The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2005
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Overall Child Health Status

Percent of Children in Excellent or Very Good Health, by Location

Total 84.1, Urban Focus 84.0, Large Rural 84.2, Small Rural/Isolated 84.5

Percent of Children in Excellent or Very Good Health, by Location and Age

0-5 Years: Urban Focus 86, Large Rural 85.9, Small Rural/Isolated 85.1
6-11 Years: Urban Focus 83.8, Large Rural 83.7, Small Rural/Isolated 84.4
12-17 Years: Urban Focus 82.6, Large Rural 82.5, Small Rural/Isolated 83.2

Percent of Children in Excellent or Very Good Health, by Location and Race and Ethnicity

White: Urban Focus 91.5, Large Rural 87.8, Small Rural/Isolated 88.5
Black: Urban Focus 79.7, Large Rural 76.2, Small Rural/Isolated 72.3
Hispanic: Urban Focus 64.3, Large Rural 69.8, Small Rural/Isolated 59.8
Multiracial: Urban Focus 90, Large Rural 74.0, Small Rural/Isolated 83.9
American Indian/Alaska Native: Urban Focus 85.2, Large Rural 84.3, Small Rural/Isolated 85.1
Other: Urban Focus 87, Large Rural 83.8, Small Rural/Isolated 85.6

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Children with Moderate or Severe Health Conditions

Percent of Children with Moderate or Severe Health Conditions, by Location

Total 7.9
Urban Focus 7.7, Large Rural 9, Small Rural/Isolated 8.1

Percent of Children with Moderate or Severe Health Conditions, by Location and Sex

Male: Urban Focus 9, Large Rural 11, Small Rural/Isolated 10.1
Female: Urban Focus 6.4, Large Rural 7.1, Small Rural/Isolated 6

Percent of Children with Moderate or Severe Health Conditions, by Location and Family Income

<100% FPL*: Urban Focus 10.8, Large Rural 13.2, Small Rural/Isolated 13.3
100-199% FPL: Urban Focus 9.4, Large Rural 11.1, Small Rural/Isolated 8.3
200-399% FPL: Urban Focus 7.4, Large Rural 7, Small Rural/Isolated 6.4
400% or More FPL: Urban Focus 5.8, Large Rural 6.1, Small Rural/Isolated 4.5

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Breastfeeding

Percent of Children Breastfed 6 Months or More, by Location

Total: 38.8: Urban Focus 40.5, Large Rural 31.7, Small Rural/Isolated 31.4

Percent of Children Breastfed 6 Months or More, by Location and Family Income

<100% FPL*: Urban Focus 31.8, Large Rural 23.1, Small Rural/Isolated 24
100-199% FPL: Urban Focus 35.1, Large Rural 33.6, Small Rural/Isolated 28.3
200-399% FPL: Urban Focus 42.7, Large Rural 32, Small Rural/Isolated 36.1
400% or More FPL: Urban Focus 47.9, Large Rural 44.1, Small Rural/Isolated 46.1

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

Percent of Children Breastfed 6 Months or More, by Location and Race and Ethnicity

White: Urban Focus 43.9, Large Rural 32.9, Small Rural/Isolated 32.7
Black: Urban Focus 26.4, Large Rural 10.4, Small Rural/Isolated 8.6
Hispanic: Urban Focus 40.4, Large Rural 40, Small Rural/Isolated 41.4
Multiracial: Urban Focus 43.0, Large Rural 31.5, Small Rural/Isolated 37.3
American Indian/Alaska Native: Urban Focus 41.4, Large Rural 25.5, Small Rural/Isolated 42.0
Other: Urban Focus 44.8, Large Rural 42.9, Small Rural/Isolated 34.6

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Children with Moderate to Severe Socio-Emotional Difficulties

Percent of Children Aged 3-17 with Moderate or Severe Socio-Emotional Difficulties, by Location

Total: 9.2: 9, Large Rural 10.4, Small Rural/Isolated 9.5

Percent of Children Aged 3-17 with Moderate or Severe Socio-Emotional Difficulties, by Location and Sex

