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Self-Reported Versus County-Based Rurality of People Who Gave Birth in 6 US States, 2020.

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Title: Self-Reported Versus County-Based Rurality of People Who Gave Birth in 6 US States, 2020.
Authors: Kozhimannil, Katy Backes, Sheffield, Emily C., Interrante, Julia D., Liu, Chen, Daw, Jamie R.
Source: American Journal of Public Health. Jul2025, Vol. 115 Issue 7, p1095-1105. 11p.
Subjects: Self-evaluation, Suburbs, Research funding, Residential patterns, Puerperium, Questionnaires, City dwellers, Rural population, Rural conditions, Metropolitan areas, Childbirth, Psychosocial factors, Suburbanites, Social classes
Geographic Terms: United States
Abstract: Objectives. To measure concordance between postpartum people's self-reported residence in rural, urban, or suburban areas and county-based measurement of rurality. Methods. We used survey data (collected January 2021–March 2022) from a representative sample of postpartum people with a live birth in 2020 in 6 US states (n = 3225), comparing respondents' self-report to county designations based on Rural‒Urban Continuum Codes (RUCCs). Results. Nearly 80% of postpartum people had concordant self-reported and RUCC-based residency. That is, 70% lived in counties that matched their self-report as urban (19%) or suburban (51%), and 9% lived in counties that matched their self-report as rural. However, almost 20% were rural discordant (lived in urban RUCC counties and self-reported as rural); these residents were more likely to lack a high-school degree and to have Medicaid-paid births compared with concordant respondents living in the same RUCC counties. Conclusions. County-based measures of rurality may incorrectly categorize substantial portions of rural residents, and those potentially misclassified are of lower socioeconomic status. Public Health Implications. Maternal health programs and policies using county-based definitions of rurality should account for rural residents living in areas designated as urban. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Self-Reported Versus County-Based Rurality of People Who Gave Birth in 6 US States, 2020.
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  Data: <searchLink fieldCode="AR" term="%22Kozhimannil%2C+Katy+Backes%22">Kozhimannil, Katy Backes</searchLink><br /><searchLink fieldCode="AR" term="%22Sheffield%2C+Emily+C%2E%22">Sheffield, Emily C.</searchLink><br /><searchLink fieldCode="AR" term="%22Interrante%2C+Julia+D%2E%22">Interrante, Julia D.</searchLink><br /><searchLink fieldCode="AR" term="%22Liu%2C+Chen%22">Liu, Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Daw%2C+Jamie+R%2E%22">Daw, Jamie R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul2025, Vol. 115 Issue 7, p1095-1105. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Suburbs%22">Suburbs</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+patterns%22">Residential patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Puerperium%22">Puerperium</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22City+dwellers%22">City dwellers</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+population%22">Rural population</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Metropolitan+areas%22">Metropolitan areas</searchLink><br /><searchLink fieldCode="DE" term="%22Childbirth%22">Childbirth</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Suburbanites%22">Suburbanites</searchLink><br /><searchLink fieldCode="DE" term="%22Social+classes%22">Social classes</searchLink>
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives. To measure concordance between postpartum people's self-reported residence in rural, urban, or suburban areas and county-based measurement of rurality. Methods. We used survey data (collected January 2021–March 2022) from a representative sample of postpartum people with a live birth in 2020 in 6 US states (n = 3225), comparing respondents' self-report to county designations based on Rural‒Urban Continuum Codes (RUCCs). Results. Nearly 80% of postpartum people had concordant self-reported and RUCC-based residency. That is, 70% lived in counties that matched their self-report as urban (19%) or suburban (51%), and 9% lived in counties that matched their self-report as rural. However, almost 20% were rural discordant (lived in urban RUCC counties and self-reported as rural); these residents were more likely to lack a high-school degree and to have Medicaid-paid births compared with concordant respondents living in the same RUCC counties. Conclusions. County-based measures of rurality may incorrectly categorize substantial portions of rural residents, and those potentially misclassified are of lower socioeconomic status. Public Health Implications. Maternal health programs and policies using county-based definitions of rurality should account for rural residents living in areas designated as urban. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2025.308058
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1095
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Suburbs
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Residential patterns
        Type: general
      – SubjectFull: Puerperium
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: City dwellers
        Type: general
      – SubjectFull: Rural population
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Childbirth
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Suburbanites
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Self-Reported Versus County-Based Rurality of People Who Gave Birth in 6 US States, 2020.
        Type: main
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          Name:
            NameFull: Kozhimannil, Katy Backes
      – PersonEntity:
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            NameFull: Sheffield, Emily C.
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            NameFull: Interrante, Julia D.
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            NameFull: Liu, Chen
      – PersonEntity:
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            NameFull: Daw, Jamie R.
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          Dates:
            – D: 01
              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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              Value: 115
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