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Rural Health Information Hub

Rural Health
Resources by Topic: Rural definitions

Uses of Decennial Census Programs Data in Federal Funds Distribution: Fiscal Year 2021
Outlines the allocation of federal funds distributed in fiscal year 2021, in whole or in part, using Census Bureau Decennial Census Programs data. Provides an overview of Decennial Census Programs and related programs across several federal agencies used in funding allocations, including the Census Bureau urban-rural classification and the Office of Management and Budget (OMB) metropolitan or micropolitan statistical areas.
Author(s): Ceci Villa Ross
Date: 06/2023
Sponsoring organization: U.S. Census Bureau
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Rural Definitions Used for Eligibility Requirements in USDA Rural Development Programs
Provides an overview of the definitions of rural that are used to determine eligibility for U.S. Department of Agriculture (USDA) Rural Development (RD) programs. Identifies issues that Congress may want to consider related to these definitions and community eligibility.
Date: 04/2023
Sponsoring organization: Congressional Research Service
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Colorado: Rural Health Facilities within County Designations, 2023
Identifies Colorado counties by rural, urban, and frontier designations and the location of Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs).
Date: 03/2023
Sponsoring organization: Colorado Rural Health Center
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Urban Bias in Rural Data Sets
Policy position paper discussing various classifications of rural, how these definitions may not accurately represent rural areas, and the potential implications for rural populations. Offers policy recommendations regarding rural data infrastructure and the allocation of resources using rural definitions.
Author(s): Leah Bouchard, Isela Garcia, Jacy Warrell
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Florida's Rural Counties: 2020 Census
Table listing Florida counties with populations of 75,000 or fewer and counties with populations of 125,000 or fewer which are contiguous to a county of 75,000 or fewer.
Date: 02/2023
Sponsoring organization: Florida Health
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Taking Stock: Rural People, Rural Places, Rural Housing
Provides an overview of rural definitions, people, places, housing, and poverty in the United States. Includes U.S. Census Bureau's American Community Survey (ACS) and Decennial Census of Population and Housing data that illustrate trends in rural demographics and economy, with data depicted through statistics, charts, and maps. Discusses social determinants of health (SDOH) and issues such as COVID-19, natural disasters, equity, and more.
Date: 2023
Sponsoring organization: Housing Assistance Council
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Highway Safety Behavioral Strategies for Rural Areas
Provides an overview of the risk factors of rural roads, such as rough terrain, wildlife, and lack of services over long distances. Includes examples of how to define rural roads, a related literature review of behavioral strategies in rural environments; safety toolkits and training; statistics on crashes, fatalities, and injuries; examples of counties that have reduced crashes; and more.
Additional links: Read Online
Author(s): Transportation Research Board
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Urban-Rural Disparities in Childhood Obesogenic Environments in the United States: Application of Differing Rural Definitions
Analyzes rural versus urban differences in food and physical activity (PA) environments that contribute to childhood obesogenic environment index (COEI) scores. Utilizes multiple data sources to examine 6 food environment variables and 4 PA variables by rural-urban continuum codes, among other rural definitions. Discusses differences in COEI scores and implications for public health practices.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Christiaan Abildso, Kara Davis, Andrew T. Kaczynski
Citation: Journal of Rural Health, 39(1), 121-135
Date: 2023
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Redefining Urban Areas Following the 2020 Census
Provides an overview of changes made to the U.S. Census Bureau urban area criteria following the 2020 Census. Covers the minimum population threshold, housing unit density, and the decision to cease distinguishing between different types of urban areas.
Author(s): Michael Ratcliffe
Date: 12/2022
Sponsoring organization: U.S. Census Bureau
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Measuring Rurality in Health Services Research: A Scoping Review
Analyzes peer-reviewed journals between 2010 and 2020 to provide a scoping review of the different methods of rurality defined and used in health services research. Examines 103 full-text studies across various journals to observe different measures of rurality. Includes discussion about the benefits and drawbacks of the respective measures of rurality and how inconsistent use of measures impacts federal funding and the study of rural health disparities.
Author(s): Robin Danek, Justin Blackburn, Marion Greene, Olena Mazurenko, Nir Menachemi
Citation: BMC Health Services Research, 22, 1340
Date: 11/2022
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