COVID-19 Growth in Rural versus Urban Counties with Major Universities at the Start of the 2020 Academic Year

Penuliar, M. S.; Clark, C.; Curti, D.; Hudson, C.; Philips, B.

Universities play a central role in a rural or small town's economy. They are often the main forms of enrichment to the lives of the longtime residents, the students, and the employees. Unfortunately, during a global pandemic, the migration and movement of young people in these communities can likely cause a rapid infection spike and drive spread easily, especially relative to larger urban areas. The current study investigates the relationship between COVID-19 case growth, university-county rurality, and time at the beginning of the Fall 2020 academic semester. Findings showed that small metro and non-metro counties with universities had a dramatic infection spike near the beginning of the semester and infection growth remained significantly higher than their large and medium metro counterparts for the duration of the study. Suggestions to slow the spread in rural communities are discussed.