Die Cincinnati Middletown Metropolitan Statistical Area (MSA) umfasst Hamilton, Butler, Warren, Clermont und Brown als Counties von Ohio, von Kentucky werden Boone, Bracken, Campbell, Gallatin, Grant, Kenton und Pendleton dazugezählt, Indiana steuert Dearborn, Franklin und Ohio zu der über zwei Millionen Einwohner zählenden Region bei. Cincinnati selbst gliedert sich in knapp sechzig Neighborhoods. Diese entwickelten oft sehr starke eigenständige Charaktere.
District One: Downtown, Mt. Adams, West End, Over-the-Rhine (stark deutsch geprägt), Pendleton, Queensgate, Mulberry
District Two: Evanston, East Walnut Hills, O’Bryanville, Oakley, Hyde Park, Mt. Lookout, Kennedy Heights, Pleasant Ridge, Madisonville, East End, Linwood, Mt. Washington, California, Columbia-Tusculum
District Three: Sayler Park, Riverside, West Price Hill, Millvale, English Woods, East Price Hill, West Price Hill, Westwood, South Cumminsville, Faye Apartments, East Westwood, Sedamsville, Lower Price Hill, North Fairmount, South Fairmount
District Four: Corryville, Carthage, Hartwell, Walnut Hills, Paddock Hills, North Avondale, Bond Hill, Roselawn, Avondale, Mt. Auburn, Floating
District Five: Winton Place, Northside, Mt. Airy, Winton Terrace, Findlater Gardens, Silver Oak, Clifton mit Clifton's Gaslight District, Camp Washington, College Hill, The Heights (Clifton Heights, University Heights, Fairview)