The Huntington–Ashland metropolitan area is a metropolitan area in the Appalachian Plateau region of the United States. Referred to locally as the "Tri-State area," and colloquially as "K****yova" (Kentucky, Ohio, and West Virginia), the region spans seven counties in the three states of Kentucky, Ohio, and West Virginia. With a population of 361,580, the Tri-State area is nestled along the banks of the Ohio River. The region offers a diverse range of outdoor activities.

Counties

Communities

Largest cities (more than 5,000 inhabitants)

Places with 1,000 to 5,000 inhabitants

• Barboursville, West Virginia • Buffalo, West Virginia • Burlington, Ohio (census-designated place) • Catlettsburg, Kentucky • Ceredo, West Virginia • Coal Grove, Ohio • Culloden, West Virginia (census-designated place) • Eleanor, West Virginia • Grayson, Kentucky • Greenup, Kentucky • Hamlin, West Virginia • Kenova, West Virginia • Lavalette, West Virginia • Lesage, West Virginia (census-designated place) • Louisa, Kentucky • Milton, West Virginia • Nitro, West Virginia (partial) • Olive Hill, Kentucky • Raceland, Kentucky • Rush, Kentucky (census-designated place) • Russell, Kentucky • South Point, Ohio • South Shore, Kentucky • Wayne, West Virginia • Westwood, Kentucky (census-designated place) • Worthington, Kentucky • Winfield, West Virginia

Places with fewer than 1,000 inhabitants

Unincorporated places

• Alkol, West Virginia • Armilda, West Virginia • Atenville, West Virginia • Brabant, West Virginia • Branchland, West Virginia • Cannonsburg, Kentucky • Coalton, Kentucky • Confidence, West Virginia • Crum, West Virginia • Culloden, West Virginia • Dollie, West Virginia • Dunlow, West Virginia • East Lynn, West Virginia • Echo, West Virginia • Eden Park, West Virginia • Etna, Ohio • Ferrellsburg, West Virginia • Fourteen, West Virginia • Fraziers Bottom, West Virginia • Fry, West Virginia • Genoa, West Virginia • Gill, West Virginia • Green Shoal, West Virginia • Griffithsville, West Virginia • Hometown, West Virginia • Ironville, Kentucky • Kitts Hill, Ohio • Lanham, West Virginia • Leet, West Virginia • Liberty, West Virginia • Meads, Kentucky • Midway, West Virginia • Midkiff, West Virginia • Ona, West Virginia • Pedro, Ohio • Pleasant View, West Virginia • Pliny, West Virginia • Princess, Kentucky • Ranger, West Virginia • Rector, West Virginia • Raymond City, West Virginia • Red House, West Virginia • Rock Camp, Ohio • Rockdale, Kentucky • Salt Rock, West Virginia • Sod, West Virginia • Scott Depot, West Virginia • Scottown, Ohio • Spurlockville, West Virginia • Sumerco, West Virginia • Summit, Kentucky • Sweetland, West Virginia • Teays, West Virginia • Warren, West Virginia • Waterloo, Ohio • Wewanta, West Virginia • Willow Wood, Ohio • Wilsondale, West Virginia • Yawkey, West Virginia

Townships (Lawrence County, Ohio)

• Aid • Decatur • Elizabeth • Fayette • Hamilton • Lawrence • Mason • Perry • Rome • Symmes • Union • Upper • Washington • Windsor

Demographics

As of 2018, there were 352,823 people and 136,769 households residing within the MSA. The racial makeup of the MSA was 93.9% White, 2.6% African American, 0.1% Native American, 0.5% Asian, 0.1% Pacific Islander, 0.1% from other races, and 1.8% from two or more races. Hispanic or Latino of any race were 1% of the population. The median income for a household in the MSA was $45,535. The per capita income for the MSA was $25,801. 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. Nearly half the adults in this metropolitan area were obese.

Major highways

Area codes

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

Higher education