Rural residents have higher rates of age-adjusted mortality, disability, and chronic disease than their urban counterparts. Contributing negatively to the health status of rural residents are their lower socioeconomic status, higher incidence of both smoking and obesity, and lower levels of physical activity. Contributing negatively to the health status of farmers are the high risks from workplace hazards; contributing positively are farmers¿ higher socioeconomic status, lower incidence of smoking, and more active lifestyle. Both farm and rural populations experience lower access to health care along the dimensions of affordability, proximity, and quality, compared with their non-farm and urban counterparts. Charts and graphs.