What is Rural? – Resources
Selected recent or important resources focusing on What is Rural?.
Definition and Categorization of Rural and Assessment of Realized Access to Care
Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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Reimagining Rural: Shifting Paradigms About Health and Well-Being in the Rural United States
Discusses ways to address health needs in rural areas with a focus on shifting away from the deficit narrative of rural places. Explores definitions of rural, the intersectionality of rural citizens, and how to conduct participatory community research to promote partnerships and health access in rural communities.
Author(s): R.A. Afifi, E.A. Parker, G. Dino, D.M. Hall, B. Ulin
Citation: Annual Review of Public Health, 43, 135-154
Date: 04/2022
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Discusses ways to address health needs in rural areas with a focus on shifting away from the deficit narrative of rural places. Explores definitions of rural, the intersectionality of rural citizens, and how to conduct participatory community research to promote partnerships and health access in rural communities.
Author(s): R.A. Afifi, E.A. Parker, G. Dino, D.M. Hall, B. Ulin
Citation: Annual Review of Public Health, 43, 135-154
Date: 04/2022
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Urban Area Criteria for the 2020 Census-Final Criteria
Outlines the final criteria for defining urban areas based on the 2020 decennial census. Adopts a housing unit density threshold of 385 housing units per square mile as the primary criterion for determining whether a census block qualifies for inclusion in an urban area and that an area will qualify as urban if it contains at least 2,000 housing units or has a population of at least 5,000. Explains that the Census Bureau will no longer differentiate urbanized areas from smaller urban areas.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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Outlines the final criteria for defining urban areas based on the 2020 decennial census. Adopts a housing unit density threshold of 385 housing units per square mile as the primary criterion for determining whether a census block qualifies for inclusion in an urban area and that an area will qualify as urban if it contains at least 2,000 housing units or has a population of at least 5,000. Explains that the Census Bureau will no longer differentiate urbanized areas from smaller urban areas.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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List of Rural Counties and Designated Eligible Census Tracts in Metropolitan Counties
Identifies areas with geographic eligibility for Federal Office of Rural Health Policy grant programs. Lists rural counties, rural census tracts within metropolitan counties, and outlying metropolitan counties without an Urbanized Area.
Date: 09/2021
Sponsoring organization: Federal Office of Rural Health Policy
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Identifies areas with geographic eligibility for Federal Office of Rural Health Policy grant programs. Lists rural counties, rural census tracts within metropolitan counties, and outlying metropolitan counties without an Urbanized Area.
Date: 09/2021
Sponsoring organization: Federal Office of Rural Health Policy
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Comment on Recommendations from the Metropolitan and Micropolitan Statistical Area Standards Review Committee to Changes in Metropolitan and Micropolitan Area Standards
Offers comments in response to the Office of Management and Budget's proposed changes to the metropolitan and micropolitan statistical area standards. Discusses potential unintended consequences of the proposed changes and the broader implications of the definition of metropolitan on research and policy development.
Date: 03/2021
Sponsoring organization: Rural Policy Research Institute
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Offers comments in response to the Office of Management and Budget's proposed changes to the metropolitan and micropolitan statistical area standards. Discusses potential unintended consequences of the proposed changes and the broader implications of the definition of metropolitan on research and policy development.
Date: 03/2021
Sponsoring organization: Rural Policy Research Institute
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Redefining Rural: Towards a Better Understanding of Geography, Demography, and Economy in America's Rural Places
Offers a hybrid definition of rurality based on metro and non-metro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Offers a hybrid definition of rurality based on metro and non-metro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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County Reclassifications and Rural–Urban Mortality Disparities in the United States (1970–2018)
Examines urban and rural mortality disparities since 1970, comparing baseline changes to mortality rates by decade of reclassificiation of rural and urban counties based on CDC WONDER data. Describes the impact of reclassification on disparities and the importance of rural and urban classification in policy interventions.
Author(s): Matthew M. Brooks, J. Tom Mueller, Brian C. Thiede
Citation: American Journal of Public Health, 110(12): 1814-1816
Date: 12/2020
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Examines urban and rural mortality disparities since 1970, comparing baseline changes to mortality rates by decade of reclassificiation of rural and urban counties based on CDC WONDER data. Describes the impact of reclassification on disparities and the importance of rural and urban classification in policy interventions.
Author(s): Matthew M. Brooks, J. Tom Mueller, Brian C. Thiede
Citation: American Journal of Public Health, 110(12): 1814-1816
Date: 12/2020
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Is Rural America Failing or Succeeding? Maybe Both
Policy brief examining Office of Management and Budget (OMB) reclassification of rural counties as metropolitan due to population growth. Provides visual data on counties that transitioned from nonmetropolitan to metropolitan since 1970, including a U.S. map representing reclassified counties. Discusses the implications of reclassification for economic policy and interpretations of rural demographics.
Author(s): Kenneth M. Johnson and Daniel T. Lichter
Date: 09/2020
Sponsoring organization: Carsey School of Public Policy
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Policy brief examining Office of Management and Budget (OMB) reclassification of rural counties as metropolitan due to population growth. Provides visual data on counties that transitioned from nonmetropolitan to metropolitan since 1970, including a U.S. map representing reclassified counties. Discusses the implications of reclassification for economic policy and interpretations of rural demographics.
Author(s): Kenneth M. Johnson and Daniel T. Lichter
Date: 09/2020
Sponsoring organization: Carsey School of Public Policy
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What is Rural?
Provides an overview of the different ways the federal government describes areas as rural. Discusses confusion that can arise from multiple definitions of rural areas. Compares how different urban-rural designations classify each county in South Carolina.
Author(s): Samantha Renaud, Kevin Bennett
Date: 08/2020
Sponsoring organization: South Carolina Center for Rural and Primary Healthcare
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Provides an overview of the different ways the federal government describes areas as rural. Discusses confusion that can arise from multiple definitions of rural areas. Compares how different urban-rural designations classify each county in South Carolina.
Author(s): Samantha Renaud, Kevin Bennett
Date: 08/2020
Sponsoring organization: South Carolina Center for Rural and Primary Healthcare
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In Search of "Good" Rural Data: Measuring Rural Prosperity
Discusses the availability of data on rural communities, including economic, health, demographic, and geographic data, and issues that make rural data collection and reporting difficult. Compares 22 datasets, exploring what makes data collection difficult and what makes specific datasets challenging to work with. Addresses methods of locating good information in existing datasets, as well as steps toward improving data access.
Author(s): Corianne Payton Scally, Eric Burnstein, Matthew Gerken, Evelyn Immonen
Date: 04/2020
Sponsoring organizations: Aspen Institute, Housing Assistance Council, Urban Institute
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Discusses the availability of data on rural communities, including economic, health, demographic, and geographic data, and issues that make rural data collection and reporting difficult. Compares 22 datasets, exploring what makes data collection difficult and what makes specific datasets challenging to work with. Addresses methods of locating good information in existing datasets, as well as steps toward improving data access.
Author(s): Corianne Payton Scally, Eric Burnstein, Matthew Gerken, Evelyn Immonen
Date: 04/2020
Sponsoring organizations: Aspen Institute, Housing Assistance Council, Urban Institute
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Last Updated: 4/10/2025