Findings brief focusing on the 3 main facility types providing primary care in rural areas and examining how many people will likely have limited access to primary care based on their locations. Includes statistics on numbers of people living in counties without these facilities, with breakdowns by 9 census divisions. Sponsoring organization: North Carolina Rural Health Research Program. Date: 01/2018
A strong America requires a strong rural America: Rural communities are home to 60 million people, hundreds of tribal nations, and a growing number of new immigrants who account for 37 percent of rural population growth says Warren
Across rural America, water systems are failing to protect public health due to a perfect storm of forces: poor regulation of agricultural waste and other pollutants, shrinking populations, and aging infrastructure. Most rural communities lack the resources to address the crisis.
E-commerce is transforming rural America by providing small-town residents with big-city conveniences and the latest products. But serving these consumers is expensive for retailers and delivery companies.
Resources and information on the impact of chronic disease in rural areas, as well as prevention and treatment. Provides information on heart disease and stroke, cancer, diabetes, chronic respiratory conditions, arthritis, and HIV/AIDS.
The National Institute for Health Care Management (NIHCM) Foundation is a nonprofit, nonpartisan organization dedicated to improving the health of all Americans by spurring workable and creative solutions to pressing healthcare problems.
Significant demographic shifts in rural communities are not only changing their mix but also their housing needs, according to speakers at a recent Federal Reserve conference.
She is fed at one end of the crate, and her feces collects at the other. Some crates are so narrow that simply standing up amd lying down require strenuous effort. On some factory farms, the sow is literally tied to the floor by a short chain or strap around her neck. Deprived of all exercise and any opportunity to fulfill her behavioral needs. she lives in a constant state of distress ...
Hormone testing and replacement helpful in treatment of chronic pain. Physician shortages leading to more primary care physicians treating difficult pain cases.
This is a prospective, open controlled trial in which HIV-1 with viral suppression patients will be randomized to continue with their current treatment (lopinavir/ritonavir plus emtricitabine or lamivudine plus any nucleoside analogue reverse transcriptase inhibitor) or to simplify to lopinavir/ritonavir plus lamivudine.. Randomization will be stratified according to the values of nadir CD4 and time of viral suppression. ...
The Rural Healthy People 2010: A Companion Document for Rural Areas is a rural health research project funded by the Federal Office Rural Health Policy.
Over one thousand health experts from around Australia will gather in Hobart to call on the major political parties to pledge a significant boost in rural health spending in the lead up to the federal election. A gathering of rural, remote and regional health workers at the 15th National Rural Health Conference in Hobart from 24-27 March will outline the case to both Rural Health Minister Bridget McKenzie and Shadow Health Minister Catherine King for urgent new rural health spending.
The Factors Contributing to Unit Cost Instability in the Low-Volume Hospital is a rural health research project funded by the Federal Office Rural Health Policy.
Rural Health Partnership Board Members, General Members and Interested Parties: On June 16, 2020, the National Rural Health Association, in lieu of its live annual Rural Health Equity Conference, will be holding a day-long virtual event in its place. Rural Health Partnership has resources for up to twenty people to
Access rural health research, tools and resources provided by Wisconsin Office of Rural Health. View our virtual library and workshops.
Access rural health research, tools and resources provided by Wisconsin Office of Rural Health. View our virtual library and workshops.
Despite decreases in cancer death rates nationwide, a new report from the Centers for Disease Control and Prevention (CDC) shows slower reduction in cancer death rates in rural America (a decrease of 1.0% per year) compared with urban America (a decrease of 1.6% per year), according to data published by Henley et al in Morbidity and Mortality Weekly Report. The report is the first complete description of cancer incidence and mortality in rural and urban America.. Researchers found that rates of new cases for lung cancer, colorectal cancer, and cervical cancer were higher in rural America. In contrast, rural areas were found to have lower rates of new cancers of the female breast and prostate. Rural counties had higher death rates from lung, colorectal, prostate, and cervical cancers.. While geography alone cant predict your risk of cancer, it can impact prevention, diagnosis. and treatment opportunities-and thats a significant public health problem in the United States, said CDC Acting ...
This Student Placement Survey is being conducted by The University of Melbournes University Department of Rural Health. This is one of twelve University Departments of Rural Health across Australia.
