BUREAU OF HEALTH PROFESSIONS AREA RESOURCE FILE, 1940-1995: [UNITED STATES] (ICPSR 6897) User Documentation Principal Investigator United States Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions First ICPSR Release May 1997 Inter-university Consortium for Political and Social Research P.O. Box 1248 Ann Arbor, Michigan 48106 BIBLIOGRAPHIC CITATION Publications based on ICPSR data collections should acknowledge those sources by means of bibliographic citations. To ensure that such source attributions are captured for social science bibliographic utilities, citations must appear in footnotes or in the reference section of publications. The bibliographic citation for this data collection is: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions. BUREAU OF HEALTH PROFESSIONS AREA RESOURCE FILE, 1940-1995: [UNITED STATES] [Computer file]. Rockville, MD: U.S. Dept. of Health and Human Services, Office of Data Analysis and Management [producer], 1996. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1997. REQUEST FOR INFORMATION ON USE OF ICPSR RESOURCES To provide funding agencies with essential information about use of archival resources and to facilitate the exchange of information about ICPSR participants' research activities, users of ICPSR data are requested to send to ICPSR bibliographic citations for each completed manuscript or thesis abstract. Please indicate in a cover letter which data were used. DATA DISCLAIMER The original collector of the data, ICPSR, and the relevant funding agency bear no responsibility for uses of this collection or for interpretations or inferences based upon such uses. DATA COLLECTION DESCRIPTION United States Department of Health and Human Services. Health Resources and Services Administration. Bureau of Health Professions BUREAU OF HEALTH PROFESSIONS AREA RESOURCE FILE, 1940-1995: [UNITED STATES] (ICPSR 6897) SUMMARY: The Bureau of Health Professions Area Resource File is a county-based data file summarizing secondary data from a wide variety of sources to facilitate health analysis. This 1996 release of the Area Resource File contains over 6,000 data elements for all counties in the United States with the exception of Alaska, for which there is a state total, and certain independent cities that have been combined into their appropriate counties. The data elements include: (1) County descriptor codes (name, FIPS, HSA, PSRO, SMSA, SEA, BEA, city size, Census Contiguous County, shortage area designation, 1994 Primary/Metropolitan Statistical Areas, and 1995 Rural/Urban Continuum Codes, etc.), (2) Health professions data (number of professionals registered as M.D., D.O., D.D.S., R.N., L.P.N., veterinarian, pharmacist, optometrist, podiatrist, and dental hygienist, along with critical shortage codes, 1994 physicians by specialty, and major professional activity), (3) Health facility data (hospital size, type, utilization, staffing and services, nursing home data, and HMO enrollment for 1976 through 1994), (4) Utilization data (rate, inpatient days, outpatient visits, and surgical operations), (5) Population data (size, composition, employment, education, housing, morbidity, natality, and mortality by cause, sex, race, and age), (6) Economic data (total income, per capita income, median income, income distribution, and AFDC recipients), (7) Health professions training data (training programs, enrollments, and graduates by type), (8) Expenditure data (hospital expenditures, Medicare enrollments and reimbursements, and Medicare prevailing charge data), and (9) Environment data (land area, large animal population, elevation, latitude and longitude of population centroid, water hardness index, and climate data). NOTE: Historic information is carried on each new release of the Area Resource File for all years in the case of general data, such as the number of short-term general hospitals, and for only certain points in time in the case of more detailed information, such as physician specialty data by major professional activity. The extent to which particular historic data are maintained is dependent on the space available as well as on the need for particular types of data by the Bureau and other users. Data across different Area Resource Files may be linked by referring to the variables' field reference ("F") numbers. RESTRICTIONS: Under the terms of a contract with the data provider, these data are for the sole use of ICPSR member institutions. Data may not be sold to nonmember institutions nor shared among other ICPSR member institutions. Individuals at institutions that are not members of ICPSR may purchase these data directly from Quality Resources, Inc., Fairfax, VA. EXTENT OF COLLECTION: 1 data file + machine-readable documentation (text) EXTENT OF PROCESSING: MDATA.PR DATA FORMAT: Logical Record Length File Structure: rectangular Cases: 3,082 Variables: approx. 