Table 5

Summary of rurality definitions

PublicationCountryDefinition of rurality
Hilsden et al., 2007 (19)CanadaCanadian census
Micieli et al., 2015 (20)CanadaPopulation cut-off; Local Health Integration Network population < 600 000
Roos, 1983 (21)CanadaAll areas outside of the only 2 metropolitan areas in the province of Manitoba
Rourke, 1998 (22)CanadaCommunity population < 2000; < 100 acute care beds
Schroeder et al., 2020 (23)CanadaStatistics Canada: community outside of a commuting area of an urban centre with > 10 000
Bruening and Maddern, 1998 (24)AustraliaPopulation cut-off < 50 000
O’Sullivan et al., 2017 (25)AustraliaPopulation cut-off < 50 000
Shanmugakumar et al., 2017 (26)AustraliaWestern Australian Health Department rural and remote designated hospitals
Wong and Petchell, 2004 (17)AustraliaNew South Wales Department of Health hospital designation
Ahmed et al., 2012 (27)United StatesPopulation cut-off < 150 000
Baldwin et al., 1999 (28)United StatesWashington State Office Rural Health
Breon et al., 2003 (29)United StatesPopulation cut-off < 25 000
Burkholder and Cofer, 2007 (30)United StatesPopulation cut-off < 25 000
Chaudhary et al., 2017 (31)United StatesNational Inpatient Sample coding; rural included micropolitan and noncentre hospitals
Cofer et al., 2011 (32)United StatesRural–urban commuting codes
Cook et al., 2019 (33)United StatesPopulation cut-off < 50 000
Deveney and Hunter, 2009 (34)United StatesState of Oregon definition: < 30 000
Deveney et al., 2013 (35)United StatesPopulation cut-off < 50 000
Doty et al., 2006 (36)United StatesRural–urban commuting codes
Doty et al., 2009 (37)United StatesRural–urban commuting codes
Doty et al., 2009 (38)United StatesRural–urban commuting codes
Ellison et al., 2021 (39)United StatesUnited States Census Bureau: area that is outside of urban areas
Etzioni et al., 2010 (40)United StatesPopulation cut-off < 2500
Gates et al., 2003 (41)United StatesPopulation cut-off < 10 000
Gadzinski et al., 2013 (42)United StatesCritical access hospitals
Germack et al., 2019 (43)United StatesDepartment of Agriculture Rural–Urban Continuum Codes
Glenn et al., 2017 (44)United StatesPopulation cut-off < 50 000
Gruber et al., 2015 (45)United StatesOffice of Management and Budget Definition (county population < 10 000)
Harris et al., 2010 (46)United StatesRural–urban commuting codes
Heneghan et al., 2005 (47)United StatesOffice of Management and Budget Definition (county population < 10 000)
Jarman et al., 2009 (48)United StatesPopulation cut-off < 50 000
Komaravolu et al., 2019 (49)United StatesUnited States Census Bureau: area that is outside of urban areas
Kwakwa and Jonasson, 1997 (50)United StatesRural–urban commuting code
Landercasper et al., 1997 (51)United StatesHospital network designation of rural
Lynge, 2008 (52)United StatesRural–urban commuting codes
Mercier et al., 2019 (53)United StatesPopulation cut-off < 50 000
Moesinger and Hill, 2009 (54)United StatesNon-urban counties of Utah
Moore et al., 2016 (55)United StatesRural–urban commuting codes
Natafgi et al., 2017 (56)United StatesRural–urban commuting codes
Nealeigh et al., 2021 (18)United StatesPopulation < 10 000; nearest tertiary referral centre > 100 miles or 2-hour commute
Ritchie et al., 1999 (57)United StatesPopulation cut-off < 50 000
Shively and Shively, 2005 (58)United StatesOffice of Management and Budget Definition (county population < 10 000)
Sticca et al., 2012 (59)United StatesRural–urban commuting codes
Stiles et al., 2019 (60)United StatesOffice of Management and Budget Definition (county population < 10 000)
Stinson et al., 2021 (61)United StatesPopulation cut off < 50 000
Stringer et al., 2020 (62)United StatesPopulation density determined by the Kansas Department of Health and Environment
Thompson et al., 2005 (63)United StatesPopulation cut-off < 50 000
Valentine et al., 2011 (64)United StatesRural–urban commuting codes
VanBibber et al., 2006 (65)United StatesRural–urban commuting codes
Zuckerman et al., 2007 (66)United StatesOffice of Management and Budget Definition (county population < 10 000)