Speaking in a special Parliamentary debate on healthcare provision in Devon, Geoffrey Cox calls an amendment to the rural health funding formula to ensure fair funding for rural health services.
President Trump signed an executive order improving rural health and telehealth access. This order has interesting information regarding the pressures and impact on rural health providers during the COVID pandemic.. Read the full article from The White House here.. ...
The National Rural Health Association strongly recommends that definitions of rural be specific to the purposes of the programs in which they are used and that these are referred to as programmatic designations and not as definitions. Programs targeting rural communities, rural providers and rural residents do so for particular reasons, and those reasons should be the guidance for selecting the criteria for a programmatic designation (from among various criteria and existing definitions, each with its own statistical validity). This will ensure that a designation is appropriate for a specific program while limiting the possibilities that other unrelated programs adopt a definition that is not created to fit that program ...
Have you ever wondered what more you can do for rural America, but lack time? Was one of your new years resolutions to give back more? Have you ever intended to make a donation, but then it slipped your mind? Good news: Weve made it easy to make a difference for rural America. Spend two minutes of your time creating lasting impact toward rural America by joining our Evergreen Society, a group creating lasting impact in rural America. Even $10 or $20 a month or quarter can go a long way to further the work of the Center for Rural Affairs.
Reviving the Churches of Rural America: One Sheep at a Time by Stan Guthrie and Eric Metaxas - Christian breaking news commentary.
The National Rural Health Alliance (NRHA) strongly supports the Choosing Wisely Australia initiative being launched today by NPS MedicineWise. Choosing Wisely Australia has the potential to improve the quality of care provided to rural Australians by encouraging conversations between rural health consumers and clinicians about the overuse of tests, treatments and medical procedures.
The ongoing debate about the establishment of a medical school at Waikato University has shone a much needed spotlight on the state of New Zealands rural health services.
Providing a comprehensive view of the health status and health care resources of the rural areas of the USA, this well-organized and well-illustrated book updates Health Care in Rural America, published by the Office of Technology Assessment in 1990.
Providing a comprehensive view of the health status and health care resources of the rural areas of the USA, this well-organized and well-illustrated book updates Health Care in Rural America, published by the Office of Technology Assessment in 1990.
The analysis contained in Left Behind: Health Care in Rural America was prepared internally by the research team at TCHS. A self-administered online survey was conducted by The Harris Poll on behalf of TCHS among a nationally representative sample of 3,760 US adults (ages 18-64), from August 7th to August 19th 2019. separately by race, and combined into a total General Population sample.
What makes for a thriving regional economy? And why does it matter? These are questions that a lot of folks out here in rural America are asking every day. Overall, rural population has declined in recent years, according to the U.S. census.. But thats not the full picture. The fact is that some rural areas are thriving, while others are on the decline. (For a detailed look, check out this map: http://ow.ly/BwbMd.). ...
In an effort to reinvigorate rural communities, some leaders are experimenting with art as a tool to fuel economic development. By Teresa Wiltz ...
EPA and other regulatory failures that predate the Trump administration have left some poor rural communities swimming in sewage.
About two percent of small law practices in the United States are in small towns and rural areas, a figure greatly disproportionate to the nearly twenty percent
BTW Stripey one, I left a note about the trip I took under accurate reporting , jon stewart. No, no speed demons in isolated underpopulated rural Canada,(plenty of churches AND liquor stores though) until we returned to the more urban areas, where we saw many people risking theirs and other peoples lives on some of our mountain switchbacks, passing slow moving trucks on corners, two yellow lines, in their haste to get back to their speed. People are so impatient that theyre willing to endanger others lives for their privileges, as they deem their rights and freedoms. Speed truly does kill. Slow down and smell the fresh air. Lots of that still on my island home. Couldnt wait to get back, especially to all you grrrrrreat people ...
The recent report of the Senate Inquiry into rural health services gave tantalising glimpses of how the future of rural health services should be. But its central theme is not new. The persistent and consistent…
Stutsman County, N.D. - Ethanol has made a mark on the Midwestern economy and landscape. For farmers, it provides extra competition for the grain they grow. But in some places ethanol has also pushed land into row crop production that may be better left to grass.
One-room schools still exist in America. They are a legacy of a less mobile, more rural time in American history. In 1919, there were 190,000; now there are fewer than 400 left.
