A fifth of Americans reside in rural areas, and on average they live three years less than their urban counterparts, largely due to heart disease and strokes. Hypertension, diabetes and obesity have all been rising among younger adults over the past decade, with rural areas disproportionately affected, said Longenecker. John Trembly Sr.John used to clean rental houses during the day and businesses at night, his father said. Another supplies ultrasound machines to community health workers so that they can check patients for heart disease. An uncertain futureBetter health care delivery will certainly help address rural cardiovascular disparities but won’t necessarily address the underlying socioeconomic drivers.

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