I drove thru Pike County 10-12 yrs ago.....it was a fucking joke.
All the kids were "cruising" back and forth in front of a Kmart. That's all there was to do in Pikeville.
I walked into an Arby's nearby, and they were selling t-shirts saying "I cruise the plaza"
If you pull up Census data on average income and educational achievement, the southeastern quadrant of Kentucky is one of the bleakest places in the country. People living in corrugated tin roofed homes, and selling used hubcaps on the side of the road.