6,000 Record Length: 31,690 Records Per Case: 1 USER DOCUMENTATION FOR THE AREA RESOURCE FILE (ARF) AS OF FEBRUARY 1996 OFFICE OF RESEARCH AND PLANNING BUREAU OF HEALTH PROFESSIONS Page 001 ARF USER DOCUMENTATION -------------------------------------------CONTENTS-------------------------------------- I. DATA ELEMENT DESCRIPTIONS AND REFERENCES . . . . . . . . . . . . . . . . 4 A. CODES AND CLASSIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . 4 A-1) Header for ARF . . . . . . . . . . . . . . . . . . . . . . . . . . 4 A-2) State and County Codes . . . . . . . . . . . . . . . . . . . . . . 4 A-3) MSA, PMSA and CMSA Codes, Names and Levels; SMSA Code and Name; Rural/Urban Continuum Code; Typology Codes; AMA County Group Code; and Census County Group Code . . . . . . . . . . . . . . . . . . . 9 A-4) BEA Economic Area Codes. . . . . . . . . . . . . . . . . . . . . . 19 A-5) Federal Region Code and Census Region and Division Codes and Names. . . . . . . . . . . . . . . . . . . . . . . . . . 21 A-6) Health Service Area (HSA) Codes and Name . . . . . . . . . . . . . 22 A-7) Professional Standards Review Organization (PSRO) Code . . . . . . 26 A-8) Mathematica Policy Research Sampling Unit Codes. . . . . . . . . . 27 A-9) Medicare Prevailing Charges Locality Codes . . . . . . . . . . . . 29 A-10) Veterans Administration Codes. . . . . . . . . . . . . . . . . . . 32 A-11) Contiguous Counties. . . . . . . . . . . . . . . . . . . . . . . . 32 A-12) Health Care Service Area Codes . . . . . . . . . . . . . . . . . . 34 A-13) Area Health Education Center (AHEC) Code and Name. . . . . . . . . 34 B. HEALTH PROFESSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 B-1) Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 B-2) Dentists and Dental Hygienists . . . . . . . . . . . . . . . . . . 43 B-3) Optometrists . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 B-4) Pharmacists. . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 B-5) Podiatrists. . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 B-6) Veterinarians. . . . . . . . . . . . . . . . . . . . . . . . . . . 49 B-7) Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 B-8) Physician Assistants and Nurse Practitioners . . . . . . . . . . . 52 B-9) Occupational Therapists. . . . . . . . . . . . . . . . . . . . . . 53 B-10) Decennial Census Occupation Data. . . . . . . . . . . . . . . . . . 54 B-11) National Health Service Corps (NHSC) Sites . . . . . . . . . . . . 54 B-12) Critical Shortage Codes. . . . . . . . . . . . . . . . . . . . . . 55 C. HEALTH FACILITIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 C-1) Hospital Type. . . . . . . . . . . . . . . . . . . . . . . . . . . 58 C-2) Hospital Services (or Facilities). . . . . . . . . . . . . . . . . 60 C-3) Hospital Employment. . . . . . . . . . . . . . . . . . . . . . . . 60 C-4) Nursing Homes. . . . . . . . . . . . . . . . . . . . . . . . . . . 62 C-5) Health Maintenance Organizations . . . . . . . . . . . . . . . . . 65 Page 002 D. UTILIZATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 D-1) Utilization Rate . . . . . . . . . . . . . . . . . . . . . . . . . 71 D-2) Inpatient Days . . . . . . . . . . . . . . . . . . . . . . . . . . 71 D-3) Outpatient Visits. . . . . . . . . . . . . . . . . . . . . . . . . 71 D-4) Surgical Operations. . . . . . . . . . . . . . . . . . . . . . . . 71 E. EXPENDITURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 E-1) Hospital Expenditures. . . . . . . . . . . . . . . . . . . . . . . 72 E-2) Medicare Expenditure Data. . . . . . . . . . . . . . . . . . . . . 72 E-3) Medicare Prevailing Charges Data . . . . . . . . . . . . . . . . . 73 F. POPULATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 F-1) Population Counts and Number of Families and Households. . . . . . 76 F-2) Population Percents. . . . . . . . . . . . . . . . . . . . . . . . 81 F-3) Population Estimates . . . . . . . . . . . . . . . . . . . . . . . 82 F-4) Labor Force. . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 F-5) Census Total Incomes . . . . . . . . . . . . . . . . . . . . . . . 85 F-6) Per Capita Incomes . . . . . . . . . . . . . . . . . . . . . . . . 85 F-7) Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 F-8) Persons and Families Below Poverty Level . . . . . . . . . . . . . 90 F-9) Median Family Income . . . . . . . . . . . . . . . . . . . . . . . 91 F-10) Household Income . . . . . . . . . . . . . . . . . . . . . . . . . 92 F-11) Social Security Program Beneficiaries. . . . . . . . . . . . . . . 94 F-12) Supplemental Security Income Program Recipients. . . . . . . . . . 94 F-13) Aid to Families with Dependent Children and General Assistance . . 95 F-14) Crime Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 F-15) 5-Year Infant Mortality Rates. . . . . . . . . . . . . . . . . . . 99 F-16) Infant Mortality Data. . . . . . . . . . . . . . . . . . . . . . . 100 F-17) Mortality Data . . . . . . . . . . . . . . . . . . . . . . . . . . 100 F-18) Cancer Mortality Rate Data . . . . . . . . . . . . . . . . . . . . 