming methods.

Kentucky

People face rugged terrain, long distances and other barriers to health.

The Dakotas

Long distances and fewer medical professionals impact emergency response.

West Virginia

While the state ranks low in many health categories, people there are working to make a difference.

Taking Action to Meet Rural Needs

The American Heart Association has identified the rural health crisis as one of the top three barriers to achieving healthcare access. In response, the Association is taking action through a comprehensive, community-driven approach designed to meet the unique needs of rural and tribal communities.

The Presidential Advisory underscores three urgent priorities:

  • Expanding access to care
  • Enhancing the quality of care
  • Reducing risk factors for heart disease and stroke
thumbnail of AHA 10 Commitments Report for 2021 2022

Initiatives in action

Removing barriers to health in rural areas is a top priority for the Association, which is directing energy and resources to close the gap between rural and urban care. Here’s how:
Smiling volunteer in a red shirt at a Rural at Heart event

Rural at Heart: Strengthening the Power of Rural

Advancing heart health and delivering essential resources to strengthen rural and tribal communities by training and engaging a dedicated public health workforce.

Image of a country road with road sign saying "Hospital"

Rural Healthcare Outcomes Accelerator

Improving care at hospitals and clinics with no-cost access to Get With the Guidelines® programs for coronary artery disease, heart failure and stroke.

Support our mission and you can join us in helping rural communities

We’re dedicated to removing barriers to health – such as the challenges rural Americans face. We’re telling these stories to raise awareness about these problems. Join our efforts to combat issues in rural America and in other communities.

Donate: Your gift can help support the full mission of the American Heart Association, including increased access to care.

Volunteer: Join us to help communities everywhere.


Rural Health News & Stories