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Rural Health
Resources by Topic: Rural definitions

Promoting Rural Financial Well-Being and Inclusion: Aligning Strategies with Community Needs
Provides measures for financial well-being and defines assets across rural county types, such as high-employment agricultural areas, centers of wealth and health, recreational and cultural areas, and more, and includes economic indicators like income and home ownership rate for each county type. Discusses challenges to financial well-being, strategies to improve economies, and policy considerations.
Author(s): Yipeng Su, Anna Morgan
Date: 05/2024
Sponsoring organization: Urban Institute
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Same People, Different Results: Categorizing Cancer Registry Cases Across the Rural-Urban Continuum
Evaluates patient categorization results produced by applying 9 U.S. rural-urban indexes to 1,569 Wisconsin Pancreatic Cancer Registry patients. Discusses indexes' consistency of results, geographic scale, and other concerns related to their application to cancer research.
Author(s): Andrea M. Schiefelbein, John K. Krebsbach, Amy K. Taylor, et al.
Citation: Wisconsin Medical Journal, 123(2), 78-87
Date: 05/2024
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An Update to Rural Urban Continuum Codes
Discusses various rural definitions and explains changes to the United States Department of Agriculture's Rural-Urban Continuum Codes (RUCC). Includes map of Minnesota depicting changes in RUCC county categorizations from 2013 to 2023 as well as a list of Minnesota counties that had population and corresponding RUCC changes.
Author(s): Kelly Asche
Date: 04/2024
Sponsoring organization: Center for Rural Policy and Development
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'Rurality' of Nonmetropolitan Counties Varies Across Regions
Presents a map of metro and nonmetro counties based on the 2023 Rural-Urban Continuum Codes (RUCC). Breaks down the counties on a nine-level scale of rurality.
Date: 04/2024
Sponsoring organization: USDA Economic Research Service
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Defining "Rural" and Utilizing VA Data Sources to Improve Rural Veterans Access to Care
Webinar recording discussing federal rural designations, how rural is defined by the Office of Rural Health in the Veterans Health Administration (VHA), and using VHA data sources.
Date: 03/2024
Sponsoring organizations: VA Health Systems Research, Office of Research & Development, Veterans Health Administration's Office of Rural Health
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Metropolitan and Micropolitan Statistical Areas of the United States and Puerto Rico
Map of the United States displaying metropolitan and micropolitan statistical areas by county using data from the Office and Management and Budget (OMB). Uses metropolitan and micropolitan statistical areas as defined by OMB as of July 2023.
Date: 03/2024
Sponsoring organization: U.S. Census Bureau
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Use of the Area Deprivation Index and Rural Applications in the Peer-Reviewed Literature
Brief discusses the use of the Area Deprivation Index (ADI) in peer-reviewed literature and interrogates how deprivation is defined and how the ADI is related to rurality. Defines ADI based on a literature review and explores the co-usage of ADI and rural in the literature. Recommends future research topics related to ADI and rurality.
Author(s): Casey P. Balio, Nicole Galler, Stephanie M. Mathis, et al.
Date: 03/2024
Sponsoring organization: ETSU/NORC Rural Health Research Center
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North Carolina County Designations of Core Based Statistical Areas
Color-coded county-level map of metropolitan, micropolitan, and neither metropolitan nor micropolitan central and outlying counties in North Carolina. Indicates areas of high population density. Includes Office of Rural Health rural-urban designations.
Date: 03/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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In Search of Rural: How Varying Definitions Shape Housing Research
Describes the effect of rural definitions on rural housing research. Categorizes rural definitions by type, and compares data produced by applying 11 rural definitions to 2019 American Community Survey 5-Year Estimates. Discusses definition impacts on estimated rural demographics and housing stock, characteristics, and challenges. Includes state-by-state estimates of rural population share for each definition.
Author(s): Alexander Hermann, Whitney Airgood-Obrycki
Date: 02/2024
Sponsoring organization: Joint Center for Housing Studies of Harvard University (JCHS)
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Self-Identified Rurality in a Nationally Representative Population in the US
Evaluates self-identified rurality and ZIP code-derived Rural-Urban Commuting Area (RUCA) classification among 774 U.S. adults. Provides data on level of agreement between perceived rurality and RUCA classification, identifies factors contributing to discrepancies, and proposes a reclassification of selected RUCA codes.
Author(s): Dustin C. Krutsinger, Kuldeep N. Yadav, Joanna L. Hart
Citation: Rural and Remote Health, 24(1), 8483
Date: 01/2024
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