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POLITICS

&

SOCIETYRuralandurbanhealthintheU.S.CHAPTER

01OverviewFertilityrateamongwomenintheU.S.from2007to2017,byurbanizationlevelFertilityrateintheU.S.from2007to2017,byurbanizationlevelRuralcountiesSmallormediummetrocountiesLargemetrocounties2,2502,206.52,1102,174.52,0612,1502,0501,9501,8501,7501,6502,111.52,0962,0442,037.52,0072,006.51,9981,9691,9991,997.52,0001,988.51,9501,9381,902.51,856.51,894.51,8921,8371,8801,8141,8721,860.51,7931,8321,811.51,7781,7121,770.5200720082009201020112012201320142015201620173Description:ThisstatisticshowsthefertilityrateofU.S.womenfrom2007to2017,byurbanizationlevel.In2017,thetotalfertilityrateofwomeninruralcountieswas1,950,whiletherateamongthoseinlargemetrocountieswas1,712.

ReadmoreNote(s):UnitedStates;2007to2017Source(s):CDC(NCHS)MeanageatfirstbirthamongwomenintheU.S.from2007to2017,byurbanizationlevel(inyears)MeanageatfirstbirthintheU.S.from2007to2017,byurbanizationlevelRuralcountiesSmallormediummetrocountiesLargemetrocounties27.228.527.526.525.524.523.522.527.727.627.42726.726.626.326.12625.925.824.525.724.425.524.225.42425.123.82524.923.624.623.424.423.224.423.324.323.223.7200720082009201020112012201320142015201620174/statistics/946394/mean-age-first-birth-by-urbanization-level-usThisstatisticshowsthemeanageatfirstbirthamongU.S.womenfrom2007to2017,byurbanizationlevel.In2017,themeanageoffirstbirthamongwomeninruralcountieswas24.5,whilethemeanageamongthoseinlargemetrocountieswas27.7.ReadmoreNote(s):UnitedStates;2007to2017Source(s):CDC(NCHS)PercentageofU.S.adultsthatusedvariousformsoftobaccoproductsin2021,bymetropolitanstatusU.S.adulttobaccoproductusein2021,bymetropolitanstatusPercentageofrespondentsRural

Urban10%0%5%15%20%25%30%26.2%Anytobaccoproduct*Anycombustibletobaccoproduct**Cigarettes***17.5%18%20.1%13.6%10.5%3.5%3.5%Cigars/cigarillos/filteredlittlecigars****Regularpipe/waterpipe/hookah^E-cigarettes^^0.9%0.9%5.3%4.4%4.5%Smoklesstobacco^^^1.8%5.1%≥2tobaccoproducts^^^^3.1%5Description:Itwasestimatedthataround26percentofadultsinruralareasoftheUnitedStatesusedsometobaccoproductin2021,comparedto18percentofthoseinurbanareas.ThisstatisticdisplaysthepercentageofU.S.adultsthatusedvarioustobaccoproductsin2021,bymetropolitanstatus.ReadmoreNote(s):UnitedStates;2021;29,482respondents;18yearsandolder;Non-instituitionalizedU.S.civilians;*Anytobaccousewasdefinedasuseeither"everyday"or"somedays"ofatleastonetobaccoproductamongindividuals(forcigarettes,[...]

ReadmoreSource(s):CDC;MMWRPercentageofurbanandruraladultsmeetingcombinedaerobicandmuscle-strengtheningphysicalactivityguidelinesintheU.S.between2008to2017ShareofruralandurbanU.S.adultswhometphysicalactivityguidelines2008-2017UrbanRural30%25%20%15%10%5%24.4%19.8%18.7%14.3%0%2008-20092016-20176Description:Thestatisticdisplaysthepercentageofruralandurbanadultsmeetingcombinedaerobicandmuscle-strengtheningphysicalactivityguidelinesintheU.S.in2008-2009and2016-2017.In2016-2017,around24percentofadultsinurbanareasmettheseguidelines.ReadmoreNote(s):UnitedStates;2008to2017;18yearsandolderSource(s):CDC;MMWRPercentageofadultsintheU.S.withchronicobstructivepulmonarydisease(COPD)asof2017,bysmokingstatusandurban-ruralstatusCOPDamongU.S.adultsasof2017,bysmokingstatusandurban-ruralstatusLargemetropolitancenterLargefringemetropolitan17%Mediummetropolitan18.8%SmallmetropolitanMicropolitanNoncore20%18%16%14%12%10%8%18.2%16.1%14.7%11.8%10.2%9.7%9.1%8.5%8.3%8%7.3%7.1%6.5%6%5.7%6%4.8%3.6%4%3%