Male: Urban Focus 11.1, Large Rural 12.3, Small Rural/Isolated 12.4
Female: Urban Focus 6.8, Large Rural 8.4, Small Rural/Isolated 6.4

Percent of Children Aged 3-17 with Moderate or Severe Socio-Emotional Difficulties, by Location and Age

3-5 Years: Urban Focus 4.8, Large Rural 4.9, Small Rural/Isolated 5.2
6-11 Years: Urban Focus 9.3, Large Rural 11.8, Small Rural/Isolated 9.9
12-17 Years: Urban Focus 10.8, Large Rural 11.7, Small Rural/Isolated 10.9

Percent of Children Aged 3-17 with Moderate or Severe Socio-Emotional Difficulties, by Location and Family Income

<100% FPL*: Urban Focus 13.1, Large Rural 17.7, Small Rural/Isolated 15.9
100-199% FPL: Urban Focus 11.8, Large Rural 12.5, Small Rural/Isolated 10
200-399% FPL: Urban Focus 8.1, Large Rural 8.3, Small Rural/Isolated 6.2
400% or More FPL: Urban Focus 6.3, Large Rural 4.2, Small Rural/Isolated 5.2

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Impact of Socio-Emotional Difficulties

Percent of Children with Socio-Emotional Difficulties Whose Difficulties Impacted the Family Moderately or a Great Deal, by Location

Total: 28: Urban Focus 27.9, Large Rural 28, Small Rural/Isolated 28.8

Percent of Children with Socio-Emotional Difficulties Whose Difficulties Impacted the Family Moderately or a Great Deal, by Location and Sex

Male: Urban Focus 28.1, Large Rural 30.5, Small Rural/Isolated 31
Female: Urban Focus 27.5, Large Rural 24.4, Small Rural/Isolated 25.1

Percent of Children with Socio-Emotional Difficulties Whose Difficulties Impacted the Family a Great Deal or a Medium Amount, by Location and Age

0-5 Years: Urban Focus 21.6, Large Rural 25.6, Small Rural/Isolated 22.7
6-11 Years: Urban Focus 24.4, Large Rural 25.6, Small Rural/Isolated 25.1
12-17 Years: Urban Focus 32.9, Large Rural 31.3, Small Rural/Isolated 33.5

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Overweight

Percent of Children Aged 10-17 Who Are Overweight, by Location

Total: 14.8: 14.2, Large Rural 17.1, Small Rural/Isolated 17.4

Percent of Children Aged 10-17 Who Are Overweight, by Location and Sex

Male: Urban Focus 17.2, Large Rural 21.1, Small Rural/Isolated 21.7
Female: Urban Focus 11.1, Large Rural 13, Small Rural/Isolated 12.7

Percent of Children Aged 10-17 Who Are Overweight, by Location and Age

0-5 Years: Urban Focus 21.3, Large Rural 23.7, Small Rural/Isolated 24.9
6-11 Years: Urban Focus 13.3, Large Rural 18.7, Small Rural/Isolated 18.7
12-17 Years: Urban Focus 10.5, Large Rural 11.7, Small Rural/Isolated 11.6

Percent of Children Aged 10-17 Who Are Overweight, by Location and Family Income

<100% FPL: Urban Focus 21.8, Large Rural 26.3, Small Rural/Isolated 22.1
100-199% FPL: Urban Focus 18.8, Large Rural 18.1, Small Rural/Isolated 20.3
200-399% FPL: Urban Focus 13.2, Large Rural 15.4, Small Rural/Isolated 14.8
400% or More FPL: Urban Focus 8.9, Large Rural 9.4, Small Rural/Isolated 10.9

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Injury

Percent of Children Aged 0-5 Years with Injuries in the Past Year, by Location

Total: 9.4: Urban Focus 9.3, Large Rural 9.4, Small Rural/Isolated 10

Percent of Children Aged 0-5 Years with Injuries in the Past Year, by Location and Family Income

