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This research employs social disorganization theory to examine the residential locations of registered sex offenders in rural areas. Data was gathered on 728 non-incarcerated registered sex offenders (RSOs) in the Appalachia region of Eastern Kentucky (41 counties total). Census tract data was used to assess the degree of social disorganization of residential locations of RSOs and to compare census tracts with high concentrations of registered sex offenders to the counties in which RSOs reside, the nation as a whole, and census tracts with low concentrations of RSOs. Results show that although there are significant social disorganization indicators present, there are few relationships between RSO residence and increased levels of social disorganization.