3.2%2.9%2.6%

2.6%2%0%AlladultsCurrentsmokersFormersmokersNeversmokers7Description:ThisstatisticshowsthepercentageofadultsintheU.S.withchronicobstructivepulmonarydisease(COPD)asof2017,bysmokingstatusandurban-ruralstatus.Asofthatyeararound18percentofcurrentsmokerslivinginmicropolitancommuniteshadCOPD.ReadmoreNote(s):UnitedStates;418,378respondents;18yearsandolderSource(s):CDC(BRFSS);MMWRPercentageofU.S.childrenaged3-17yearseverdiagnosedwithadevelopmentaldisabilityasof2015-2018,byconditionandurbanicityU.S.childrenwithadevelopmentaldisability2015-2018,byconditionandurbanicityPercentageofchildrenRural6%Urban8%0%2%4%10%12%14%16%18%20%22%19.8%AnydevelopmentaldisabilityADHD17.4%11.4%9.2%2.5%2.5%AutismspectrumdisorderBlindorunabletoseeatallCerebralpalsy0.1%0.2%0.5%0.2%0.6%0.6%Intellectualdisability8.1%Learningdisability7.6%1.2%1.2%ModeratetoprofoundhearinglossSeizures,past12monthsStutteredorstammered,past12monthsOtherdevelopmentaldelay0.9%0.8%1.9%2.1%4.5%4%8Description:Datacollectedbetween2015and2018bytheNationalHeathInterviewSurveyindicatedtheprevalenceofanydevelopmentaldisabilityamongU.S.childrenaged3-17yearswas17.8percent,withasignificantlyhighernumberofdiagnosesinruralpopulations.Whenseparatedbycondition,childrenlivinginruralareasweremorelikelytobediagnosedwithADHDandcerebralpalsyascomparedtothoselivinginurbanareas.Inbothruralandurbanareas,themostcommondiagnoseswere[...]

ReadmoreNote(s):UnitedStates;3-17yearsSource(s):CDC;NCHSShareofchildrenaged6monthsto17yearsintheUnitedStateswhohadaninfluenzavaccinationinthepast12monthsasof2019,byurbanizationandageShareofU.S.childrenvaccinatedagainstinfluenzain2019,byurbanizationandageLargecentralmetroLargefringemetroMediumandsmallmetroNonmetropolitan49.6%70%60%50%40%30%20%10%0%64.7%64.6%59.5%51.8%58.4%54.7%50.7%49.9%49.1%44.7%40.3%6months-4years5-11years12-17years9Description:In2019,around65percentofU.S.childrenaged6monthsto4yearsinlargecentralmetropoliseswerevaccinatedagainstinfluenza,comparedtoonlyaround52percentofU.S.childreninthesameagegroupinnonmetropolitanareas.ThisstatisticshowsthepercentageofchildrenintheU.S.aged6monthsto17yearswhohadaninfluenzavaccinationinthepastyearin2019,byurbanizationlevelandage.ReadmoreNote(s):UnitedStates;2019;6months-17years;CiviliannoninstitutionalizedpopulationSource(s):CDC;NCHS(NationalHealthInterviewSurvey)PercentageofadultsinurbanvsruralUnitedStatesvaccinatedagainstCOVID-19fromDecember2020toApril2021*ShareofCOVIDvaccinatedadultsinurbanvsruralU.S.asofApril202150%45.7%44.7%45%40%35%30%25%20%15%10%5%38.9%0%OverallUrbanRural10Description:BetweenDecember2020andApril2021,COVID-19vaccinationcoveragewasnearly7percenthigherinurbanareascomparedtoruralareas.ThisstatisticshowsthepercentageofadultsinurbanvsruralU.S.vaccinatedagainstCOVID-19fromDecember2020toApril2021.ReadmoreNote(s):UnitedStates;December14,2020toApril10,2021;18yearsandolder;*Vaccinated=adultswhoreceivedtheirfirstdoseofeitherthePfizer-BioNTechorModernaCOVID-19vaccine,orasingledoseoftheJanssenCOVID-19vaccine[...]