Bikash Gauchan is a medical doctor in rural Nepal. He describes the effects of NCDs, particularly in places where infrastructure and systems struggle under the strain, and the challenge that NCDs pose to prospects of achieving UHC.
In this special section, we explore the specific - and often under-reported - challenges of health care for older adults in rural communities.
This Summit is designed for rural practitioners\, leaders\, andadvocates to articulate the broad civic\, political\, and cultural impactof womens leadership in rural America\, to name the ways rural women are agents of change\, to call out the barriers rural women face every day\, andto proclaim the powerful role rural women play in creating compassionate communities. ...
The School of Rural Health is committed to improved health outcomes in rural communities, and a sustainable rural health workforce.
The Healthcare Connect Fund (HCF) provides support for broadband connectivity to eligible health care providers (HCPs) and encourages the formation of state and regional broadband networks.
This discussion covers the state of health care in rural Texas and in rural America in general, too many people have limited access to health care
Hospitals in many rural Southern counties with COVID-19 outbreaks were financially vulnerable even before the crisis. What happens next?
This model uses technology to connect multidisciplinary teams of experts with rural providers in an effort to equip those providers with specialized knowledge to deliver high-quality care locally.
Representatives from organizations throughout Luna County as well as Grant and Doña Ana counties gathered Tuesday morning at the Mimbres Valley Learning Center, 2300 E. Pine, for the Rural Health and Equity Regional Forum.
Home to 46 million Americans and covering 72 percent of the land, rural Americas economy faces a competitive disadvantage, in part due to a declining and aging population, lack of access to capital and stagnate infrastructure development.
This summer, we asked you to show us what renewal looks like in your community through the Renew Rural America photo contest. It was a lofty goal, but one you reached handily. Read more about the winners (tough choices!) in each category ...
However, exhibitors are welcome to stay to attend the remaining sessions.Lessons learned and future directions for rural mental health.Living and working in rural missouri has its intricacies.Narhc hosts conferences in march and october of every year throughout the united states.. Narhc institutes are put on by the only national association dedicated strictly to rural health clinics (rhcs).Narmhs membership includes the entire spectrum of the rural mental health community, including consumers, family members, practitioners, administrators, educators, researchers, and policy makers.Nrhas annual rural health conference is the nations largest rural health conference, created for anyone with an interest in rural health care, including rural health practitioners, hospital administrators, clinic directors and lay health workers, social workers, state and federal health.Nrhas new advocacy platform with one click, nrha connects you with local, state, and federal lawmakers, ensuring our message ...
Through Essentia Health, an integrated healthcare system, researchers at the Essentia Institute of Rural Health have access to a large rural patient population across four states.. Through rigorous research, the Essentia Institute of Rural Health identifies needs and deficiencies in rural health care and investigates innovative solutions to resolve disparities. As new information is gathered, that knowledge is put into practice across the Essentia Health system.. An electronic data warehouse combines health and other information from disparate sources across Essentia Health, creating an important foundation for conducting research. Projects are managed through an integrated research information system (iRIS), which is an electronic platform for conducting research.. Additionally, the institute is a conduit for academic health centers to access rural patient populations and collaborate in research and educational activities. Our proximity to the University of Minnesota Medical School - Duluth ...
The Lifestyle of Rural Environment: Living in a rural environment implies that your Lifestyle will be influenced by the following tangible factors. The foremost would be the presence of natural landscapes, animals and other living things. Also, Lifestyle in rural environment will be influenced by the level of economic development there is in the community. The Lifestyle in rural environment may be moderate, busy or relaxed depending on the available tangible factors.. Lifestyle in Urban Environment: In the city, the Lifestyle is very different from the rural environment. The Lifestyle in the urban metropolis is totally contrasting from the Lifestyle in rural environment. In the urban metropolis, you will find Lifestyle that is active, noisy, busy, noisy, fast paced and even during times of peace, you will find people walking briskly, enjoying themselves with music and even eating or drinking! The Lifestyle in the urban metropolis will be completely different from the Lifestyle in rural ...
Join us for the 24th Annual Colorado Rural Health Conference, to be held October 28-30, 2020. This conference will provide you with a wide range of educational topics, resources, networking, and more.. As the State Office of Rural Health, we host this annual conference to keep our membership informed on the latest changes in rural health policy, healthcare workforce issues and to address the challenges rural healthcare providers are facing.. ...
rural health centers | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice.
