title: Survey of health needs and concerns of rural Pennsylvanians.
abstract: BACKGROUND
  This survey was undertaken to determine the most important health and safety needs of farmers and rural citizens of Pennsylvania.
  
  
  METHODS
  In June of 2004, a one-page questionnaire was distributed by mail to 32,700 members of the Pennsylvania Farm Bureau as an attachment to their monthly newsletter.
  
  
  RESULTS
  The lack of affordable health care insurance was overwhelmingly cited as the most important unmet health care need (73%). No other issue was chosen by more than 10 percent of respondents. This lack of affordable health insurance was also cited as the most important health or safety problem to be addressed in the respondent's communities (71%). When asked the most important health or safety problem affecting them as individuals or their community, the respondents chose "no major problem or need" as the most frequent response (46%). The issue of affordable health insurance was not an option for this question. The predominant concern regarding the lack of affordable health insurance was consistent across all regions of the Commonwealth and for farmers as well as residents of all community sizes sampled.
  
  
  CONCLUSIONS
  This study would indicate that the lack of affordable health insurance is the preeminent health and safety issue for many Pennsylvania farmers and rural citizens.
authors.affiliation: Pennsylvania Agromedicine Program, Department of Family & Community Medicine H 154, Penn State Milton S Hershey Medical Center, 500 University Drive, PO Box 850, Hershey, PA 17033-0850, USA. ghenning@psu.edu
authors.forename: George F
authors.initials: GF
authors.lastname: Henning
authors.forename: Marie
authors.initials: M
authors.lastname: Graybill
authors.forename: James M
authors.initials: JM
authors.lastname: Herman
authors.forename: Myron
authors.initials: M
authors.lastname: Schwartz
mesh_terms: D006297:Health Services Accessibility; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007182:Income; D007348:Insurance, Health / Q000191:economics*; D008507:Medically Underserved Area; D020380:Needs Assessment; D010414:Pennsylvania; D012423:Rural Health; D019035:Rural Health Services; D011795:Surveys and Questionnaires