LOS ANGELES (THE CONVERSATION) — 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.

The causes of mental and physical stress in agriculture can seem endless. Long hours, physically strenuous tasks, lack of adequate rest, financial pressures, unpredictable weather and social isolation are just a few of the stressors that farmers and ranchers may face daily.

Nearly one in five counties across the United States lack psychiatrists or internet service, making it difficult for around 10.5 million Americans to find mental health care, a new study shows. The counties examined in the study were more likely to be in rural areas, have higher unemployment rates, and have populations that were more likely to be uninsured and lack a bachelor’s degree. What’s worse, individuals who fall into any one of these categories are also more likely to suffer from depression and anxiety. So, the need for mental health services is especially critical in areas with the greatest barriers to access, the researchers noted. And while the pandemic created a rapid demand for telehealth, the medium has yet to reach the areas that need it most.

The threat of losing these beloved family farms has become a constant worry, affecting many farmers’ mental health and raising concerns of another uptick in suicides like during the 1980s farm crisis. Much of the stress stems from being dependent on factors largely outside their control – from the increasingly unpredictable weather to growing costs of equipment to global market swings that can wipe out profits. “You’d be surprised how many people are suffering with depression. Farmers have been a group of people who keep problems to themselves, proud and private,” said Bob Worth, a third-generation crop farmer who with his son works 2,100 acres of rich, black soil near the hamlet of Lake Benton.