How does All of Us assess diversity? What communities does All of Us consider “underrepresented in biomedical research” (UBR)?

All of Us is committed to engaging a cohort that is demographically, geographically, and medically diverse.

Specifically, these are the populations the program considers underrepresented in biomedical research:

  • Ancestry:
    • Race: People who select a single race other than White (e.g., Asian), or who select more than one race
    • Ethnicity: People who select an ethnicity other than those listed under the race of White (e.g., Japanese)
  • Age: People who are 65 years of age or older at the time of primary consent
  • Sexual and gender minorities:
    • Sex assigned at birth: People who select intersex as their sex at birth
    • Sexual orientation: People who select any sexual orientation choice other than straight (e.g., gay, lesbian, bisexual, queer, asexual, etc.)
    • Gender identity: People who select any gender identity choice other than man or woman (e.g., non-binary, transgender, genderfluid, questioning, etc.) or whose gender identity is different from their sex assigned at birth
  • Income: People with an annual household income at or below 200% of the Federal Poverty Level (FPL) based on residency (defined as the 48 contiguous states, Alaska, or Hawaii)* and household size
    • *For participants not residing in the 48 contiguous states, Alaska, or Hawaii, the FPL for the contiguous 48 will be used
  • Educational attainment: People without a high school diploma or GED
  • Geography: Residents of established rural and non-metropolitan ZIP codes, based on the HRSA Federal Office of Rural Health Policy data files
  • Disability: People with a physical, functional, cognitive, or other condition that substantially limits one or more life activities
  • Health care access and utilization: People with inadequate access to health care, such as lacking health insurance, having no source of primary care, or being unable to obtain needed medical care within the past 12 months due to barriers