ReadmoreSource(s):CDC;MMWRHowimportantisittoincreasefederalfundingforruralhealthresearch?*ImportanceofincreasingfederalfundingforruralhealthresearchU.S.201840%37%35%30%25%20%15%10%5%29%20%10%4%0%VeryimportantSomewhatimportantNottooimportantNotatallimportantNotsure11Description:Thisstatisticdisplaystheshareofsurveyrespondentsabouttheimportanceofincreasedfundingfromthefederalgovernmentforruralhealthresearchwhichfocusesonruralmedicalservices,ruralhealthcarefacilitiesandhealthofindividualsinruralareasoftheU.S.,asofJanuary2018.Onlyfourpercentofrespondentsstatedthatitisnotatallimportantforfederalgovernmenttoincreasefundingforruralhealthresearch.

ReadmoreNote(s):UnitedStates;January2018;800-1,000;18yearsandolder;*Researchfocusesonissuesimportanttothedeliveryofruralmedicalservices,theviabilityofruralhealthcarefacilitiesandthehealthofindividualsinruralareas.

ReadmoreSource(s):Research!AmericaTotalruralhealthfundingbytheNationalInstitutesforHealth(NIH)fromFY2014toFY2024(inmillionU.S.dollars)TotalruralhealthfundingbytheNationalInstitutesforHealth2014-202490080070060082079377475572854150040030020010003382952591971922014201520162017201820192020202120222023*2024*12Description:Infiscalyear2022,ruralhealthfundingbytheNIHwasaround755millionU.S.dollars.ThisgraphshowsthetotalruralhealthfundingbytheNationalInstitutesforHealth(NIH)fromFY2014toFY2022andestimatesforFY2023andFY2024.ReadmoreNote(s):UnitedStates;asofMay2023Source(s):NIHCHAPTER

02HealthcareandinsurancePercentageofU.S.populationwithouthealthinsurancecoveragefrom1984to2019,bylocationofresidence*PercentageofU.S.populationwithouthealthinsurance1994-2019bylocationWithinMSA**OutsideMSA**23%20.4%17.8%20.2%17.1%21%19%17%15%13%11%9%19.8%16.9%19.8%

19.9%16.7%19.3%

19.4%16.6%19.3%16.2%19.1%19.1%15.9%19.1%16.4%18.8%15.4%18.6%15.5%18.6%16.6%17.8%16.1%17%

17%15.2%16.6%13.6%16.4%16.1%15.2%13%14.6%11.6%14%13.8%10.2%13.3%9.9%12.8%10.3%10.6%7%5%1984

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201914Description:ThisstatisticshowsthepercentageoftheU.S.populationunder65yearsofagewithouthealthinsurancecoveragefrom1984to2019,bylocationofresidence.In2019,over11percentoftheU.S.populationwithinmetropolitanstatisticalareasunder65yearsofagewerewithouthealthinsurancecoverage.ReadmoreNote(s):UnitedStates;1984to2019;under65years;*Datapriorto1997arenotstrictlycomparablewithdataforlateryearsduetothe1997questionnaireredesign.Estimatesfor2000-2002werecalculatedusing2000-basedsampleweightsand[...]

