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We define rural and urban classifications as: Rural - non-metropolitan counties with less than 50,000 people Smaller Metro - counties within a metropolitan statistical area, or MSA, with between 50,000 and one million people Large Suburban Metro - non-central fringe counties within an MSA with more than one million people Large Urban Metro - central urban core counties within an MSA with more than one million people We define the healthiest and least healthy counties as those that scored among the 10th (least healthy) and 90th (healthiest) percentile counties, nationwide, for the 2023 Health Outcomes z-score

Boynton, PhD, assistant professor of health behavior and director of the Biostatistics and Survey Methods Core Center for Regulatory Research on Tobacco Communication

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