In my poor rural neighborhood most people simply consume substantially less than the average urbanite, and they reuse as much as possible. Since everyone has a lot of space, they tend to keep everything around and repair stuff, make things from disused junk, repurpose materials from disused/broken structures, etc.
I've never lived in an urban setting where storage space was so readily available and eyesore messes tolerated that everyone could practice such extreme levels of reuse. I don't even have garbage service at my place.
My urban experiences have been exercises in rampant waste and consumerism.
There are folks who live an urbanite high-consumption lifestyle rurally, and those people are definitely burning a lot of energy getting everything brought to them continuously. But that seems to be the exception around me at least; those households stand out like a sore thumb, with a UPS truck visiting every day.