A new analysis suggests that when rural areas lack access to civic infrastruture, it contributes to health disparities

The index is based on weighted health outcomes that measure the quality and length of one's life.

(Map by Sarah Melotte, The Daily Yonder, from County Health Rankings data)

When compared to their urban counterparts, rural communities continue to face health disparities for a wide range of reasons; however, a new analysis of County Health Rankings & Roadmaps data by The Daily Yonder suggests that this "disparity is driven partly by unequal access to civic infrastructure," reports Sarah Melotte. A lack of "access to resources like high-speed internet and public libraries is part of the reason rural counties aren’t as healthy as metropolitan ones."

The 2024 CHR&R National Findings Report, Creating Thriving Communities Through Civic Participation, underscored the relationship between a community's civic participation access and the health of its members. Counties with well-resourced civic infrastructure, such as local news, broadband internet and public libraries, were healthier and often more urban.

More insights from the Yonder's analysis:

• Rural counties make up 17 of the top 20 most unhealthy counties in the health outcome index, a CHR&R tool that measures the length and quality of life in a county.
• People who live in rural areas are more likely to experience unequal access to civic infrastructure, according to the report. Rural communities are more likely to lack access to broadband internet and to pay more for a subscription when they do have it.
• Health outcomes also vary by region. Both rural and metro counties in the South are the least healthy compared to other regions, while some of the healthiest counties are in New England.
• The rural South exhibits the worst index scores compared to all other regions in both nonmetropolitan and metropolitan areas.
• The states with the worst inequalities between rural and urban counties are Alaska and Hawaii.