ReadmoreSource(s):CDC;USDepartmentofHealthandHumanServicesPercentageofU.S.populationwithprivatehealthinsurancecoveragefrom1984to2019,bylocationofresidencePersonsintheU.S.withprivatehealthinsurancecoverage1984-2019bylocationWithinMSA*OutsideMSA*80%77.5%75.2%76.5%73.8%74.1%75%70%65%60%55%50%73%72.3%72.2%72.1%67.9%71.2%68.4%70.7%70.3%68.3%70.2%63.7%69.6%68.9%69%67.8%67.8%67.8%67.5%67%66.7%66.8%66.7%64.8%66.5%66.3%65.5%65.3%57.8%64.6%64.6%64.2%63.2%54.1%62.9%63%

63%61%

61.1%60.3%58.7%58%57.8%57.8%56.2%56.2%55.3%55.1%54.7%1984

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201915Description:Thisstatisticshowsthepercentageofpersonsunder65yearsintheU.S.withprivatehealthinsurancecoveragefrom1984to2019,bylocationofresidence.In2019,65.3percentoftheU.S.populationunder65yearsofagewithinmetropolitanstatisticalareashadprivatehealthinsurancecoverage.ReadmoreNote(s):UnitedStates;1984to2019;under65yearsSource(s):CDC;USDepartmentofHealthandHumanServicesPercentageofadultswhohadausualplacetogoformedicalcareintheU.S.in2017,bymetropolitanstatisticalareastatus*PercentageofU.S.adultswithausualplaceformedicalcarein2017,byMSAstatus100%90%80%70%60%50%40%30%20%10%0%86.4%83.4%83.1%NotinMSASmallMSALargeMSA16/statistics/1085298/adults-with-a-usual-place-for-medical-care-us-by-msa-statusThisstatisticshowsthepercentageofadultswhohadausualplacetogoformedicalcareintheU.S.in2017,bymetropolitanstatisticalarea(MSA)status.Inthatyear,86.4percentofadultsnotlivinginanMSAhadausualplacetogoformedicalcare.ReadmoreNote(s):UnitedStates;2017;19,408respondents;18-64years;*Percentagesareadjustedforage,sex,raceandHispanicethnicity,healthinsurancestatus,povertylevel,stateMedicaidexpansionstatus,andhealthstatus.Ausualplacetogofor[...]

ReadmoreSource(s):NCHSPercentageofadultswhohaveseenortalkedtoahealthcareprofessionalinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalareastatus*U.S.adultswhohadcontactwithahealthcareprofessionalin2017,byMSAstatus90%83.5%82.1%81%80%70%60%50%40%30%20%10%0%NotinMSASmallMSALargeMSA17Description:Thisstatisticshowsthepercentageofadultswhohaveseenortalkedtoahealthcareprofessionalinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalarea(MSA)status.Duringthisyear,83.5percentofadultslivinginalargeMSAhadseenortalkedtoahealthcareprofessional.ReadmoreNote(s):UnitedStates;2017;19,408respondents;18-64years;*Percentagesareadjustedforage,sex,raceandHispanicethnicity,healthinsurancestatus,povertylevel,stateMedicaidexpansionstatus,andhealthstatus.Ausualplacetogofor[...]

ReadmoreSource(s):NCHSPercentageofadultswhohadanunmetmedicalneedduetocostinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalareastatus*PercentageofadultswithanunmetmedicalneedduetocostU.S.2017,byMSAstatus12%10%8%11.4%10.7%9.7%6%4%2%0%NotinMSASmallMSALargeMSA18Description:Thisstatisticshowsthepercentageofadultswhohadanunmetmedicalneedduetocostinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalarea(MSA)status.In2017,11.4percentofadultswhowerelivinginalargeMSAindicatedthattheyhadanunmetmedicalneedduetocostinthepast12months.ReadmoreNote(s):UnitedStates;2017;19,408respondents;18-64years;*Percentagesareadjustedforage,sex,raceandHispanicethnicity,healthinsurancestatus,povertylevel,stateMedicaidexpansionstatus,andhealthstatus.Ausualplacetogofor[...]

