Rural Health
Resources by Topic: Rural definitions
Understanding Rural Healthcare Needs with Census Data and Other Sources
A recorded webinar that discusses the Kansas Center for Rural Health, rural definitions, and data collection.
Date: 09/2025
Sponsoring organization: University of Kansas Medical Center
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A recorded webinar that discusses the Kansas Center for Rural Health, rural definitions, and data collection.
Date: 09/2025
Sponsoring organization: University of Kansas Medical Center
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A Review of Common Limitations in Rural Related Studies in the Peer-Reviewed Literature
Examines rural-focused research studies and their data limitations, such as quality of data, generalizability, numerous rural definitions, outdated data, and more. Reviews 259 research studies published between 2019-2022 in prominent peer-reviewed journals to analyze study characteristics and author-reported limitations.
Author(s): Stephanie M. Mathis, Olivia A. Sullivan, Margaret M. Francisco, et al.
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Examines rural-focused research studies and their data limitations, such as quality of data, generalizability, numerous rural definitions, outdated data, and more. Reviews 259 research studies published between 2019-2022 in prominent peer-reviewed journals to analyze study characteristics and author-reported limitations.
Author(s): Stephanie M. Mathis, Olivia A. Sullivan, Margaret M. Francisco, et al.
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Distribution of Block Grant Funding: Considerations for Rural Communities
Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Data Gem: Access and Compare Rural vs. Urban Area Population Data
Video demonstrating how to compare rural and urban areas using data.census.gov. Transcript linked underneath the video player.
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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Video demonstrating how to compare rural and urban areas using data.census.gov. Transcript linked underneath the video player.
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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A Comparison of Classifications for Geographic Location and their Associations with Tobacco Use among US Adults
Details a study on the differences in two different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E Ozga, Andrea Milstred, Melissa D Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Details a study on the differences in two different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E Ozga, Andrea Milstred, Melissa D Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Effects of Using Different Rural Measurements on Estimates of Hospitalizations for Depression and Substance Use
Explores how using different rural measurements can affect estimates of hospitalization rates for behavioral health conditions. Highlights how rural-urban commuting areas (RUCA) codes, core-based statistical areas (CBSA), urban-rural category four (URCategory4), and rural urban continuum codes (RUCC) affect hospitalization estimates. Discusses the consequences these difference can have on policy.
Author(s): Robin Danek, Justin Blackburn, Marion Greene, et al.
Citation: BMC Health Services Research, 25, 818
Date: 06/2025
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Explores how using different rural measurements can affect estimates of hospitalization rates for behavioral health conditions. Highlights how rural-urban commuting areas (RUCA) codes, core-based statistical areas (CBSA), urban-rural category four (URCategory4), and rural urban continuum codes (RUCC) affect hospitalization estimates. Discusses the consequences these difference can have on policy.
Author(s): Robin Danek, Justin Blackburn, Marion Greene, et al.
Citation: BMC Health Services Research, 25, 818
Date: 06/2025
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Data Gem: Are You in an Urban or Rural Area?
Video highlighting 3 ways to identify a location as either urban or rural using U.S. Census Bureau tools. Transcript linked underneath the video player.
Date: 04/2025
Sponsoring organization: U.S. Census Bureau
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Video highlighting 3 ways to identify a location as either urban or rural using U.S. Census Bureau tools. Transcript linked underneath the video player.
Date: 04/2025
Sponsoring organization: U.S. Census Bureau
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NCHS Urban–Rural Classification Scheme for Counties in Oklahoma, 2023
Map showing the rural and urban status of Oklahoma's counties, utilizing the six-level classification system developed by the National Center for Health Statistics (NCHS).
Date: 03/2025
Sponsoring organization: Oklahoma State University Center for Rural Health
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Map showing the rural and urban status of Oklahoma's counties, utilizing the six-level classification system developed by the National Center for Health Statistics (NCHS).
Date: 03/2025
Sponsoring organization: Oklahoma State University Center for Rural Health
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Urban Influence Varies Widely Across the Country
Map showing the December 2024 Urban Influence Code status for counties in all 50 states.
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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Map showing the December 2024 Urban Influence Code status for counties in all 50 states.
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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