What question did this study set out to answer?

To determine rural/urban differences in the association between chronic conditions and health care affordability issues.

Chronic health conditions and health care affordability issues among U.S. rural and urban adults

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Analysis reveals rural adults face higher chronic conditions and healthcare affordability issues, suggesting targeted interventions are needed.

To determine rural/urban differences in the association between chronic conditions and health care affordability issues.
Utilized data from the 2022 National Health Interview Survey.
Conducted survey-weighted bivariate analyses comparing rates of chronic conditions by rurality.
Applied adjusted multivariate logistic regression models to examine the associations between health care affordability issues and chronic conditions.
Rural residents reported higher rates of chronic conditions and multimorbidity than urban residents.
Multimorbidity was found in 26.7% of rural compared to 18.3% of urban residents (P <.001).
Problems paying medical bills affected 13.7% of rural residents versus 11.0% of urban residents (P =.004).
Inability to pay medical bills was reported by 9.6% of rural compared to 6.8% of urban residents (P <.001).

Jacobson et al. (2025) studied this question.

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Analysis reveals rural adults face higher chronic conditions and healthcare affordability issues, suggesting targeted interventions are needed.