The older population, those aged 65 and older, is distributed across the urban and rural landscapes in ways that help shape this population and the country overall. According to 2012 to 2016 American Community Survey (ACS) data, there were 46.2 million older people in the United States, with 10.6 million living in areas designated as rural by the U.S. Census Bureau. Considering that the oldest of the baby boomers, those born between mid-1946 and 1964, began turning 65 years old in 2011, the demographic changes ahead for rural America have only begun. Most older people do not live in rural areas and most rural residents are not older. But an older, increasingly rural, population requires specialized medical and rehabilitation services, as well as innovative housing and public transportation options. An aging population clearly has the potential to shape rural America in new and important ways.. ...
Read chapter Common Disease Patterns: Rural Health in the Peoples Republic of China: Report of a Visit by the Rural Health Systems Delegation, June 1978...
Start your search for free with the most trusted source for the best rates & most choice on 8 Rural Health Centers in New York. Contact care providers directly without hidden online referral fees charged for seniors.
You searched for: Language English Remove constraint Language: English Topic Primary care (Medicine) Remove constraint Topic: Primary care (Medicine) Topic Rural Health Remove constraint Topic: Rural Health Topic Rural health Remove constraint Topic: Rural health Topic Social Medicine Remove constraint Topic: Social Medicine Topic Rural health services Remove constraint Topic: Rural health services Topic Rural Health Services Remove constraint Topic: Rural Health Services ...
Global and Rural Health Fellowship in Fellowship, Full Time, Internal Medicine with UW Medicine, Global & Rural Health Fellowship. Apply Today.
If the culture wars drove the 2016 election and its outcome, one of the most obvious wedge issues deployed by the right was abortion. The question of whether people who are pregnant should be allowed to exercise the right to make a private medical decision should have been settled in 1973 with Roe v. Wade, but in fact, the landmark Supreme Court decision just served to mobilize the right and politicize the subject of abortion to an extreme degree.. On one side: People like President Donald Trump, who remarked in a 2016 town hall that he believed women should be punished for getting abortions and vowed to appoint an anti-choice Supreme Court justice. On the other: The 79 percent of Americans who have affirmed that they believe patients should have the right to choose in all or some circumstances.. Somewhere in the silent middle: rural America. Abortion is an issue that matters acutely to rural America, where it is substantially more difficult to access reproductive health care, including ...
NRHA serves rural health practitioners, hospital and clinic staff, educators, state and federal agencies and professionals dedicated to improving care in rural America.
Transforming rural health to realize the full health potential of rural communities requires a multi-layered strategy. Leadership and innovation in access, value, health improvements, outcomes monitoring and data analytics are all critical ingredients for success. One of the critical ingredients needed to transform rural health is establishing community-wide initiatives for improving the health of the whole population. Such initiatives must align the culture of health care and the culture of the community. When multiple community partners align around core values and strategy, they can work together to improve access, provide more efficient care and achieve better outcomes. ...
About the Project The Mobile Maternity (MoM) project is a pilot initiative to increase primary health care capacity and improve patient and population outcomes by developing and implementing an obstetrics telehealth service that will positively impact physicians and their patients. Mobile Maternity allows the patient to
TY - JOUR. T1 - Influence of socioeconomic and cultural factors on rural health. AU - Beard, John R.. AU - Tomaska, Nola. AU - Earnest, Arul. AU - Summerhayes, Richard. AU - Morgan, Geoff. PY - 2009/4/21. Y1 - 2009/4/21. N2 - Objective: To provide a framework for investigating the influence of socioeconomic and cultural factors on rural health. Design: Discussion paper. Results: Socioeconomic and cultural factors have long been thought to influence an individuals health. We suggest a framework for characterising these factors that comprises individual-level (e.g. individual socioeconomic status, sex, race) and neighbourhood-level dimensions (population composition, social environment, physical environment) operating both independently and through interaction. Recent spatial research suggests that in rural communities, socioeconomic disadvantage and indigenous status are two of the greatest underlying influences on health status. However, rural communities also face additional challenges ...
National Rural Health Association President Pat Schou discussed challenges facing rural health care facilities during the coronavirus pandemic.
