This paper examines the long-term care (LTC) arrangements selected by rural older people, identifies the characteristics associated with their selections, and compares patterns of selection and related factors with those of elderly urban residents. The research is based upon 1,240 cases selected from a larger statewide area probability sample of noninstitutionalized persons at least 60 years old. Results, based upon tabular and logistic regression analysis, suggest that older rural residents are more likely than their urban counterparts to select LTC arrangements that involve both formal and informal forms of care as well as arrangements that are more likely to facilitate remaining at their current residences. Furthermore, there appear to be rural-urban differences in the major factors that explain selection of specific LTC arrangements. Implications for future research and for long-term care policy are discussed.

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