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. 2023 May 26;72(21):574–578. doi: 10.15585/mmwr.mm7221a2

TABLE 1. Demographic characteristics of persons aged 15–64 years with mpox,* by urban-rural classification of county of residence — United States,§ May 10–December 31, 2022.

Characteristic (no. with available information) Urban-rural classification, no. (%)
Overall 
(N = 29,176) Large central
(n = 20,710) Large fringe
(n = 5,321) Medium
(n = 2,177) Small
(n = 528) Nonmetro or rural
(n = 440) Missing county of residence
(n = 135)
Age, median, yrs (IQR)
34 (29–42)
35 (29–42)
34 (28–41)
33 (27–40)
32 (26–40)
34 (27–41)
33 (28–40)
Age group, yrs (29,176)
15–29
7,939 (27.2)
5,276 (25.5)
1,599 (30.1)
729 (33.5)
190 (36.0)
145 (33.0)
43 (31.9)
30–39
12,156 (41.7)
8,860 (42.8)
2,107 (39.6)
841 (38.6)
193 (36.6)
155 (35.2)
58 (43.0)
40–49
6,010 (20.6)
4,385 (21.2)
1,041 (19.6)
396 (18.2)
92 (17.4)
96 (21.8)
28 (20.7)
50–64
3,071 (10.5)
2,189 (10.6)
574 (10.8)
211 (9.7)
53 (10.0)
44 (10.0)
6 (4.4)
Gender** (28,941)
Cisgender men
27,597 (95.4)
19,725 (95.7)
4,943 (94.9)
2,036 (93.7)
484 (92.9)
409 (94.7)
129 (97.7)
Cisgender women
820 (2.8)
475 (2.3)
195 (3.7)
101 (4.7)
29 (5.6)
20 (4.6)
2 (1.5)
Transgender men
70 (0.2)
42 (0.2)
14 (0.3)
9 (0.4)
4 (0.8)
1 (0.2)
1 (0.8)
Transgender women
249 (0.9)
191 (0.9)
38 (0.7)
16 (0.7)
2 (0.4)
2 (0.5)
0 (—)
Another sex or gender
205 (0.7)
173 (0.8)
20 (0.4)
10 (0.5)
2 (0.4)
0 (—)
0 (—)
Race and ethnicity†† (27,503)
AI/AN
112 (0.4)
79 (0.4)
6 (0.1)
15 (0.7)
4 (0.8)
8 (1.9)
0 (—)
Asian
779 (2.8)
623 (3.2)
112 (2.2)
33 (1.6)
2 (0.4)
9 (2.1)
5 (6.2)
Black or African American
9,151 (33.3)
6,000 (30.8)
2,019 (40.1)
784 (37.8)
197 (39.2)
151 (35.1)
20 (24.7)
NH/OPI
70 (0.3)
48 (0.2)
8 (0.2)
12 (0.6)
0 (—)
2 (0.5)
0 (—)
White
8,050 (29.3)
5,487 (28.2)
1,421 (28.2)
741 (35.8)
215 (42.8)
186 (43.3)
29 (35.8)
Hispanic or Latino
8,500 (30.9)
6,584 (33.8)
1,334 (26.5)
445 (21.5)
72 (14.3)
65 (15.1)
26 (32.1)
Multiple or other races 841 (3.1) 642 (3.3) 136 (2.7) 42 (2.0) 12 (2.4) 9 (2.1) 1 (1.2)

Abbreviations: AI/AN = American Indian or Alaska Native; NH/OPI = Native Hawaiian or other Pacific Islander.

* Includes confirmed and probable cases among persons aged 15–64 years; data were updated as of January 31, 2023. Cases missing information on age (207) were not included.

Urban-rural classification of county of residence is based on the 2013 National Center for Health Statistics Urban-Rural Classification Scheme for Counties. The two nonmetro categories were combined into one rural (i.e., nonmetropolitan) category.

§ Counties from the 50 states and the District of Columbia reporting at least one resident aged 15–64 years with mpox are included. A total of 983 of 3,141 (31%) counties are represented in this table, and the percentages of counties represented by urbanicity were as follows: 100% in large central urban areas, 70% in large fringe urban areas, 59% in medium urban areas, 47% in small urban areas, and 14% in nonmetro or rural areas.

Cases with missing information on county of residence (135) are not included in the overall category.

** Methods for collecting gender information are not standardized across all jurisdictions. When self-reported gender was missing, current sex or sex assigned at birth was used, and gender identity was presumed to be cisgender. Among the 29,311 cases reported in 2022, a total of 238 cases were missing data on gender (i.e., gender, sex, and sex assigned at birth).

†† All persons who reported Hispanic or Latino (Hispanic) ethnicity, regardless of race, were categorized as Hispanic. Persons who did not report ethnicity as Hispanic (including missing ethnicity) were categorized as non-Hispanic and reported race in the following categories: AI/AN, Asian, Black or African American, NH/OPI, White, and multiple races (more than one race category selected) or other race. Persons with missing data on race and ethnicity were categorized as missing or unknown.