102 F-19) Morbidity Data . . . . . . . . . . . . . . . . . . . . . . . . . . 102 F-20) Natality Data. . . . . . . . . . . . . . . . . . . . . . . . . . . 102 F-21) Births in Hospitals. . . . . . . . . . . . . . . . . . . . . . . . 103 F-22) Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 F-23) Census Housing Data. . . . . . . . . . . . . . . . . . . . . . . . 104 F-24) Veteran Population . . . . . . . . . . . . . . . . . . . . . . . . 107 F-25) Retail Trade . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 F-26) Family Income. . . . . . . . . . . . . . . . . . . . . . . . . . . 107 G. ENVIRONMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 G-1) Land Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 G-2) Population Centroid. . . . . . . . . . . . . . . . . . . . . . . . 108 G-3) Climatic Data. . . . . . . . . . . . . . . . . . . . . . . . . . . 108 G-4) Population Per Square Mile . . . . . . . . . . . . . . . . . . . . 109 G-5) Water Hardness Index . . . . . . . . . . . . . . . . . . . . . . . 109 G-6) Farm Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Page 003 II. TECHNICAL INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . 112 A) Tape Specifications. . . . . . . . . . . . . . . . . . . . . . . . 112 B) Missing Values on the ARF. . . . . . . . . . . . . . . . . . . . . 112 C) Flags Contained on the ARF . . . . . . . . . . . . . . . . . . . . 112 D) Criteria for Data Inclusion on the ARF . . . . . . . . . . . . . . 113 III. DOCUMENTATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 A) Technical Documentation of ARF . . . . . . . . . . . . . . . . . . 114 B) COBOL and PL/1 Layouts of ARF. . . . . . . . . . . . . . . . . . . 114 Page 004 I. DATA ELEMENT DESCRIPTIONS AND REFERENCES A. CODES AND CLASSIFICATIONS A-1) Header for ARF The 45-character header for ARF was placed at the beginning of each record to enhance the use of the county file. The header includes the State and County Code, Date of the File, Date of Creation, and File Length. The file length equals the length of the file without the 45-byte header. Therefore the actual record length is the file length plus 45 bytes. A-2) State and County Codes FIPS State Code: This code was established by National Bureau of Standards, U.S. Department of Commerce in 1968. It is standard throughout the Federal government and published in "Federal Information Processing Standards Publication June 15, 1970". The basic structure is a sequential ascending two digit number, with spaces for all possible new states. The following table lists the FIPS State Code, the two-character State Name Abbreviation used on ARF and the State Name: FIPS CODE ABBREVIATION STATE + _________ ____________ _____ 01 AL Alabama 02 AK Alaska 04 AZ Arizona 05 AR Arkansas 06 CA California 08 CO Colorado 09 CT Connecticut 10 DE Delaware 11 DC District of Columbia 12 FL Florida 13 GA Georgia 15 HI Hawaii 16 ID Idaho 17 IL Illinois 18 IN Indiana 19 IA Iowa 20 KS Kansas Page 005 FIPS CODE ABBREVIATION STATE + _________ ____________ _____ 21 KY Kentucky 22 LA Louisiana 23 ME Maine 24 MD Maryland 25 MA Massachusetts 26 MI Michigan 27 MN Minnesota 28 MS Mississippi 29 MO Missouri 30 MT Montana 31 NE Nebraska 32 NV Nevada 33 NH New Hampshire 34 NJ New Jersey 35 NM New Mexico 36 NY New York 37 NC North Carolina 38 ND North Dakota 39 OH Ohio 40 OK Oklahoma 41 OR Oregon 42 PA Pennsylvania 44 RI Rhode Island 45 SC South Carolina 46 SD South Dakota 47 TN Tennessee 48 TX Texas 49 UT Utah 50 VT Vermont 51 VA Virginia 53 WA Washington 54 WV West Virginia 55 WI Wisconsin 56 WY Wyoming GSA 1967 State and County Codes: This code preceded FIPS. Like FIPS, the basic structure of the GSA State Codes is a sequential ascending two-digit number; however, no spaces are included for additions. Alaska and Hawaii are listed as States 50 and 51 rather than in alphabetical order. The GSA - 1967 State Codes are on the file for indexing only. **NOTE: The GSA County Codes are not available for Virginia independent cities. Refer to A-2. Page 006 AHA State Code: This two-digit code was established by the American Hospital Association. The first digit identifies the region of the country (as defined by AHA), and the second digit identifies the state within the region. Modified FIPS County Codes: The FIPS County Codes were established by National Bureau of Standards, U.S. Department of Commerce in 1968, and are published in "Federal Information Processing Standards Publication - Counties and County Equivalents of the United States and the District of Columbia". The current version of this publication is No. 6-4 dated August 31, 1990. The basic structure of the codes is sequential, ascending, three-digit odd numbers. The County Codes used in the Area Resource File are those published in FIPS except as noted below: 1) The County Code of 001 has been entered for Alaska, since it is expected that in analysis, the state will always be handled in its entirety. 