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Rural Health: The Continuing Challenge to Promote Cardiovascular Health.

Rural communities are widespread across the United States. Between 15%and 20%of the population and nearly three quarters of the land are considered rural. The term “rural” typically means the area has a low or geographically diffuse population. Although less dense, rural communities have higher rates of cardiovascular disease and diabetes. According to the US Department of Agriculture Economic Research Service, 19% of the rural population is older than 65 years, compared with 15% in urban areas. Rural areas are more racially and ethnically homogeneous than urban areas, with 80% of the population non-Hispanicwhite compared with 68% of the suburban and 44% of the urban population.