People in rural areas had lower HQOL (1.31) than peo-ple in adjacent (1.25) and urban (1.18) areas. On average, people in all 3 areas had experienced more than 5 but less than 10 unhealthy days in the last 30 days. People in ru-ral areas also had significantly lower social functioning (4.75) than people in adjacent areas (5.65, P < .001) and urban areas (5.40, P=.002), indicating that fewer people
in rural areas had at least 2 close friends and had attended church or other religious services more than once in the last year. The emotional well-being score was 1.74 in ru-ral areas (of a possible 2), 1.71 in adjacent areas, and 1.76 in urban areas, indicating that most people had someone to help with emotional support and they had received all the emotional support they needed in the past year. The 3 QOL variables showed little association to each other with correlations ranging from –0.12 to 0.18.