2) Most independent cities have been included in their original counties because much of the data on the file is only available for counties and can not be separated into county and independent city segments. The following are carried as independent cities but have been recoded in the ARF modified FIPS as noted: ARF MODIFIED COUNTY STATE FIPS FIPS Baltimore City Maryland 007 510 St. Louis City Missouri 191 510 Carson City Nevada 025 510 The following cities have been combined into their original counties. Therefore on the ARF, all the data for the city is included in the original county (e.g., the independent city of Bristol, Va, is added into Washington county.) ARF ORIGINAL MODIFIED CITY STATE COUNTIES FIPS FIPS Kalawao County Hawaii Maui 009 005 Bedford Virginia Bedford 019 515 Bristol Virginia Washington 191 520 Buena Vista Virginia Rockbridge 163 530 Charlottesville Virginia Albemarle 003 540 Clifton Forge Virginia Alleghany 005 560 Colonial Heights Virginia Chesterfield 041 570 Page 007 Covington Virginia Alleghany 005 580 Danville Virginia Pittsylvania 143 590 Emporia Virginia Greensville 081 595 Fairfax Virginia Fairfax 059 600 Falls Church Virginia Fairfax 059 610 Franklin Virginia Southampton 175 620 Fredericksburg Virginia Spotsylvania 177 630 Galax Virginia Grayson 077 640 Harrisonburg Virginia Rockingham 165 660 Hopewell Virginia Prince George 149 670 Lexington Virginia Rockbridge 163 678 Lynchburg Virginia Campbell 031 680 Manassas Virginia Prince William 153 683 Manassas Park Virginia Prince William 153 685 Martinsville Virginia Henry 089 690 Norfolk Virginia Norfolk 129* 710 Norton Virginia Wise 195 720 Petersburg Virginia Dinwiddie 053 730 Poquoson Virginia York 199 735 Portsmouth Virginia Norfolk 129* 740 Radford Virginia Montgomery 121 750 Richmond Virginia Henrico 087 760 Roanoke Virginia Roanoke 161 770 Salem Virginia Roanoke 161 775 South Boston Virginia Halifax 083 780 Staunton Virginia Augusta 015 790 Suffolk Virginia Suffolk City 123** 800 Waynesboro Virginia Augusta 015 820 Williamsburg Virginia James City 095 830 Winchester Virginia Frederick 069 840 **NOTE: *FIPS does not have a code for Norfolk since it is no longer a county. The ARF designation of Norfolk County (ARF Mod FIPS Code 51129) includes the independent cities of Norfolk and Portsmouth, Virginia. **Nansemond county was revised to Nansemond city December 15, 1973. Nansemond city became a part of the city of Suffolk December 15, 1979. Suffolk independent city is recoded into 51123 on the ARF. As of November 1984, the following Virginia independent cities are treated as county equivalents, and as such, are maintained as separate entities on ARF: CITY (NEW MOD FIPS CODE) FORMER COUNTY ALLOCATION (OLD MOD FIPS CODE) Alexandria (51510) Arlington (51013) Chesapeake (51550) Norfolk (51129) Hampton (51650) Hampton/Newport News City (51084) Newport News (51700) Hampton/Newport News City (51084) Virginia Beach (51810) Norfolk (51129) Page 008 To the extent possible, historical data on ARF at the time of the change have been modified to separate data for these independent cities from data for their former counties. Where independent city data could not be broken out from county data, this fact has been noted in the sections of this User Documentation which describe the individual data elements and/or sources. Where this has occurred, the data are reported on ARF in the original county (or for Hampton/Newport News Cities, in Newport News-51650) and the city is zero-filled. FIPS Publication Change Notices put out by the U.S. Department of Commerce, National Technical Information Service state: 1) In January 1983, LaPaz County, Arizona (04012) was formed from the northern portion of Yuma County, Arizona (04027, which still exists with reduced boundaries). As of February 1995, LaPaz County and Yuma County are carried as separate records on the ARF. The new LaPaz County (04012) record should be combined with Yuma County (04027) when comparing data with historic files for consistency. 2) In June 1981, Cibola County, New Mexico (35006) was formed from portions of Valencia County, New Mexico (35061, which still exists with reduced boundaries). As of February 1995, Cibola County and Valencia County are carried as separate records on the ARF. The new Cibola County (35006) record should be combined with Valencia County (35061) when comparing data with historic files for consistency. 3) In September 1979, Ste. Genevieve, Missouri (29193) was renumbered so that the county falls in alphabetical order. The FIPS State and County Code is now 29186. 4) In September 1979, Washabaugh County, South Dakota (46131) merged with Jackson County, South Dakota (46071). The merged entity retains the name of Jackson and the code of 46071. On ARF, historical data for Washabaugh County have been combined with Jackson County. 5) Yellowstone National Park (Part), Wyoming (56047) was dropped as an entity. The county was dropped from ARF, and all non-zero fields were weighted by population and split between Park County, Wyoming (56029), and Teton County, Wyoming (56039). 