This is quite obvious. If you grow up and remain confined to areas of decay, despair, and disinvestment where there is nothing but crushing poverty, illness, and violent crime than that is the only way of life that is normal. It is the same situation in poor, remote, rural areas, a person growing up in the impoverished Appalachians of West Virginia and Eastern Kentucky will only know a life of struggle and despair because the established mentality is that all your ancestors lived on this rugged land and are a permanent part of this rugged land and that you are to be the exact same way. It is the same entrenched mentality in the Ozarks of Missouri and Arkansas and the four corners area of the Southwest. People who grow up in poverty will for the most part only know a life of poverty.