<100% FPL*: Urban Focus 6.7, Large Rural 12, Small Rural/Isolated 7.9
100-199% FPL: Urban Focus 9.4, Large Rural 7.6, Small Rural/Isolated 12.1
200-399% FPL: Urban Focus 10.8, Large Rural 11.1, Small Rural/Isolated 9.5
400% or More FPL: Urban Focus 10.4, Large Rural 6.3, Small Rural/Isolated 10.2

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Parents' Concerns

Percent of Children Aged 0-5 Years with Parent-Reported Concerns About Their Learning, Development, or Behavior, by Location

Total: 36.7: Urban Focus 36.4, Large Rural 38.2, Small Rural/Isolated 37.2

Percent of Children Aged 0-5 Years with Parent-Reported Concerns About Their Learning, Development, or Behavior, by Location and Sex

Male: Urban Focus 39.9, Large Rural 40.4, Small Rural/Isolated 41.2
Female: Urban Focus 32.7, Large Rural 35.7, Small Rural/Isolated 33

Percent of Children Aged 0-5 Years with Parent-Reported Concerns About Their Learning, Development, or Behavior, by Location and Family Income

<100% FPL*: Urban Focus 43.7, Large Rural 42.5, Small Rural/Isolated 44.4
100-199% FPL: Urban Focus 39.6, Large Rural 36.9, Small Rural/Isolated 37
200-399% FPL: Urban Focus 34.9, Large Rural 36.7, Small Rural/Isolated 35.4
400% or More FPL: Urban Focus 31.7, Large Rural 35, Small Rural/Isolated 27.8

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Current Health Insurance

Percent of Children with Current Health Insurance, by Location

Total: 91.2: Urban Focus 91.3, Large Rural 91.5, Small Rural/Isolated 90.3

Percent of Children with Current Health Insurance, by Location and Family Income

<100% FPL*: Urban Focus 84.4, Large Rural 87.1, Small Rural/Isolated 88.6
100-199% FPL: Urban Focus 86.6, Large Rural 89.4, Small Rural/Isolated 87.6
200-399% FPL: Urban Focus 94.4, Large Rural 94.4, Small Rural/Isolated 92.9
400% or More FPL: Urban Focus 97.4, Large Rural 96.7, Small Rural/Isolated 94.2

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

Percent of Children with Current Health Insurance, by Location and Race and Ethnicity

White: Urban Focus 95, Large Rural 93.1, Small Rural/Isolated 91.5
Black: Urban Focus 92.6, Large Rural 92.4, Small Rural/Isolated 94.8
Hispanic: Urban Focus 78.8, Large Rural 80.8, Small Rural/Isolated 76.2
Multiracial: Urban Focus 95.7, Large Rural 94.2, Small Rural/Isolated 93.9
American Indian/Alaska Native: Urban Focus 89.3, Large Rural 89.7, Small Rural/Isolated 84.8
Other: Urban Focus 94.4, Large Rural 94.8, Small Rural/Isolated 95.7

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Coverage Consistency

Percent of Children Lacking Consistent Insurance Coverage in the Past Year, by Location

Total: 15: Urban Focus 14.9, Large Rural 14.6, Small Rural/Isolated 15.6

Percent of Children Lacking Consistent Insurance Coverage in the Past Year, by Location and Family Income

<100% FPL*: Urban Focus 26.6, Large Rural 20.5, Small Rural/Isolated 18.8
100-199% FPL: Urban Focus 23.1, Large Rural 20.6, Small Rural/Isolated 21.1
200-399% FPL: Urban Focus 10.7, Large Rural 9.7, Small Rural/Isolated 11.1
400% or More FPL: Urban Focus 4.8, Large Rural 5.8, Small Rural/Isolated 7.2

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

Percent of Children Lacking Consistent Insurance Coverage in the Past Year, by Location and Race and Ethnicity