6) In June 1970, Ormsby County was incorporated as the independent city of Carson City, Nevada. Carson City is recoded to 32025 on the ARF. Page 009 A-3) MSA, PMSA and CMSA Codes, Names and Levels; SMSA Code and Name; Rural/Urban Continuum Code; Typology Code; AMA County Group Code; and Census County Group Code. MSA, PMSA and CMSA Codes, Names and Levels: The Metropolitan Areas (MAs) were announced by the Office of Management and Budget in OMB Bulletin No. 94-07 to be effective July 5, 1994. They are a revision of the MA standards published on March 30, 1990 and the demographic data drawn from the 1990 Decennial Census. The previous term "Standard Metropolitan Statistical Area" (SMSA) was changed to describe two metropolitan areas, Metropolitan Statistical Area (MSA) and Primary Metropolitan Statistical Area (PMSA). An area is defined as an MSA if there is a city with a population of at least 50,000 or if there is an urbanized area of at least 50,000 population with a total metropolitan population of at least 100,000. In addition to the county containing the central city, an MSA may include additional counties having close economic/social ties to the central county. MSA's comprise entire counties, except for the six New England states, where towns/cities are the units of definition because of the lack of county governments. Except for this base unit, the same criteria are applied to define MSA's in New England as in the rest of the country. If an area has more than one million population and meets other requirements specified in the Metropolitan Area standards published in the Federal Register (55 FR 12154-12160, + ________________ March 30, 1990), it is termed a Consolidated Metropolitan Area (CMSA), consisting of two or more major components recognized as Primary Metropolitan Statistical Areas (PMSA's). On the ARF, the fields for MSA code and PMSA code were combined into one field, MSA/PMSA Codes, as were MSA names and PMSA names combined to form MSA/PMSA Names. The MSA/PMSA and CMSA NAMES have been abbreviated so as not to exceed 35 characters. The Alaska MSA/PMSA is coded as 0380. However, only Anchorage, Alaska is actually contained in the MSA/PMSA. In New England, MSA/PMSA's are defined with the town instead of the county as primary unit. In order to use county figures for New England in the same manner as other parts of the country with respect to MSA/PMSA's, ARF has used the New England Metropolitan State Economic Areas or population of the towns to resolve problems of MSA/PMSA's with partial counties or counties which cross MSA/PMSA's. With this resolution, several MSA/PMSA's have been redefined and several are not present on ARF as follows: 1120 Boston, MA-NH PMSA + ____________________________________________________________________ Bristol County, MA (25005) - Included in MSA/PMSA 6480 on the ARF Essex County, MA (25009) Middlesex County, MA (25017) Norfolk County, MA (25021) Plymouth County, MA (25023) Suffolk County, MA (25025) Worcester County, MA (25027) - Included in MSA/PMSA 9240 on the ARF Rockingham County, NH (33015) Page 010 1160 Bridgeport, CT PMSA + ____________________________________________________________________ Fairfield County (09001) New Haven County (09009) - Included in MSA/PMSA 5480 on the ARF 1200 Brockton, MA PMSA (Not Present on the ARF) + ____________________________________________________________________ Bristol County (25005) -Included in MSA/PMSA 6480 on the ARF Norfolk County (25021) -Included in MSA/PMSA 1120 on the ARF Plymouth County (25023) -Included in MSA/PMSA 1120 on the ARF 1930 Danbury, CT PMSA (Not Present on the ARF) + ____________________________________________________________________ Fairfield County (09001) - Included in MSA/PMSA 1160 on the ARF Litchfield County (09005) - Included in MSA/PMSA 3280 on the ARF 2600 Fitchburg-Leominster, MA PMSA (Not Present on the ARF) + ____________________________________________________________________ Middlesex County (25017) - Included in MSA/PMSA 1120 on the ARF Worcester County (25027) - Included in MSA/PMSA 9240 on the ARF 3280 Hartford, CT MSA + ____________________________________________________________________ Hartford County (09003) Litchfield County (09005) Middlesex County (09007) New London County (09011) - Included in MSA/PMSA 5520 on the ARF Tolland County (09013) Windham County (09015) 4160 Lawrence, MA-NH PMSA (Not Present on the ARF) + ____________________________________________________________________ Essex County, MA (25009) - Included in MSA/PMSA 1120 on the ARF Rockingham County, NH (33015) - Included in MSA/PMSA 1120 on the ARF 4560 Lowell, MA-NH PMSA (Not Present on the ARF) + ____________________________________________________________________ Middlesex County, MA (25017) - Included in MSA/PMSA 1120 on the ARF Hillsborough County, NH (33011) - Included in MSA/PMSA 5350 on