From the Appalachian Regional Commission: "Census Tract 5, in Ashtabula County, Ohio, is designated as a distressed area in fiscal year 2021 because it has a median family income of $45,063 (60.9% of U.S. avg.), a poverty rate of 23.1% (164.3% of U.S. avg.), and is located in an at-risk county. It has a population of 4,406 (Census ACS, 2014-2018)."

I had to look when somebody asked me if I had read Hillbilly Elegy.  Why would I?  I'm living in the sort of world it describes apparently...