White: Urban Focus 9.7, Large Rural 12.5, Small Rural/Isolated 13.9
Black: Urban Focus 16.4, Large Rural 15.8, Small Rural/Isolated 11.9
Hispanic: Urban Focus 29.9, Large Rural 25.8, Small Rural/Isolated 31.1
Multiracial: Urban Focus 9.9, Large Rural 13.3, Small Rural/Isolated 11.0
American Indian/Alaska Native: Urban Focus 20.3, Large Rural 23.5, Small Rural/Isolated 25.2
Other: Urban Focus 10.6, Large Rural 9.6, Small Rural/Isolated 10.8

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Preventive Health Care Visits

Percent of Children with a Preventive Health Care Visit in the Past Year, by Location

Total: 77.8: Urban Focus 78.8, Large Rural 74.3, Small Rural/Isolated 73.2

Percent of Children with a Preventive Health Care Visit in the Past Year, by Location and Age

0-5 Years: Urban Focus 89.1, Large Rural 86.3, Small Rural/Isolated 85.8
6-11 Years: Urban Focus 73.6, Large Rural 67.1, Small Rural/Isolated 64.9
12-17 Years: Urban Focus 73.7, Large Rural 70.3, Small Rural/Isolated 70.4

Percent of Children with a Preventive Health Care Visit in the Past Year, by Location and Race and Ethnicity

White: Urban Focus 80.8, Large Rural 75.1, Small Rural/Isolated 73.6
Black: Urban Focus 81.4, Large Rural 72.9, Small Rural/Isolated 76.3
Hispanic: Urban Focus 71.8, Large Rural 68.7, Small Rural/Isolated 66.4
Multiracial: Urban Focus 80, Large Rural 81.9, Small Rural/Isolated 71.6
American Indian/Alaska Native: Urban Focus 77.1, Large Rural 80.2, Small Rural/Isolated 73.4
Other: Urban Focus 75.1, Large Rural 74.2, Small Rural/Isolated 77.5

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Preventive Dental Visits

Percent of Children with a Preventive Dental Visit in the Past Year, by Location

Total: 72.1: Urban Focus 72.5, Large Rural 70.2, Small Rural/Isolated 70.7

Percent of Children with a Preventive Dental Visit in the Past Year, by Location and Age

1-5 Years: Urban Focus 48.4, Large Rural 45.7, Small Rural/Isolated 47.2
6-11 Years: Urban Focus 84.4, Large Rural 81.8, Small Rural/Isolated 79.9
12-17 Years: Urban Focus 80.4, Large Rural 77.8, Small Rural/Isolated 77.8

Percent of Children with a Preventive Dental Visit in the Past Year, by Location and Family Income

<100% FPL*: Urban Focus 58.1, Large Rural 56.8, Small Rural/Isolated 60.1
100-199% FPL: Urban Focus 65.7, Large Rural 64.4, Small Rural/Isolated 67.7
200-399% FPL: Urban Focus 77, Large Rural 77.1, Small Rural/Isolated 76.8
400% or More FPL: Urban Focus 82.3, Large Rural 84.5, Small Rural/Isolated 82.9

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Medical Home

Percent of Children with a Medical Home, by Location

Total: 46.1: Urban Focus 46.4, Large Rural 44.7, Small Rural/Isolated 45.2

Percent of Children with a Medical Home, by Location and Age

0-5 Years: Urban Focus 56, Large Rural 55.2, Small Rural/Isolated 56.3
6-11 Years: Urban Focus 43.2, Large Rural 40.2, Small Rural/Isolated 40.8
12-17 Years: Urban Focus 40.2, Large Rural 39.5, Small Rural/Isolated 40.3

Percent of Children with a Medical Home, by Location and Family Income

<100% FPL*: Urban Focus 29, Large Rural 32.8, Small Rural/Isolated 38.4
100-199% FPL: Urban Focus 38.3, Large Rural 43.1, Small Rural/Isolated 43.2
200-399% FPL: Urban Focus 50.9, Large Rural 50.3, Small Rural/Isolated 49.7
400% or More FPL: Urban Focus 58.3, Large Rural 53.8, Small Rural/Isolated 55.4