ReadmoreSource(s):NCHSPercentageofadultswhoneededaprescriptiondrugbutcouldnotafforditinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalareastatus*PercentageofadultswhocouldnotaffordaprescriptionU.S.2017,byMSAstatus8%7%6%5%4%3%2%1%0%6.7%6.7%6.4%NotinMSASmallMSALargeMSA19Description:Thisstatisticshowsthepercentageofadultswhoneededaprescriptiondrugbutcouldnotafforditinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalarea(MSA)status.Duringthatyear,6.7percentofadultslivinginasmallMSAhadneededaprescriptionbutcouldnotafforditinthepasttwelvemonths.ReadmoreNote(s):UnitedStates;2017;19,408respondents;18-64years;*Percentagesareadjustedforage,sex,raceandHispanicethnicity,healthinsurancestatus,povertylevel,stateMedicaidexpansionstatus,andhealthstatus.Ausualplacetogofor[...]

ReadmoreSource(s):NCHSPercentageofU.S.childrenaged3-17yearseverdiagnosedwithadevelopmentaldisabilitywhousedselectservicesasof2015-2018,byurbanicity*ServiceuseofU.S.childrenwithadevelopmentaldisability2015-2018,byurbanicityPercentageofchildrenRural20%Urban30%0%10%40%50%60%70%80%90%100%24.6%SawmentalhealthprofessionalSawspecialist33.1%26.1%26.1%22.4%26.7%Sawtherapist83.4%87.4%Hadwell-childcheckup37.7%ReceivedSpecialEducationorEarlyInterventionServices44.2%20Description:Datacollectedbetween2015and2018bytheNationalHeathInterviewSurveyindicatedtheprevalenceofdevelopmentaldisabilityamongU.S.childrenaged3-17yearswassignificantlyhigherinrural,comparedtourban,populations.Aninvestigationintotheutilizationofhealthcareandeducationalservicesshowedthatoncediagnosed,thosechildrenlivinginruralareaswerelesslikelytohaveseenamentalhealthprofessionalortherapist,tohavehadarecentwell-child[...]

ReadmoreNote(s):UnitedStates;3-17years;*Mentalhealthprofessionalsincludepsychiatrists,psychologists,psychiatricnurses,orclinicalsocialworkersandisbasedonavisitinthepast12months.Specialistsincludemedicaldoctorswhospecializeina[...]

ReadmoreSource(s):CDC;NCHSPercentageofpersonswithadentalvisitinthepastyearintheU.S.from1997to2019,bylocationofresidencePersonswithadentalvisitinthepastyear1997-2019,bylocationPercentageofpersonsOutsideMSA*

