Mortality rates have increased for working-age rural adults since 2000
Increased mortality among working-age adults in rural (nonmetro) counties is a recent and unanticipated trend contributing to rural population decline. In the aggregate, rural mortality rates declined for all ages combined, from an average annual rate of 815 deaths per 100,000 people in 1999-2001 to 785 deaths in 2013-15. During that same period, rural mortality increased more than 20 percent for 25- to 29-year-olds, from 135 to 165 deaths per 100,000 people. Mortality rates also increased for rural adults between the ages of 20-24 and 30-54. In urban (metro) areas, increased mortality during the period was limited to adults ages 20 to 29. Rising rates of prescription medication abuse, especially of opioids, and the related rise in heroin-overdose deaths are contributing to this unprecedented rise in age-specific mortality rates after a century or more of steady declines. This trend, if it continues, will not only lower rural population but will also increase the dependency ratio: the number of people likely to not be working (children and retirees) relative to the number of working-age adults. This chart appears in the ERS report Rural America at a Glance, 2017 Edition, released November 2017.