the ARF 4760 Manchester, NH PMSA + ____________________________________________________________________ Hillsborough County (33011) - Included in MSA/PMSA 5350 on the ARF Merrimack County (33013) Rockingham County (33015) - Included in MSA/PMSA 1120 on the ARF 5400 New Bedford, MA PMSA (Not Present on the ARF) + ____________________________________________________________________ Bristol County (25005) - Included in MSA/PMSA 6480 on the ARF Plymouth County (25023) - Included in MSA/PMSA 1120 on the ARF Page 011 5480 New Haven-Meriden, CT PMSA + ____________________________________________________________________ Middlesex County (09007) - Included in MSA/PMSA 3280 on the ARF New Haven County (09009) 5520 New London-Norwich, CT-RI MSA + ____________________________________________________________________ Middlesex County, CT (09007) - Included in MSA/PMSA 3280 on the ARF New London County, CT (09011) Windham County, CT (09015) - Included in MSA/PMSA 3280 on the ARF Washington County, RI (44009) - Included in MSA/PMSA 6480 on the ARF 6400 Portland, ME MSA + ____________________________________________________________________ Cumberland County (23005) York County (23031) - Included in MSA/PMSA 6450 on the ARF 6450 Portsmouth-Rochester, NH-ME PMSA + ____________________________________________________________________ Rockingham County, NH (33015) - Included in MSA/PMSA 1120 on the ARF Strafford County, NH (33017) York County, ME (23031) 8040 Stamford-Norwalk, CT PMSA (Not Present on the ARF) + ____________________________________________________________________ Fairfield County (09001) - Included in MSA/PMSA 1160 on the ARF 8880 Waterbury, CT PMSA (Not Present on the ARF) + ____________________________________________________________________ Litchfield County (09005) - Included in MSA/PMSA 3280 on the ARF New Haven County (09009) - Included in MSA/PMSA 5480 on the ARF 9240 Worcester, MA-CT PMSA + ____________________________________________________________________ Hampden County, MA (25013) - Included in MSA/PMSA 8000 on the ARF Worcester County, MA (25027) Windham County, CT (09015) - Included in MSA/PMSA 3280 on the ARF MSA's and PMSA's are categorized by their 1990 population as follows: 1 = Level A = Areas of 1 million or more 2 = Level B = Areas of 250,000 to 999,999 3 = Level C = Areas of 100,000 to 249,999 4 = Level D = Areas of less than 100,000 Page 012 SMSA Code and Name: This code, established by the National Bureau of Standards, U.S. Department of Commerce, was first issued in 1949 as Standard Metropolitan Areas. The Standard Metro- politan Statistical Area (SMSA) codes were posted from the Federal Information Processing Standards (FIPS) Publication 8-4, June 30, 1974, prepared by the U.S. Department of Commerce, National Bureau of Standards with the exception of the SMSA's as follows: 1) In New England, SMSA's are defined with the town instead of the county as the primary unit. In order to use county figures for New England in the same manner as other parts of the country with respect to SMSA's, ARF has used the New England Metropolitan State Economic Areas instead of SMSA's. Definitions of and codes for these areas follow: 0002 - Lewiston-Auburn, ME + ________________________________________ Androscoggin County (23001) 0004 - New London-Groton-Norwich, CT + ________________________________________ New London County (09011) 1120 - Boston, MA + ________________________________________ Essex County (25009) Middlesex County (25017) Norfolk County (25021) Suffolk County (25025) 1160 - Bridgeport, CT + ________________________________________ Fairfield County (09001) 1200 - Brockton, MA + ________________________________________ Plymouth County (25023) 2480 - Fall River-New Bedford, MA + ________________________________________ Bristol County (25005) 3280 - Hartford, CT + ________________________________________ Hartford County (09003) 4760 - Manchester, NH + ________________________________________ Hillsborough County (33011) Page 013 5480 - New Haven-West Haven, CT + ________________________________________ New Haven County (09009) 6320 - Pittsfield, MA + ________________________________________ Berkshire County (25003) 6400 - Portland, ME + ________________________________________ Cumberland County (23005) 6480 - Providence-Warwick-Pawtucket, RI-MA + ________________________________________ Bristol County (44001) Kent County (44003) Providence County (44007) 8000 - Springfield-Chicopee-Holyoke, MA-CT + ________________________________________ Hampden County (25013) Hampshire County (25015) 9240 - Worcester, MA + ________________________________________ Worcester County (25027) 2) Georgia SMSA with exception is: 1800 - Columbus, GA-AL + ________________________________________ Muscogee County (13215) still included because it contains Columbus, GA. 3) Virginia SMSA with exception is: 6140 - Petersburg-Colonial Heights-Hopewell, VA + ________________________________________ Colonial