health and wellness
Rural Americans don’t live as long as those in cities − new research
Rural Americans, especially men, face shorter life expectancies compared to urban dwellers due to higher rates of chronic conditions and limited healthcare access. Education disparities significantly contribute to these health inequities, influencing lifestyle choices and economic stability.
Elizabeth Currid-Halkett, University of Southern California; Bryan Tysinger, University of Southern California, and Jack Chapel, University of Southern California
Rural Americans – particularly men – are expected to live significantly shorter, less healthy lives than their urban counterparts, according to our research, recently published in the Journal of Rural Health.
We found that a 60-year-old man living in a rural area is expected on average to live two fewer years than an urban man. For women, the rural-urban gap is six months.
A key reason is worse rates among rural people for smoking, obesity and chronic conditions such as high blood pressure and heart disease. These conditions are condemning millions to disability and shortened lives.
What’s more, these same people live in areas where medical care is evaporating. Living in rural areas, with their relatively sparse populations, often means a shortage of doctors, longer travel distances for medical care and inadequate investments in public health, driven partly by declines in economic opportunities.
Our team arrived at these findings by using a simulation called the Future Elderly Model. With that, we were able to simulate the future life course of Americans currently age 60 living in either an urban or rural area.
The model is based on relationships observed in 20 years of data from the Health and Retirement Study, an ongoing survey that follows people from age 51 through the rest of their lives. Specifically, the model showed how long these Americans might live, the expected quality of their future years, and how certain changes in lifestyle would affect the results.
We describe the conditions that drive our results as “diseases of despair,” building off the landmark work of pioneering researchers who coined the now widely used term “deaths of despair.” They documented rising mortality among Americans without a college degree and related these deaths to declines in social and economic prospects.
The main causes of deaths of despair – drug overdoses, liver disease and suicide – have also been called “diseases of despair.” But the conditions we study, such as heart disease, could similarly be influenced by social and economic prospects. And they can profoundly reduce quality of life.
We also found that if rural education levels were as high as in urban areas, this would eliminate almost half of the rural-urban life-expectancy gap. Our data shows 65% of urban 60-year-olds were educated beyond high school, compared with 53% of rural residents the same age.
One possible reason for the difference is that getting a bachelor’s degree may make a person more able or willing to follow scientific recommendations – and more likely to work out for 150 minutes a week or eat their veggies as their doctor advises them to. https://www.youtube.com/embed/_WzwHJbAGVc?wmode=transparent&start=0 Rural communities are increasingly hampered by their lack of access to health care.
Why it matters
The gap between urban and rural health outcomes has widened over recent decades. Yet the problem goes beyond disparities between urban and rural health: It also splits down some of the party lines and social divides that separate U.S. citizens, such as education and lifestyle.
Scholarship on the decline of rural America suggests that people living outside larger cities are resentful of the economic forces that may have eroded their economic power. The interplay between these forces and the health conditions we study are less appreciated.
Economic circumstances can contribute to health outcomes. For example, increased stress and sedentary lifestyle due to joblessness can contribute to chronic health issues such as cardiovascular disease. Declines in economic prospects due to automation and trade liberalization are linked to increases in mortality.
But health can also have a strong influence on economic outcomes. Hospitalizations cause high medical costs, loss of work and earnings, and increases in bankruptcy. The onset of chronic disease and disability can lead to long-lasting declines in income. Even health events experienced early in childhood can have economic consequences decades later.
In tandem, these health and economic trends might reinforce each other and help fuel inequality between rural and urban areas that produces a profoundly different quality of life.
What still isn’t known
It should be noted that our results, like many studies, are describing outcomes on average; the rural population is not a monolith. In fact, some of the most physically active and healthy people we know live in rural areas.
Just how much your location affects your health is an ongoing area of research. But as researchers begin to understand more, we can come up with strategies to promote health among all Americans, regardless of where they live.
The Research Brief is a short take on interesting academic work.
Elizabeth Currid-Halkett, James Irvine Chair in Urban and Regional Planning and Professor of Public Policy, University of Southern California; Bryan Tysinger, Assistant Professor of Health Policy and Management, University of Southern California, and Jack Chapel, Postdoctoral Scholar in Economics, University of Southern California
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Lifestyle
How to Practice Thoughtful Grief Etiquette Online
Grief experts advise caution in sharing condolences and loss-related information on social media, emphasizing the importance of prioritizing the grieving family’s needs. Thoughtful posting practices include waiting for family approval, reaching out privately first, and avoiding speculation about the cause of death. Compassionate communication is essential in these sensitive situations.
