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Rural regions include places where food sources are not evenly distributed, leading to areas of concentration and food deserts—places where few or no grocery stores exist. Individuals are hypothesized to depend on personal connections and the civic structure of where they live to help them solve the problem of food insecurity. We find that residents living in poor rural counties with few grocery stores and perceptions of high civic structure are significantly less likely to be food insecure. A great deal of food giving and receiving is reported, but these personal connections do not decrease the odds of being food insecure. Lower incomes and being younger increase the odds of food insecurity. Our findings suggest that investments in strengthening the social structure of rural communities along with strategies that increase incomes can help households solve the problem of food insecurity. [ABSTRACT FROM AUTHOR]