Heights City (51570) excluded; it is part of Chesterfield County (51041), which is in another SMSA. The updated 1975 SMSA Codes are from the Office of Management and Budget (OMB) Revised Circular A-46. The 1979 SMSA Codes are from the Federal Information Processing Standards (FIPS) Publication 8-4, June 30, 1974 and from Change Notices 6, 7 and 8, dated December 11, 1978, May 4, 1979 and November 23, 1979 respectively. The updates include new designations, redefinitions and changes of titles. The 1980 SMSA Codes and Names are from the Federal Information Processing Standards (FIPS) Publication 8-4, June 30, 1974 Change Notice 9, dated August 1, 1981. The SMSA Names have been abbreviated so as not to exceed 35 characters. Page 014 Rural/Urban Continuum Code: The 1995 Rural/Urban Continuum Codes are from "Rural-Urban Continuum Codes for Metro and Nonmetro Counties", Department of Agriculture. The codes form a classification scheme that distinguishes metropolitan counties by size and nonmetropolitan counties by degree of urbanization or proximity to metropolitan areas. All U.S. counties and county equivalents are grouped according to the official metropolitan status announced by the Office of Management and Budget in June 1993, when the current population and commuting criteria were first applied to results of the 1990 Census of Population. The 1995 codes are a revised version of the 1993 Rural/Urban Continuum Codes. CODE METROPOLITAN COUNTIES (0-3) 00 Central counties of metropolitan areas of 1 million population or more 01 Fringe counties of metropolitan areas of 1 million population or more 02 Counties in metropolitan areas of 250,000 - 1,000,000 population 03 Counties in metropolitan areas of less than 250,000 population NONMETROPOLITAN COUNTIES (4-9) 04 Urban population of 20,000 or more, adjacent to a metropolitan area 05 Urban population of 20,000 or more, not adjacent to a metropolitan area 06 Urban population of 2,500-19,999, adjacent to a metropolitan area 07 Urban population of 2,500-19,999, not adjacent to a metropolitan area 08 Completely rural (no places with a population of 2,500 or more) adjacent to a metropolitan area 09 Completely rural (no places with a population of 2,500 or more) not adjacent to a metropolitan area 99 Missing Value **NOTE: 1) Adjacent = Counties physically adjacent to one or more MSA's and having at least 2 percent of the employed labor force in the nonmetropolitan county commuting to central metropolitan counties. 2) Data for Alaska were reported by boroughs and census areas in the source data. Alaska is carried as one total area (02001) on the ARF, therefore it was given a missing value code (99). 3) Data for Yellowstone Park County, Montana (30113) were combined with Park County, Montana (30067) on the source data. Therefore, they have the same code on the ARF reflecting the combined characteristics of Yellowstone Park - Park. 4) The rural/urban code for Virginia counties which include independent cities are based on the characteristics of the county plus each city (or cities) combined with that county. The combinations made on the source data are consistent with the ARF except as noted below: - The code for Carroll County, Virginia (51035) includes characteristics from the Virginia city of Galax which is normally included in Grayson County (51077). - Arlington County, Virginia (51013) and Alexandria City (51510) have the same code reflecting the combined characteristics of Arlington - Alexandria. Page 015 - Chesapeake City, Virginia (51550) and Norfolk/Portsmouth cities (51129) have the same code reflecting the combined characteristics of Chesapeake - Norfolk - Portsmouth. - York County, Virginia (51199-which also includes Poquoson), Hampton City (51650) and Newport News City (51700) have the same code reflecting the combined characteristics of York-Poquoson-Hampton-Newport News. 5) Data for Menominee County, Wisconsin (55078) were combined with Shawano County, Wisconsin (55115) on the source data. Therefore, they have the same code on the ARF reflecting the combined characteristics of Menominee-Shawano. County Typology Code: The 1989 County Typology Codes are from Economic Research Service (ERS), Department of Agriculture. The 1989 classification system is based on counties designated as nonmetropolitan in 1993 (based on population and commuting data from the 1990 Census). The typology includes six mutually exclusive economic types: five types (farming, mining, manufacturing, government and services) reflect dependence on particular economic specializations; a sixth type, termed nonspecialized, contains those counties not classified as having any of the five economic specializations. The classification scheme also identifies five overlapping rural policy- relevant types: retirement-destination, Federal lands, persistent poverty, commuting and transfers-dependent. CODE DESCRIPTION Farming-dependent, 1989 00 Nonmetro other county 01 Nonmetro farming