Early in the COVID-19 pandemic, case and death rates from the disease in rural counties were significantly lower than in urban counties. This pattern changed during the summer and fall of 2020, and by December, death rates in rural counties were higher than in urban counties. This article uses data from the U.S. Census Bureau and voting and COVID-19 data from The New York Times to explore factors related to the increase in COVID-19 deaths in rural counties in the United States. Further analysis is conducted to understand variations in death rates across different types of rural counties. Multivariate regression models revealed that death rates were related to both measures of disadvantage and political views.

Tables 1-6.docx (34 kB)
Tables 1-6