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As of the most recent data release, nearly 3 out of every 4 adults aged 16-65 living in Kentucky's Appalachian counties read at or below an 8th Grade level. In addition to reading proficiency issues, nearly 4 out of every 5 adults struggle with basic math. Kentucky's Appalachian counties tend to have significantly higher incidence and prevalence rates of both infectious and non-infectious diseases and health behaviors, and face substantial barriers to health and learning.

As of the most recent data release, more than 3 out of every 5 adults aged 16-65 living in Georgia's Appalachian counties read at or below an 8th Grade level. In addition to reading proficiency issues, nearly 3 out of every 4 adults struggle with basic math. Georgia's Appalachian counties tend to have significantly higher incidence and prevalence rates of both infectious and non-infectious diseases and health behaviors, and face substantial barriers to health and learning.

Nearly 2 out of every 3 adults living in Alabama's Appalachian counties read at or below an 8th Grade level