county 08 Metro county 99 Missing value Mining-dependent, 1989 00 Nonmetro other county 01 Nonmetro mining county 08 Metro county 99 Missing value Manufacturing-dependent, 1989 00 Nonmetro other county 01 Nonmetro manufacturing county 08 Metro county 99 Missing value Government-dependent, 1989 00 Nonmetro other county 01 Nonmetro government county 08 Metro county 99 Missing value Page 016 Services-dependent, 1989 00 Nonmetro other county 01 Nonmetro Services county 08 Metro county 99 Missing value Nonspecialized, 1989 00 Nonmetro other county 01 Nonmetro nonspecialized county 08 Metro county 99 Missing value Retirement Destination, 1990 00 Nonmetro other county 01 Nonmetro retirement county 08 Metro county 99 Missing value Federal Lands, 1987 00 Nonmetro other county 01 Nonmetro Federal lands county 08 Metro county 99 Missing value Commuting, 1990 00 Nonmetro other county 01 Nonmetro commuting county 08 Metro county 99 Missing value Persistent Poverty, 1990 00 Nonmetro other county 01 Nonmetro poverty county 08 Metro county 99 Missing value Transfers-dependent, 1989 00 Nonmetro other county 01 Nonmetro transfers county 08 Metro county 99 Missing value DEFINITIONS Economic types: Farming-dependent: Farming contributed a weighted annual average of 20 percent or more of total labor and proprietor income over the 3 years from 1987 to 1989. Mining-dependent: Mining contributed a weighted annual average of 15 percent or more of total labor and proprietor income over the 3 years from 1987 to 1989. Page 017 Manufacturing-dependent: Manufacturing contributed a weighted annual average of 30 percent or more of total labor and proprietor income over the 3 years from 1987 to 1989. Government-dependent: Government activities contributed a weighted annual average of 25 percent or more of total labor and proprietor income over the 3 years from 1987 to 1989. Services-dependent: Service activities (private and personal services, agricultural services, wholesale and retail trade, finance and insurance, transportation and public utilities) contributed a weighted annual average of 50 percent or more of total labor and proprietor income over the 3 years from 1987 to 1989. Nonspecialized: Counties not classified as a specialized economic type over the 3 years from 1987 to 1989. Policy types: Retirement-destination: The population aged 60 years and over in 1990 increased by 15 percent or more during 1980-90 through inmovement of people. Federal lands: Federally owned lands made up 30 percent or more of a county's land area in the year 1987. Commuting: Workers aged 16 years and over commuting to jobs outside their county of residence were 40 percent or more of all the county's workers in 1990. Persistent poverty: Persons with poverty-level income in the preceding year were 20 percent or more of total population in each of 4 years: 1960, 1970, 1980, 1990. Transfers-dependent: Income from transfer payments (Federal, State, and local) contributed a weighted annual average of 25 percent or more of total personal income over the 3 years from 1987 to 1989. **NOTE: 1) Labor and proprietor income data are revised estimates released by the Bureau of Economic Analysis in 1990. 2) Data for Alaska were reported by boroughs and census areas in the source data. Alaska is carried as one total area (02001) on the ARF, therefore it was given a missing value code (99). 3) Data for Yellowstone Park County, Montana (30113) were combined with Park County, Montana (30067) on the source data. Therefore, they have the same code on the ARF reflecting the combined characteristics of Yellowstone Park - Park. 4) The typology codes for Virginia counties which include independent cities are based on the characteristics of the county plus each city (or cities) combined with that county. The combinations made on the source data are consistent with the ARF except as noted below: - The code for Carroll County, Virginia (51035) includes characteristics from the Virginia city of Galax which is normally included in Grayson County (51077). Page 018 - Arlington County, Virginia (51013) and Alexandria City (51510) have the same code reflecting the combined characteristics of Arlington - Alexandria. - Chesapeake City, Virginia (51550) and Norfolk/Portsmouth Cities (51129) have the same code reflecting the combined characteristics of Chesapeake - Norfolk - Portsmouth. - York County, Virginia (51199-which also includes Poquoson), Hampton City (51650) and Newport News City (51700) have the same code reflecting the combined characteristics of York-Poquoson-Hampton-Newport News. 5) Data for Menominee County, Wisconsin (55078) were combined with Shawano County, Wisconsin (55115) on the source data. Therefore, they have the same code on the ARF reflecting the combined characteristics of Menominee-Shawano. AMA County Group Code: The 1978 codes were obtained from "Physician Distribution and Medical Licensure in the U.S., 1978", Center for Health Services Rese