FarmSafe Podcast

The 40 Percent Problem: Heart Health in Rural America

Great Plains Center for Agricultural Health Season 5 Episode 5

In this episode, Jenn Patterson sits down with Tim Nikolai, Senior Rural Health Director for the American Heart Association’s Midwest region, to discuss why rural communities face higher risks of heart disease and stroke and what can be done to change that. Tim shares how limited access to health care, healthy foods, and physical activity contributes to these disparities, while also highlighting the inspiring ways rural communities are stepping up—through partnerships with libraries, churches, schools, and local organizations—to promote heart health. The conversation explores practical strategies like the American Heart Association’s “Life’s Essential 8,” the importance of prevention, and how small, everyday choices can make a big difference, especially for farmers and rural residents. Tim also outlines opportunities for local partnerships and offers a hopeful vision for building a culture of health where the healthy choice is the easy choice in rural America. 


Episode Resources