WithinMSA*40%0%10%20%30%50%60%70%80%58%59.4%19971998199920002001200220032004200520062007200865.7%67.1%56.2%66.8%66.5%59.7%58.9%65.8%64.4%66.5%65.6%64.8%63.9%63.8%61.5%55.4%57.9%57.4%58.5%54.7%57%54.5%21Description:In2019,thepercentageofallpersons18to64yearslivingwithinametropolitanstatisticalareaintheUnitedStateswithadentalvisitinthepreviousyearwas66.7percent.ThisstatisticshowsthepercentageofpersonswithadentalvisitinthepreviousyearintheU.S.from1997to2019,bylocationofresidence.ReadmoreNote(s):UnitedStates;18-64yearsSource(s):CDC;USDepartmentofHealthandHumanServicesPercentageofadultswhohadadentalvisitwithinthepast12monthsintheU.S.in2019,byurbanicityandgenderDentalvisitsamongU.S.adultsinthepastyear2019,byurbanicityandgenderMenWomen80%70%60%50%40%30%20%10%0%70.5%62.7%61.4%53.5%UrbanRural22Description:In2019,over70percentofU.S.womenlivinginurbanareaswereseenbyadentistwithinthepastyearcomparedtojustunder63percentofmenlivinginurbanareas.Thisstatisticshowsthepercentageofadultswhohadadentalvisitwithinthepast12monthsintheU.S.in2019,byurbanicityandgender.ReadmoreNote(s):UnitedStates;2019;18-64yearsSource(s):CDC;NCHSThinkingofyouoryourdependent'smostrecenttelehealthvisit,whatwastheprimarypurpose?MainpurposeforusingtelehealthintheU.S.in2021,byrural/urbanlivingareaShareofresponsesNon-rural0%Rural5%10%15%20%25%24%30%21%21%AnnualphysicalorpreventiveserviceRoutinevisitforachronicillnesssuchasdiabetesorhighbloodpressurePrescriptionrefillonly18%23%10%12%11%Illness,injuryorconditionthatneededcarerightawayMentalhealthorsubstanceusetreatmentConsultforasurgicalprocedureoroperationPhysicaltherapy9%5%5%12%3%4%7%Other10%23Description:In2021,24percentofrespondentslivinginruralareasintheUnitedStatesreportedtheprimaryreasonfortheirlasttelehealthvisitwasforanannualphysicalorpreventiveservice.While,23percentofAmericanssurveyedlivinginnon-ruralareasreportedthatgettingaprescriptionrefillwastheprimarypurposeoftheirlasttelehealthvisit.ReadmoreNote(s):UnitedStates;June28,2021toJuly18,2021;1,776respondents;18yearsandolderSource(s):SSRSPercentageofadultswithatleastonehospitalemergencyroomvisitinthepast12monthsintheU.S.in2017,bymetropolitanstatisticalareastatus*PercentageofadultswithatleastoneemergencyroomvisitU.S.2017,byMSAstatus20%18.4%18.1%17.5%18%16%14%12%10%8%6%4%2%0%NotinMSASmallMSALargeMSA24Description:ThisstatisticshowsthepercentageofadultswithatleastonehospitalemergencyroomvisitinthepasttwelvemonthsintheU.S.in2017,bymetropolitanstatisticalarea(MSA)status.In2017,18.4percentofadultswhodidnotliveinanMSAindicatedthattheyhadvisitedahospitalemergencydepartmentatleastonceinthepasttwelvemonths.ReadmoreNote(s):UnitedStates;2017;19,408respondents;18-64years;*Percentagesareadjustedforage,sex,raceandHispanicethnicity,healthinsurancestatus,povertylevel,stateMedicaidexpansionstatus,andhealthstatus.Ausualplacetogofor[...]

ReadmoreSource(s):NCHSCHAPTER

03DeathDeathratesintheUnitedStatesfrom1999to2019,byurban-ruralclassification(per100,000population)DeathratesintheU.S.from1999to2019,byurban-ruralclassificationUrbanRural950923.8865.1918.1858.1917.3842.8908.6848.1907.4829.9885.7900850800750700650876.2862863852.9759.2846845.8710.7840837.6

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838.1837.5702.5835.2834831.3830.5704.3800.7

800.3777.3756.9731.7728.7722.2713.5

711.9711.6707.9693.41999

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201926Description:In2019,therewerearound693deathsper100,000populationintheUnitedStatesinurbanareas,asignificantdecreasefromaround865deathsper100,000populationin1999.Thedecreasewasn'tassignificantforruralareas.In2019,therewerearound834deathsper100,000populationinruralareas,aslightdecreasefromaround924deathsper100,000populationin1999.Thisstatisticillustratestheage-adjusteddeathratesintheUnitedStatesfrom1999to2019,byurban-rural[...]