(Feature Impact) News of a death can spread online in seconds – often before families have notified close family members privately. That’s why grief experts urge people to rethink how they share condolences, tributes and loss-related information on social media, particularly during the winter months when grief can feel especially isolating.
“Grief etiquette is about putting the needs of the grieving family first, not our urge to say something publicly,” said Dr. Camelia L. Clarke, National Funeral Directors Association (NFDA) spokesperson, funeral director and grief educator with nearly 30 years of experience. “Just because information can be shared instantly doesn’t mean it should be.”
Social media has become a common place for sharing condolences, tributes and memories. However, grief experts caution that, without thoughtful consideration, online posts can unintentionally cause harm. Knowing when to post, what to say and when to remain silent can make a meaningful difference for families experiencing loss.
Consider this advice from the experts at the NFDA.
Grief Etiquette in the Digital Age
Grief etiquette refers to the unspoken guidelines for how individuals acknowledge death, loss and mourning, particularly online.
According to Clarke, one of the most important principles is restraint.
“When a death is shared online too quickly, families can feel exposed and overwhelmed at a moment when they’re still processing the loss themselves,” she said. “Waiting is an act of compassion.”
Best Practices for Posting About Loss Online
As social media continues to play a role in modern mourning, grief professionals encourage users to pause before posting and consider a few key guidelines:
- Let the family lead. Don’t post about a death until the immediate family has made it public.
- Ask permission. Obtain consent before sharing photos, stories or tributes.
- Reach out privately first. A direct message, call or handwritten note can be more meaningful than a public comment.
- Avoid speculation. Don’t ask about or share details regarding the cause of death.
- Offer ongoing support. Grief extends far beyond the first days or weeks after a loss.
What to Say (and Avoid)
When expressing condolences online, experts recommend simplicity, sincerity and sensitivity. Messages that acknowledge loss without attempting to explain or minimize it are often the most supportive.
Helpful phrases include:
- “I’m sorry for your loss.”
- “Thinking of you and your family.”
- “I’m here if you want to talk or need anything.”
By contrast, well-meaning cliches can unintentionally cause harm. Phrases such as “They’re in a better place” or “Everything happens for a reason” may reflect the speaker’s beliefs, but they can feel dismissive to someone grieving.
“Grieving people don’t need answers – they need presence,” Clarke said. “Listening matters more than saying the perfect thing.”
Resources for Families and Friends
As digital spaces continue to shape how people communicate during life’s most difficult moments, experts agree empathy, patience and respect remain timeless.
“Grief is deeply personal,” Clarke said. “When we slow down and lead with compassion, we honor both the person who has died and those who are left to grieve.”
To learn more about how to support a grieving person and access free, expert-reviewed resources for navigating grief, expressing condolences and supporting loved ones before, during and after a loss, visit RememberingALife.com, an initiative of the NFDA.
Photo courtesy of Shutterstock
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<img src="https://erp.featureimpact.com/api/v1/tracking/17832/10240/track.gif" />SOURCE:
National Funeral Directors Association
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Food and Beverage
Fresh Thinking About Frozen: Bring Quality Meals to the Table While Cutting Food Waste and Stretching Your Budget
For many families, the freezer is for last-minute meal options. However, new federal nutrition guidance and growing scientific consensus reveal a different reality: frozen foods can be the starting point for healthy eating, not a backup plan.
Last Updated on February 21, 2026 by Daily News Staff
(Feature Impact) The key to easy preparation of high-quality meals, wasting less food and saving money may already be sitting in your kitchen.
For many families, the freezer is for last-minute meal options. However, new federal nutrition guidance and growing scientific consensus reveal a different reality: frozen foods can be the starting point for healthy eating, not a backup plan. That’s why the American Frozen Food Institute (AFFI) is launching “Fresh Thinking About Frozen,” a campaign to help families discover these benefits of frozen foods.
Making Nutrition Achievable
The recently released 2025-2030 Dietary Guidelines for Americans, the nation’s top nutrition advice, emphasizes portion control and nutrient-dense foods. Frozen options deliver on both counts.
Families who keep frozen produce on hand tend to eat more fruits and vegetables overall. Pre-portioned frozen meals also help people eat what they need without overdoing it. Plus, the convenience factor matters: frozen berries are ready for a morning smoothie, pre-cut frozen vegetables can be added to tonight’s stir-fry and a balanced frozen meal can be quickly paired with a salad.
That isn’t cutting corners. It’s being smart on how best to feed a family well.
Freezing Hits the Pause Button on Fresh Foods
Freezing food only changes a food’s temperature, not its nutrition. Freezing keeps food close to its original state without requiring additives.
