Microdata from U.S. decennial censuses and the American Community Survey are a key resource for social science and policy analysis, enabling researchers to investigate relationships among all reported characteristics for individual respondents and their households. To protect privacy, the Census Bureau restricts the detail of geographic information in public use microdata, and this complicates how researchers can investigate and account for variations across levels of urbanization when analyzing microdata. One option is to focus on metropolitan status, which can be determined exactly for most microdata records and approximated for others, but a binary metro/nonmetro classification is still coarse and limited on its own, emphasizing one aspect of rural-urban variation and discounting others. To address these issues, we compute two continuous indices for public use microdata-average tract density and average metro/micro-area population-using population-weighted geometric means. We show how these indices correspond to two key dimensions of urbanization-concentration and size-and we demonstrate their utility through an examination of disparities in poverty throughout the rural-urban universe. Poverty rates vary across settlement types in nonlinear ways: rates are lowest in moderately dense parts of major metro areas, and rates are higher in both low- and high-density areas, as well as in smaller commuting systems. Using the two indices also reveals that correlations between poverty and demographic characteristics vary considerably across settlement types. Both indices are now available for recent census microdata via IPUMS USA (https://usa.ipums.org).
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http://dx.doi.org/10.1007/s40980-021-00081-y | DOI Listing |
Nutr Health
October 2024
Department of Geography, The University of Burdwan, Purba Bardhaman, West Bengal, India.
Global healthcare and nutrition policies have not eliminated the pressing public health issue of undernutrition, which remains a paramount public health concern in countries like India, coinciding with overweight and obesity, in the form of dual burden of malnutrition. This study delves into the rural-urban differential in undernutrition among reproductive-aged women in India for targeted policy interventions and to achieve universal health coverage. Data from the recent iteration of the National Family Health Survey (NFHS-5; 2019-21) were utilized to examine the factors influencing rural-urban differentials in women's undernutrition.
View Article and Find Full Text PDFFront Public Health
August 2024
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Background: In sub-Saharan Africa, achieving universal health coverage (UHC) and protecting populations from health-related financial hardship remain challenging goals. Subsequently, community-based health insurance (CBHI) has gained interest in low and middle-income countries, such as Ethiopia. However, the rural-urban disparity in CBHI enrollment has not been properly investigated using multivariate decomposition analysis.
View Article and Find Full Text PDFRemote Sens (Basel)
November 2023
Discipline of Geography, School of Agricultural, Earth and Environmental Sciences, University of KwaZulu-Natal, P/Bag X01, Scottsville, Pietermaritzburg 3209, South Africa.
Due to the need to continuously monitor and understand the thermal environment and its socioeconomic implications, this study used remotely sensed data to analyze thermal comfort variation in LCZs, including along the rural to urban gradient of the eThekwini Municipality in KwaZulu-Natal province of South Africa. LCZs were mapped using multi-temporal and multi-spectral Landsat 8 and Landsat 9 data using the approach by World Urban Database and Access Portal Tools (WUDAPT), while thermal data were used to retrieve land surface temperatures (LSTs). Data for training classification of LCZs and accuracy assessment were digitized from GoogleEarth guided by knowledge gained and data collected during a field survey in March 2022 as well as pre-existing maps.
View Article and Find Full Text PDFJ Family Med Prim Care
April 2024
Department of Biotechnology, Government College for Girls, Gurugram, Haryana, India.
In India, rural-urban health disparities have been persisting over a period. Migration of patients from rural to urban is an integral part of population dynamics thereby creating an additional burden on urban hospitals. Over the decade, India has made significant advances in health in reducing the rural-urban gap.
View Article and Find Full Text PDFHealth Promot Int
June 2024
School of Social Work, McGill University, 550 Sherbrooke Ouest Suite 100, Tour Est, Montreal, Quebec H3A 1B9, Canada.
Zimbabwe has implemented universal antenatal care (ANC) policies since 1980 that have significantly contributed to improvements in ANC access and early childhood mortality rates. However, Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS), two of Zimbabwe's main sources of health data and evidence, often provide seemingly different estimates of ANC coverage and under-five mortality rates. This creates confusion that can result in disparate policies and practices, with potential negative impacts on mother and child health in Zimbabwe.
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