ReadmoreNote(s):UnitedStates;From1999to2019Source(s):CDC;NCHSFemaledeathratesintheUnitedStatesfrom1999to2019,byurban-ruralclassification(per100,000population)FemaledeathratesintheU.S.1999-2019,byurban-ruralclassificationUrbanRural800766.2760.2

760.8728.5760.9705.7757745.5750700650600550735.7729.3725.1726.2661.2719.8721.1606.3719.1714.8713.6

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708.7708.4593.9706.9609706.7599.8704.5584.6681.3

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201927Description:In2019,therewerearound585femaledeathsper100,000populationintheUnitedStatesinurbanareas,whiletherewerearound705femaledeathsper100,000populationinruralareas.ThisstatisticillustratesfemaledeathratesintheUnitedStatesfrom1999to2019,byurban-ruralclassification.ReadmoreNote(s):UnitedStates;From1999to2019Source(s):CDC;NCHSMaledeathratesintheUnitedStatesfrom1999to2019,byurban-ruralclassification(per100,000population)MaledeathratesintheU.S.1999-2019,byurban-ruralclassificationUrbanRural1,2001,140.41,1501,1001,0501,0009501,1241,0381,1111,104.91,019.81,091.4992.71,058.9953.31,050.31,051.7956.51,027.1925.71,023.5896.81,012.91,013.9903.6991.9

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201928Description:In2019,therewerearound822maledeathsper100,000populationintheUnitedStatesinurbanareas,whiletherewerearound977maledeathsper100,000populationinruralareas.ThisstatisticillustratesthemaledeathrateintheUnitedStatesfrom1999to2019,byurban-ruralclassification.ReadmoreNote(s):UnitedStates;From1999to2019Source(s):CDC;NCHSDeathratesfortheleadingcausesofdeathintheUnitedStatesin2019,byurban-ruralclassification(per100,000population)LeadingcausesofdeathintheU.S.in2019,byurban-ruralclassificationNumberofdeathsper100,000populationRuralUrban800204060100120140160180200189.1HeartdiseaseCancer156.3164.1142.861.1UnintentionalinjuriesChroniclowerrespiratorydiseaseStroke47.452.535.43936.632.8AlzheimerdiseaseDiabetes29.227.320.515.212.215.311.7KidneydiseaseInfluenzaandpneumoniaSuicide18.913.229Description:In2019,therewerearound189deathsper100,000populationintheUnitedStatesduetoheartdiseaseinruralareas,whiletherewerearound156deathsper100,000populationinurbanareasduetoheartdisease.ThisstatisticillustratesthedeathratesfortheleadingcausesofdeathintheUnitedStatesin2019,byurban-ruralclassification.ReadmoreNote(s):UnitedStates;2019Source(s):CDC;NCHSDeathratesforheartdisease,cancer,andCLRDintheUnitedStatesfrom1999to2019,byurban-ruralclassification(per100,000population)Heartdisease,cancer,CLRDdeathratesU.S.1999-2019,byurban-ruralclassificationUrbanheartdiseaseRuralheartdiseaseUrbancancerRuralcancerUrbanCLRDRuralCLRD3002502001501005001999

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201930Description:In2019,therewerearound164deathsper100,000populationintheUnitedStatesduetocancerinruralareas,whiletherewerearound143deathsper100,000populationinurbanareasduetocancer.Thisstatisticillustratesthedeathratesforheartdisease,cancer,andchroniclowerrespiratorydiseasesintheUnitedStatesfrom1999to2019,byurban-ruralclassification.ReadmoreNote(s):UnitedStates;From1999to2019Source(s):CDC;NCHSRateofunintentionaldeathsbydrowningamongchildrenandadolescentsintheU.S.from1999to2019,byurbanorruralstatus(per100,000)DrowningdeathratesamongchildrenintheU.S.1999to2019,byurban-ruralstatusUrbanRural2.32.11.91.71.51.31.10.90.70.52.21.52.11.51.91.31.91.31.91.81.21.81.21.81.81.11.71.21.71.21.71.11.71.11.71.61.11.60.91.60.91.611.611.511.21.11.1111999

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201931Description:Since1999,thedeathratebydrowningforkids17yearsandunderremainedhigheramongchildrenandadolescentslivinginruralareasintheU.S.thanthoselivinginurbanareas,reaching1.6per100,000forruralkidsin2019.ThisstatisticillustratestherateofunintentionaldeathsbydrowningamongchildrenandadolescentsintheU.S.from1999to2019,byurbanorruralstatus(per100,000)

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