Data & statistics on Rural Health Care Fund Disbursements by Service Speed: Early Childhood Development, Education, and Care Fund Comparative Statement of Receipts, Disbursements, and Changes in Cash and Investments, Bleeding disorders Health, Health Systems Improvement, Primary Care and Rural Health, Indicates the current level of Health as well as alternative scenario to enhance the quality of Health care in Karnataka...
Two articles in this issue address important neighborhoods and health cancer disparities issues. In a research article, Palmer and colleagues examined rural-urban disparities in forgoing healthcare due to cost amongst 7,804 cancer survivors. Compared to urban cancer survivors, rural cancer survivors were more likely to forgo medical or dental care due to cost. Adjustment for health insurance attenuated these rural-urban disparities among younger cancer survivors, but not older cancer survivors. In a separate review, Meilleur and colleagues highlight key points regarding rural residence and cancer outcomes in the US, identifying conventions that will assist future investigations into the effects of rural residence on cancer outcomes. ...
Organizational Membership - $250.00 (USD) Bundle (unlimited) Subscription period: 1 year No automatically recurring payments Includes three voting members. Hospitals, health clinics, county health departments, state agencies, state associations and other organizations and businesses who want to improve rural health and stay current on rural health matters. ...
Dr. Kay Miller Temple is a medical writer for Rural Health Information Hub. She is also a physician with over 30 years of experience. That, coupled with her rural upbringing, helps her research and write articles with a unique perspective on complex rural health issues.
We hypothesized that breast cancer (BCa) patients in urban counties would have higher rates of post-lumpectomy radiation therapy (RT) relative to patients in near-metro and rural counties. We used the Surveillance, Epidemiology, and End Results (SEER) database to identify women diagnosed with BCa tr …
by William Kandel and John Cromartie. Since 1980, the nonmetro Hispanic population in the United States has doubled and is now the most rapidly growing demographic group in rural and small-town America. By 2000, half of all nonmetro Hispanics lived outside traditional settlement areas of the Southwest. Many Hispanics in counties that have experienced rapid Hispanic growth are recent U.S. arrivals with relatively low education levels, weak English proficiency, and undocumented status. This recent settlement has increased the visibility of Hispanics in many new regions of rural America whose population has long been dominated by non-Hispanic Whites. Yet within smaller geographic areas, the level of residential separation between them increased-i.e., the two groups became less evenly distributed-during the 1990s, especially in rapidly growing counties. Hispanic settlement patterns warrant attention by policymakers because they affect the well-being of both Hispanics and rural communities ...
Without close supervision, NAS can be deadly. It is vital that everything is done to provide treatment and recovery services to pregnant women with opioid use disorder. The problem is staggering in rural America, new research shows that the rate of NAS increased from 1.2 cases per 1,000 hospital births in 2004 to 7.5 cases per 1,000 births by 2013, Reuters reports. The study, published in JAMA, showed that cases of NAS in rural counties increased from 13 percent to 21 percent over the course of the research period ...
The implications of exposure to acute and chronic stressors, and seeking mental health care, for increased psychological distress are examined. Research on eco¬nomic stress, psychological distress, and rural agrarian values each point to in¬creasing variability within rural areas. Using data from a panel study of 1,487 adults, a model predicting changes in depressive symptoms was specified and tested. Results show effects by size of place for men but not for women. Men living in rural villages of under 2,500 or in small towns of 2,500 to 9,999 people had significantly greater increases in depressive symptoms than men living in the country or in larger towns or cities. Size of place was also related to level of stigma toward mental health care. Persons living in the most rural environments were more likely to hold stigmatized attitudes toward mental health care and these views were strongly predictive of willingness to seek care. The combination of increased risk and less willingness to seek assistance
Your ebook this land this nation conservation rural america and the new deal 2007 s transferred a large or pleased hypertension. mean the income of over 336 billion uranium analogues on the notice. Prelinger Archives % nt!
Democratic presidential candidates should make rural America a priority because it is a critically important place to the future of our country, said Tom Vilsack.
The Cumbria Rural Health Forum aims to maximise the health of rural communities through the discovery, creation, development and sharing of evidence-based strategies, best-practice, tools and techniques that support the effective and efficient delivery of public health, health and social care in rural areas.
