President Donald Trump remains relatively popular among rural voters, but the AP-KFF survey found widespread economic frustration within a constituency that has strongly backed him and other Republicans. Forty-eight percent approved of his overall job performance, down from 56 percent in a comparable earlier survey, while about four in 10 approved of his handling of the economy. Roughly three-quarters rated the cost of living in their communities as only fair or poor, and many reported concern about affording groceries, gas and healthcare. About 45 percent of rural Republican voters said Trump had improved their local economies, compared with about six in 10 who said he had improved the national economy. The survey also found limited awareness of the administration’s rural healthcare initiatives and signs that some voters may stay home in November rather than switch parties.