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Staying Home Alone

Percent of Children Aged 6-11 Years Staying Home Alone, by Location

Total: 16: Urban Focus 15.6, Large Rural 16.1, Small Rural/Isolated 18.7

Percent of Children Aged 6-11 Years Staying Home Alone, by Location and Sex

Male: Urban Focus 16.9, Large Rural 17.8, Small Rural/Isolated 18.7
Female: Urban Focus 14.3, Large Rural 14.4, Small Rural/Isolated 18.3

Percent of Children Aged 6-11 Years Staying Home Alone, by Location and Family Income

<100% FPL*: Urban Focus 14, Large Rural 17, Small Rural/Isolated 16.9
100-199% FPL: Urban Focus 13.6, Large Rural 13.5, Small Rural/Isolated 18.3
200-399% FPL: Urban Focus 16, Large Rural 16.2, Small Rural/Isolated 20.1
400% or More FPL: Urban Focus 18.7, Large Rural 19.5, Small Rural/Isolated 18.6

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Repeating a Grade

Percent of Children Aged 6-17 Years Who Have Repeated a Grade, by Location

Total: 11.3: Urban Focus 10.8, Large Rural 13.1, Small Rural/Isolated 13.3

Percent of Children Aged 6-17 Years Who Have Repeated a Grade, by Location and Sex

Male: Urban Focus 12.8, Large Rural 15.2, Small Rural/Isolated 16.4
Female: Urban Focus 8.7, Large Rural 10.9, Small Rural/Isolated 10

Percent of Children Aged 6-17 Years Who Have Repeated a Grade, by Location and Age

6-11 Years: Urban Focus 8.2, Large Rural 10.5, Small Rural/Isolated 11.4
12-17 Years: Urban Focus 13.3, Large Rural 15.5, Small Rural/Isolated 15

Percent of Children Aged 6-17 Years Who Have Repeated a Grade, by Location and Family Income

<100% FPL*: Urban Focus 20.7, Large Rural 25.3, Small Rural/Isolated 27.2
100-199% FPL: Urban Focus 15.1, Large Rural 15.7, Small Rural/Isolated 13
200-399% FPL: Urban Focus 8.2, Large Rural 8.6, Small Rural/Isolated 7.5
400% or More FPL: Urban Focus 5.4, Large Rural 4.8, Small Rural/Isolated 4.3

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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Regular Physical Activity

Percent of Children Who Participate in Physical Activity on 3 or More Days per Week, by Location

Total: 71.3: Urban Focus 70.4, Large Rural 73.9, Small Rural/Isolated 75.3

Percent of Children Who Participate in Physical Activity on 3 or More Days per Week, by Location and Sex

Male: Urban Focus 76.3, Large Rural 77.6, Small Rural/Isolated 79.6
Female: Urban Focus 64.3, Large Rural 70.3, Small Rural/Isolated 70.5

Percent of Children Who Participate in Physical Activity on 3 or More Days per Week, by Location and Age

10-11 Years: Urban Focus 77.4, Large Rural 80.3, Small Rural/Isolated 82.4
12-14 Years: Urban Focus 73.1, Large Rural 78.6, Small Rural/Isolated 78.4
15-17 Years: Urban Focus 62.3, Large Rural 65.4, Small Rural/Isolated 67.4

Percent of Children Who Participate in Physical Activity on 3 or More Days per Week, by Location and Family Income

<100% FPL*: Urban Focus 62.1, Large Rural 74.5, Small Rural/Isolated 75.1
100-199% FPL: Urban Focus 69.1, Large Rural 73.1, Small Rural/Isolated 73.1
200-399% FPL: Urban Focus 71.6, Large Rural 73.5, Small Rural/Isolated 76.3
400% or More FPL: Urban Focus 74.5, Large Rural 78.4, Small Rural/Isolated 78.8

*Federal Poverty Level, equal to $18,400 for a family of four in 2003.

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CLOSE WINDOW

This information is from the chartbook The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2005, that is based on data from the National Survey of Children's Health. Suggested citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The National Survey of Children's Health 2003. Rockville, Maryland: U.S. Department of Health and Human Services, 2005.