ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021
Nonmetropolitan COVID-19 Incidence and Mortality Rates Surpassed Metropolitan Rates Within the First 24 Weeks of the Pandemic Declaration: United States, March 1-October 18, 2020.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Urban and Rural Disparities in COVID-19 Outcomes in the United States: A Systematic Review.Medical care research and review : MCRR · 2025Pooled it
- Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Alzheimer's disease and related dementias among Medicare beneficiaries aged ≥ 65 years in rural America, by Census region and select demographic characteristics: 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Factors that shape COVID-19 pediatric vaccine decision-making in rural agricultural communities: A qualitative study.Vaccine · 2024Article
- Association between characteristics of employing healthcare facilities and healthcare worker infection rates and psychosocial experiences during the COVID-19 pandemic.BMC health services research · 2024Article
- The impact of COVID-19 on 2020 monthly incidence trends of primary brain and other CNS tumors.Neuro-oncology · 2024Article
- CATCH-UP vaccines: protocol for a randomized controlled trial using the multiphase optimization strategy (MOST) framework to evaluate education interventions to increase COVID-19 vaccine uptake in Oklahoma.BMC public health · 2023Article
- Article
- A collaborative approach to improving representation in viral genomic surveillance.PLOS global public health · 2023Article
- Higher hospitalization and mortality rates among SARS-CoV-2-infected persons in rural America.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Political views and organizational distrust affect rural residents' willingness to share personal data for COVID-19 contact tracing: A cross-sectional survey study.Journal of clinical and translational science · 2023Article
- A collaborative approach to improve representation in viral genomic surveillance.bioRxiv : the preprint server for biology · 2022Article
- The implications of long COVID for rural communities.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Geospatial Perspectives on the Intersection of Chronic Disease and COVID-19.Preventing chronic disease · 2022Article
- A Novel Predictor for Micro-Scale COVID-19 Risk Modeling: An Empirical Study from a Spatiotemporal Perspective.International journal of environmental research and public health · 2021Article
- Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States.Vaccines · 2021Article
- COVID-19 risk mitigation behaviors among rural and urban community-dwelling older adults in summer, 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Nonmetropolitan COVID-19 Incidence and Mortality Rates Surpassed Metropolitan Rates Within the First 24 Weeks of the Pandemic Declaration: United States, March 1-October 18, 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis report compares COVID-19 incidence and mortality rates in the nonmetropolitan areas of the United States with the metropolitan areas across three 11-week periods from March 1 to October 18, 2020.
methodsCounty-level COVID-19 case, death, and population counts were downloaded from USAFacts.org. The 2013 NCHS Urban-Rural Classification Scheme was collapsed into two categories called metropolitan (large central, large fringe, medium, and small metropolitans) and nonmetropolitan (micropolitan/noncore). Daily COVID-19 incidence and mortality rates were computed to show temporal trends for each of these two categories. Maps showing the ratio of nonmetropolitan to metropolitan COVID-19 incidence and mortality rates by state identify states with higher rates in nonmetropolitan areas than in metropolitan areas in each of the three 11-week periods.
findingsIn the period between March 1 and October 18, 2020, 13.8% of the 8,085,214 confirmed COVID-19 cases and 10.7% of the 217,510 deaths occurred among people residing in nonmetropolitan counties. The nonmetropolitan incidence and mortality trends steadily increased and surpassed those in metropolitan areas, beginning in early August.
conclusionsDespite the relatively small size of the US population living in nonmetropolitan areas, these areas have an equal need for testing, health care personnel, and mitigation resources. Having state-specific rural data allow the development of prevention messages that are tailored to the sociocultural context of rural locations.
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