Rural Residents Face Higher Heart Health Risks Than Urban Residents: Study - Video

A new study has found adults living in rural areas were more likely than those living in large cities to have heart disease, high blood pressure, high cholesterol, obesity, and diabetes. Across all age groups, the differences in high blood pressure, obesity, and diabetes were largest among adults ages 20–39 living in rural areas vs. cities.

Investigators reviewed data from more than 27,000 adults who participated in the 2022 National Health Interview Survey to understand geographical differences in rates of heart disease and risk factors for conditions that affect the heart and

blood vessels, such as high blood pressure, diabetes, and obesity.

They found that factors such as levels of income and education, having enough food to eat, and owning a home mostly explained the higher rates of people in rural areas who had high blood pressure, diabetes, and heart disease.

The researchers also found that rates of high blood pressure, high cholesterol, diabetes, and heart disease were largest in rural areas compared to cities in the South. Rates of obesity were higher across rural areas throughout the U.S., especially in the Northeast.

Identifying factors driving the higher burden of heart disease and risk factors in rural regions remains a critical research priority. The authors note that insights from their study could inform public health efforts and policies to support and improve the cardiovascular health of people — especially younger adults — living in rural areas.

Reference: Liu M, Marinacci LX, Joynt Maddox KE, Wadhera RK. Cardiovascular Health Among Rural and Urban US Adults—Healthcare, Lifestyle, and Social Factors. JAMA Cardiology. Published online March 31, 2025. doi:10.1001/jamacardio.2025.0538