Community Snapshot

A large collection of counties, some 599, that runs across the northern half of the country, starting up in Maine through the Great Lakes and across to Montana and Washington state.

Wealth in Rural Middle America sits just below the national average, with an average median income of $59,200. Access to healthy food in these communities is favorable, with a Food Environment Index of 8.1, above the national average of 7.8. Although this food is available, these communities still experience a high rate of adult obesity, 36% compared to 32% nationally. This could be due to lack of access to exercise opportunities, which only 57% of adults in these communities have. Despite these issues, healthcare seems accessible here, with only 8% of the population uninsured, 3 points lower than the national rate. These communities are also fairly safe, with a violent crime rate less than half the national average.

Access to Healthy Food

8.1 Food Environment Index

Index of factors that contribute to a healthy food environment, 0 (worst) to 10 (best)

Vol. 3 2020-2021

Deaths of Despair Across America

The American Communities Project is undertaking a 30-month study of Deaths of Despair in its 15 community types.

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