Referred to locally as the "Tri-State area," and colloquially as "Kyova" (Kentucky, Ohio, and West Virginia), the region spans seven counties in the three states of Kentucky, Ohio, and West Virginia.

[5] With a population of 361,580,[6] the Tri-State area is nestled along the banks of the Ohio River.

18.2% of the population is beneath the poverty line, including 23% of children and 11% of seniors.

In 2008, an Associated Press article designated the Huntington-Ashland metropolitan area as the unhealthiest in America, based on its analysis of data collected in 2006 by the Centers for Disease Control and Prevention.

[9] The following prefixes are used for long-distance phone service dialing to the region within the MSA.