The experience of a UK trainee working in rural South Africa. Why time spent training here can make you a better emergency clinician. Global Health. Virchester. #FOAMed
An effort at Western Kentucky University to provide dental care to underserved children is getting a boost. The WKU Institute for Rural Health has been
EXCERPT: The number of people living in rural (nonmetro) counties stood at 46.1 million in July 2016-14 percent of all U.S. residents spread across 72 percent of the Nations land area. The rural population declined by 21,000 between July 2015 and July 2016, according to the U.S. Census Bureaus latest population estimates, the sixth consecutive year of modest population losses. Although many rural counties have shown population losses for decades, this is the first period on record of overall rural population decline . . .County population change includes two major components: natural change (births minus deaths) and net migration (in-migrants minus out-migrants). While natural change has gradually trended downward over time, net migration rates tend to fluctuate in response to economic conditions. Since 2010, the increase in rural population from natural change (270,000 more births than deaths) has not matched the decrease in population from net migration (462,000 more people moved out than ...
Rural Community Responses to COVID-19 In light of the coronavirus outbreak leading to the current COVID-19 pandemic, the Research Evidence Review team at CRHR, in partnership with the BC Rural Health Network has created a brief, anonymous survey to learn from rural and remote BC communities about their experiences and responses to COVID-19. We recognize […]
Rural population (% of total population) in Guinea was last measured at 62.84 in 2015, according to the World Bank. Rural population refers to people living in rural areas as defined by national statistical offices. It is calculated as the difference between total population and urban population.This page has the latest values, historical data, forecasts, charts, statistics, an economic calendar and news for Rural population (% of total population) in Guinea.
Follow-up in clinic every 3 months, home visits monthly. Home visit by community care coordinators: Decrease in patient visits to the clinic from the standard of once per month to every 3 months with home visits monthly.. ...
We continue to celebrate National Public Health Week and our daily theme for today is rural health. People who live in rural areas can face differe
The Anioma Medical Professionals Forum (AMPF) and OMIWA Foundation have been commended for their progressive collaboration in rural health initiative which has continued to address the health needs of the people within the Anioma nation in Delta state.
Rural population in Faeroe Islands was last measured at 28907 in 2013, according to the World Bank. Rural population refers to people living in rural areas as defined by national statistical offices. It is calculated as the difference between total population and urban population.This page has the latest values, historical data, forecasts, charts, statistics, an economic calendar and news for Rural population in Faeroe Islands.
I think newspaper overkill is a defining characteristic of rural areas. I remember how little rural towns would have their own 6 page paper in a stand next to the local micro-tropoliss newspaper, next to the nearest big citys news paper. In Hayesville, NC, wed have the Clay County Progress next to the Asheville Citizen-Times next to the Atlanta Journal-Constitution. But if you drove 40 miles east on US-64 to Brevard or Rosman, the Journal-Constitution was replaced by the Charlotte News and Observer. I always found it fascinating to see what big city newspaper a little town chose; it almost seemed to be a statement of what stream of commerce the town wanted to align itself with. If you went to a bigger town, the newspaper hierarchy just bumped up one notch: Asheville had the Citizen-Times next door to the Charlotte News and Observer next door to the Washington Post. ...
Cardiovascular Disease on Deakin Rural Health | Access and Outcomes to Cardiovascular Disease Services in Rural and Remote Australia In a cardiac emergency…
Medical research has an important role to play in addressing the rural health gap in Australia.. Breakthroughs in diagnosis, treatment and prevention - through approaches including genomics, personalised medicine and cancer immunotherapy - are changing the way we think about diseases and are improving outcomes for all Australians, whether they live in remote, rural or metropolitan areas.. ...
BC Rural Health Conference 2020 is organized by University of British Columbia Continuing Professional Development (UBC CPD) and will be held from May 13 - 27, 2020.
The Journal of Rural Health (vol. 33, no. 3, 2017) is available online by subscription only. Articles include: Predicting Financial Distress and Closure in
35% (approx.) of rural American counties are experiencing significant population loss. These counties are home to 6.2 million residents, which is 33% less than lived there in 1950. The rural counties had an average population loss of 43% of their 20-to-24-year-olds in each decade from 1950 to 2010, which means that they were home to far fewer women of child-bearing age.. In addition, 60 percent of these counties had more deaths than births. This combination of young adult outmigration, fewer births, and more deaths. have created a downward spiral of rural population loss that will be difficult to reverse.. Source: University of New Hampshire. ...