Defining Urban and Rural Areas in U.S. Epidemiologic Studies

Diez Roux AV. Invited commentary: places, people, and health. Am J Epidemiol. 2002;155:516–519.

O'Campo P. Invited commentary: advancing theory and methods for multilevel models of residential neighborhoods and health. Am J Epidemiol. 2003;157:9–13.

Oakes JM. The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology. Soc Sci Med. 2004;58:1929–1952.

Koushik A, King WD, McLaughlin JR. An ecologic study of childhood leukemia and population mixing in Ontario, Canada. Cancer Causes Control. 2001;12:483–490.

Swan SH, Brazil C, Drobnis EZ, et al. Geographic differences in semen quality of fertile U.S. males. Environ Health Perspect. 2003;111:414–420.

Parks SE, Housemann RA, Brownson RC. Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. J Epidemiol Community Health. 2003;57:29–35.

Adgate JL, Eberly LE, Stroebel C, et al. Personal, indoor, and outdoor VOC exposures in a probability sample of children. J Expo Anal Environ Epidemiol. 2004;14(Suppl 1):S4–S13.

U.S. Department of Health and Human Services. One Department Serving Rural America: HHS Rural Task Force Report to the Secretary, 2002. Available at: ftp://ftp.hrsa.gov/ruralhealth/PublicReportJune2002.pdf. Accessed September 23, 2005.

Galea S, Vlahov D. Urban health: evidence, challenges, and directions. Annu Rev Public Health. 2005;26:341–365.

Vlahov D, Galea S. Urbanization, urbanicity, and health. J Urban Health. 2002 Dec;79(4 Suppl 1):S1–S12.

Vlahov D, Galea S. Urban health: a new discipline. Lancet. 2003;362:1091–1092.

WWAMI Rural Health Research Center. Rural Definitions: What is Rural? Available at: http://www.fammed.washington.edu/wwamirhrc/rucas/ruca_definitions.html. Accessed September 23, 2005.

Bingenheimer JB, Raudenbush SW. Statistical and substantive inferences in public health: issues in the application of multilevel models. Annu Rev Public Health. 2004;25:53–77.

Hiotis K, Ye W, Sposto R, Goldberg J, Mukhi V, Skinner K. The importance of location in determining breast conservation rates. Am J Surg. 2005 Jul;190(1):18–22.

U.S. Bureau of the Census. Geographic Comparison Table: GCT-PH1-R Population, Housing Units, Area, and Density (Geographies Ranked by Total Population), 2000, Census 2000 Summary File 1 (SF 1) 100-Percent Data. Available at: http://factfinder.census.gov. Accessed September 23, 2005.

Goodall C, Kafadar K, Tukey J. Computing and using rural versus urban measures in statistical applications. Am Stat. 1998;52:101–111.

U.S. Bureau of Census. ZIP Code® Tabulation Areas (ZCTA™). 2004. Available at: http://www.census.gov/geo/ZCTA/zctafaq.html. Accessed September 23, 2005.

U.S. Bureau of Census, Urban and Rural Definitions. Available at: http://www.census.gov/population/censusdata/urdef.txt. Accessed September 23, 2005.

U.S. Bureau of Census. Census 2000 Urban and Rural Classification. Available at: http://www.census.gov/geo/www/ua/ua_2k.html. Accessed September 23, 2005.

U.S. Bureau of Census. Census 2000 Summary File 3 Technical Documentation, p. B-54, 2002. Available at: http://www.census.gov/Press-Release/www/2002/sumfile3.html. Accessed September 23, 2005.

U.S. Bureau of Census. Population, Housing Units, Area, and Density: 2000. Available at: http://factfinder.census.gov/servlet/SAFFPeople?_sse=on. Accessed September 23, 2005.

U.S. Bureau of Census Urban and Rural Population: 1900 to 1990. Available at: http://factfinder.census.gov/servlet/SAFFPeople?_sse=on. Accessed September 23, 2005.

U.S. Bureau of Census. Population, Housing Units, Area and Density: 2000. United States-Urban/Rural and Inside/Outside Metropolitan Area. Available at: http://factfinder.census.gov/servlet/SAFFPeople?_sse=on. Accessed September 23, 2005.

Prehn AW, West DW. Evaluating local differences in breast cancer incidence rates: a census-based methodology (United States). Cancer Causes Control. 1998 Oct;9(5):511–517.

Ricketts T, Johnson-Webb K, Taylor P. Definitions of Rural: A Handbook for Health Policy Makers and Researchers. Washington: US Department of Health and Human Services; 1998:1–12.

Hewitt M. Defining “rural” areas: impact on health care policy and research. In: Gesler WM, Ricketts TC, eds. Health in Rural North America. New Brunswick: Rutgers University Press; 1992:25–54.

Johnson-Webb K. What is rural? Issues and considerations. J Rural Health. 1997;13:254–256.

U.S. White House Office of Management and Budget. Metropolitan Areas Lists I-IV, 1995. Available at: http://www.whitehouse.gov/omb/bulletins/95-04attachintro.html. Accessed September 23, 2005.

U.S. White House Office of Management and Budget, Press release 2003-18: OMB announces 49 new Metropolitan Statistical Areas 2003. Available at http://www.whitehouse.gov/omb/pubpress/2003-18.pdf. Accessed September 23, 2005.

