What is Rural? – Resources
Selected recent or important resources focusing on What is Rural?.
A Novel Approach to Incorporate Frontier Areas Into Urban–Rural Geographic Classifications: Integrated Metropolitan-to-Frontier Area Codes
Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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Redefining Rurality: Adopting an Identity-Based and Community-Engaged Approach to Defining Rural Cancer Disparities
Discusses how rural definitions influence cancer disparities research via an examination of perspectives originally presented at the Transforming Community and Rural Healthcare 2024 conference. Details limitations and inconsistencies in current rural definitions and highlights the value of community-based participatory research and identity-based approaches to rurality.
Author(s): Trevor Kauer, Courtny L. Franco, Dominique D. Munroe, et al.
Citation: JNCI: Journal of the National Cancer Institute
Date: 11/2025
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Discusses how rural definitions influence cancer disparities research via an examination of perspectives originally presented at the Transforming Community and Rural Healthcare 2024 conference. Details limitations and inconsistencies in current rural definitions and highlights the value of community-based participatory research and identity-based approaches to rurality.
Author(s): Trevor Kauer, Courtny L. Franco, Dominique D. Munroe, et al.
Citation: JNCI: Journal of the National Cancer Institute
Date: 11/2025
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Leveraging the Rural-Urban Commuting Area Tool to Address Geographic Disparities in Cancer Care: A Dual-Application Framework for Institutional and National Initiatives
Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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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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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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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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Resources for Measuring Rurality in Research on Maternity Care
Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Reconceptualizing Rurality: Exploring Community Capital to Identify Distinct Rural Classes in the United States
Analyzes latent classes of rurality within population health settings, identifying 4 rural classes and examining contextual characteristics and degree of social vulnerability for each class.
Author(s): Jennifer L. Cruz, Douglas A. Luke, Rachel M. Ceballos, Shoba Ramanadhan, Karen M. Emmons
Citation: SSM - Population Health, 29, 101729
Date: 12/2024
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Analyzes latent classes of rurality within population health settings, identifying 4 rural classes and examining contextual characteristics and degree of social vulnerability for each class.
Author(s): Jennifer L. Cruz, Douglas A. Luke, Rachel M. Ceballos, Shoba Ramanadhan, Karen M. Emmons
Citation: SSM - Population Health, 29, 101729
Date: 12/2024
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Changes to Population Distribution and Commuting Patterns Blur the Line Between Rural and Urban
Highlights the change in commuting patterns between rural workers and urban areas and describes the impact on rural communities and economies. Discusses the multiple definitions of rural.
Author(s): Earlene K.P. Dowell
Date: 08/2024
Sponsoring organization: U.S. Census Bureau
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Highlights the change in commuting patterns between rural workers and urban areas and describes the impact on rural communities and economies. Discusses the multiple definitions of rural.
Author(s): Earlene K.P. Dowell
Date: 08/2024
Sponsoring organization: U.S. Census Bureau
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Last Updated: 12/1/2025