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I would describe Appalachian culture as a passionate group of people, people who love their families and those that they claim as family, which may or may not be blood-related. I would describe them as very self-reliant.
I think you really hit it with that, especially because she’s [Lula Mae] clearly the matriarch in that situation. How many family units do we see in Athens County and surrounding counties that are based on that matriarch, and that’s huge. I think that’s a really positive thing.
JMIR Med Educ 2022;8(2):e32657
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