U.S. White House Office of Management and Budget. Part IX: Standards for Defining Metropolitan and Micropolitan Statistical Areas, Notice, December 27, 2000. Available at: http://www.census.gov/population/www/estimates/00-32997.pdf. Accessed September 23, 2005.

U.S. White House Office of Management and Budget. Update of statistical area definitionsand additional guidance on their uses. Bulletin no. 05-02, 2005. Available at http://www.whitehouse.gov/omb/bulletins/fy05/b05-02.html. Accessed September 23, 2005.

U.S. Census Bureau. Metropolitan and Micropolitan Statistical Area Definitions. Available at: http://www.census.gov/population/www/estimates/metrodef.html. Accessed September 23, 2005.

U.S. Census Bureau. Population and Percent Distribution by Core-Based Statistical Area (BCSA) Status for the United States, Regions, and Divisions: 1990, 2000, and 2003 (CBSA-EST2003-09). Available at: http://www.census.gov/population/www/estimates/Estimates%20pages_final.html. Accessed September 23, 2005.

U.S. Census Bureau, Population Division. Rankings for Metropolitan Statistical Areas: April 1, 2000 to July 1, 2003 (CBSA-EST2003-04). Available at: http://www.census.gov/population/www/estimates/metropop/PopTable04.xls. Accessed September 23, 2005.

U.S. Census Bureau, Population Division. Annual Estimates of the Population of Metropolitan and Micropolitan Statistical Areas: April 1, 2000 to July 1, 2003 (CBSA-EST2003-01). Available at: http://www.census.gov/population/www/estimates/metropop/PopTable04.xls. Accessed September 23, 2005.

Centers for Disease Control. Unintentional deaths from drug poisoning by urbanization of area—New Mexico, 1994–2003. MMWR Morb Mortal Wkly Rep. 2005;54(35):870–873.

Centers for Disease Control and Prevention. SMART: Selected Metropolitan/Micropolitan Area Risk Trends, Smart BRFSS. Updated June 22, 2005. Available at: http://www.cdc.gov/brfss/smart/faqs.htm. Accessed September 23, 2005.

Slifkin RT, Randolph R, Ricketts TC. The changing metropolitan designation process and rural America. J Rural Health. 2004;20:1–6.

Hart LG, Larson EH, Lishner DM. Rural definitions for health policy and research. Am J Public Health. 2005 Jul;95(7):1149–1155.

Ghelfi L, Parker T. A county-level measurement of urban influence. Rural Dev Perspect. 1995;12:32–41.

Baer LD, Johnson-Webb KD, Gesler WM. What is rural? A focus on urban influence codes. J Rural Health. 1997;13:329–333.

ERS/USDA Briefing Room-Measuring Rurality: Urban Influence Codes. Economic Research Service USDA, 2003. Available at: http://www.ers.usda.gov/briefing/Rurality/UrbanInf/. Accessed September 23, 2005.

U.S. Department of Agriculture, Economic Research Service. ERS/USDA Briefing Room-Measuring Rurality: 1993 Urban Influence Codes. Available at: http://www.ers.usda.gov/briefing/Rurality/UrbanInf/1993UIC.htm. Accessed September 23, 2005.

Baer LD, Johnson-Webb KD, Gesler WM. What is rural? A focus on urban influence codes. J Rural Health. 1997;13:329–333.

U.S. Department of Agriculture, Economic Research Service. ERS/USDA Briefing Room-Measuring Rurality: Rural-Urban Continuum Codes. Available at: http://www.ers.usda.gov/briefing/rurality/RuralUrbCon/. Accessed September 23, 2005.

Larson SL, Fleishman JA. Rural–urban differences in usual source of care and ambulatory service use: analyses of national data using Urban Influence Codes. Med Care 2003;41:65–74.

Hawley ST, Chang S, Risser D, et al. Colorectal cancer incidence and mortality in Texas 1990–1992: a comparison of rural classifications. J Rural Health. 2002;18:536–546.

Hall SA, Kaufman JS, Millikan RC, Ricketts TC, Herman D, Savitz DA. Urbanization and breast cancer incidence in North Carolina, 1995–1999. Ann Epidemiol. 2005 Nov;15(10):796–803.

Bennett T, Skatrud JD, Guild P, et al. Rural adolescent pregnancy: a view from the South. Fam Plann Perspect. 1997;29:256–260, 267.

U.S. Department of Agriculture, Economic Research Service. ERS/USDA Briefing Room: Measuring Rurality: Rural-Urban Commuting Area Codes. Available at: http://www.ers.usda.gov/briefing/Rurality/RuralUrbanCommutingAreas/. Accessed September 23, 2005.

Weeks WB, Kazis LE, Shen Y, Cong Z, Ren XS, Miller D, Lee A, Perlin JB. Differences in health-related quality of life in rural and urban veterans. Am J Public Health. 2004 Oct;94(10):1762–1767.

University of Washington School of Medicine. The Use of RUCAs in Health Care. Available at: http://www.fammed.washington.edu/wwamirhrc/rucas/use_healthcare.html. Accessed September 23, 2005.

University of Washington School of Medicine. Zip Code RUCA Approximation Methodology. Available at: http://www.fammed.washington.edu/wwamirhrc/rucas/methods.html. Accessed September 23, 2005.

WWAMI Rural Health Research Center. Importance and Availability of Rural-Urban Taxonomies. Available at: http://www.fammed.washington.edu/wwamirhrc/rucas/ruca_definitions.html. Accessed September 23, 2005.