Produce begins to lose nutritional value right after it’s harvested. Freezing fruits and vegetables hours after harvest pauses nutrient degradation and locks in the vitamins and minerals, so the food remains farm fresh even as it travels across the country to your grocery store. Frozen meals are similarly made with real ingredients and turned into just-cooked recipes then frozen for families to eat when they’re ready.
The nutrition community understands this. A recent survey conducted by AFFI found 94% of registered dietitians agree frozen fruits and vegetables are just as nutritious as their fresh counterparts. Another 92% said frozen foods offer a variety of nutritious meal offerings. These findings are central to the “Fresh Thinking About Frozen” message: Frozen is not second-best. It’s simply smart.
Solving the Food Waste Problem
Nearly 40% of food in the United States gets thrown away, according to the nonprofit ReFED. That translates to roughly $1,500 per year per household, straight into the trash along with unused produce and forgotten leftovers.
Frozen helps fix that problem. Eight in 10 consumers agree buying frozen helps reduce food waste at home, AFFI research finds. The reason is simple: You use what you need, when you need it and the rest stays perfectly preserved. No more dreading the refrigerator cleanouts and feeling guilty over the uneaten food going into the trashcan.
Time for Fresh Thinking
Families already making this shift aren’t settling for less. They’re strategic about nutrition, budget and time. They integrate the freezer into regular meal planning. They feel confident about providing quality foods that are simply frozen.
The freezer isn’t a place of last resort. It’s a tool for eating well in real life. Visit frozenadvantage.org/FTAF for tips, recipes and resources to make the most of your freezer.
Photos courtesy of Shutterstock
SOURCE:
American Frozen Food Institute
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health and wellness
Stacking Healthy Habits for Progress, Not Perfection
Healthy Habits: Many struggle with building healthier habits due to unrealistic expectations rather than lack of motivation. The American Heart Association’s My Life Check tool offers personalized heart health insights, helping to set attainable goals. Simple lifestyle changes—focused on nutrition, movement, sleep, and stress management—can gradually lead to significant health improvements.
(Feature Impact) Despite the best of intentions, it’s common for plans to build healthier habits to fall flat. Often, the culprit isn’t a lack of motivation or discipline; rather, it’s unrealistic expectations.
Overhauling your lifestyle requires a level of commitment that isn’t always practical. Understanding your personal health needs and the challenges you need to overcome can help give you a more realistic roadmap toward better health.
Tools to Guide You
Every plan needs a starting point and there are many reputable sources that can help guide you toward a plan that addresses your personal health needs.
For example, the American Heart Association introduced My Life Check, a simple, free tool to help individuals understand their heart health and what’s driving it. Users answer simple questions about their daily habits and health factors to get a personalized Heart Health Score in minutes.
The results are private and downloadable, giving you full control of your information. The tool turns big goals into small, specific actions you can start right away. Knowing your numbers relative to your heart health (and where you are in comparison to target ranges for optimal health) can help you decide how to build a better map to get you where you want to be.
While the report is customized to each individual, no personal data is stored and answers are only used to calculate health scores and provide personalized recommendations and practical steps to improve your health, so you can use your results to focus on what matters most to you. Every small step you take, such as moving more, eating smarter, sleeping better or managing stress, can add up over time.
Finding Your Path
Once you’re armed with data and know where you stand on your heart health numbers, small steps become clearer and more manageable. That knowledge makes it easier to choose one area to focus on, such as getting more sleep, taking daily walks or adding more color to your meals.
Healthy changes don’t need to be expensive or complicated. The best habits are ones that fit real life when every action you take moves you closer to your goals.
Eat Smart
Choose foods that help you feel your best, one meal at a time. Add more color to your plate and focus on balance, not restriction. Simple, affordable swaps can make a real difference.
Move More
Find movement that fits your life, such as a walk, a stretch or dancing while you cook. Every bit of activity counts and it all supports your heart and mind. Move for joy, not just for results.
Sleep Well
Rest is a foundation of good health, not a reward. Protect your bedtime routine and give your body the recovery it deserves. Notice how good sleep makes everything else easier.
Manage Stress
Check in with yourself regularly, both mentally and emotionally. Create simple moments to pause, breathe, laugh or step outside. Connection, kindness and calm all support a healthy heart.
Staying motivated and on track is also easier when you can check back in, see your progress and realize the steps you’re taking are making an impact. Checking in every few months to see how you can grow gives you the chance to celebrate your progress, learn from challenges and keep building lasting habits that feel good.
To get started with personalized tips to set your own health goals, visit heart.org/mylifecheck.
Photos courtesy of Shutterstock
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