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. Author manuscript; available in PMC: 2024 Aug 1.
Published in final edited form as: J Appl Gerontol. 2023 Feb 16;42(8):1800–1808. doi: 10.1177/07334648231158482

Table 2.

Ratios of Direct Care Workers Relative to The Older Adult Population in Rural and Urban Areas by US Census Region.

Home Health aides Nursing assistants
New England Rural 14.2 (n = 9) 10.2 (n = 9)
Urban 26.6 (n = 21) 13.1 (n = 21)
Middle Atlantic Rural 55.7 (n = 6) 18.3 (n = 6)
Urban 60.9 (n = 34) 26.7 (n = 35)
East North Central Rural 30.2 (n = 19) 22.2 (n = 19)
Urban 47.2 (n = 58) 27.7 (n = 57)
West North Central Rural 40.9 (n = 20) 33.5 (n = 20)
Urban 61.1 (n = 33) 45.1 (n = 33)
South Atlantic Rural 26.2 (n = 20) 19.5 (n = 20)
Urban 27.4 (n = 83) 24.7 (n = 83)
East South Central Rural 22.0 (n = 16) 21.0 (n = 16)
Urban 31.9 (n = 29) 25.6 (n = 29)
West South Central Rural 43.3 (n = 17) 22.8 (n = 17)
Urban 77.4 (n = 43) 25.3 (n = 42)
Mountain Rural 34.4 (n = 16) 17.3 (n = 16)
Urban 53.0 (n = 37) 23.0 (n = 37)
Pacific Rural 38.4 (n = 5) 11.4 (n = 10)
Urban 80.4 (n = 49) 17.3 (n = 48)

Source: 2021 OEWS and AHRF

Note. The units of measurement (n) are metropolitan and nonmetropolitan areas defined by the Bureau of Labor Statistics.