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This study examines the reasons behind student absenteeism in rural contexts using statewide administrative data from West Virginia (2017–2024). While absenteeism has surged nationwide, little is known about its underlying causes—especially in rural areas. We analyze over 20 coded absence reasons to compare patterns before and after COVID-19 and across rural and urban locales. Findings suggest that rural students face distinct barriers, including long travel distances, limited healthcare access, environmental obstacles, and isolated poverty. We also find that current absence categorization systems are either too granular or too broad, underscoring the need for a refined framework. These insights can help policymakers design targeted interventions that account for local context, improving both attendance outcomes and policy relevance.