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This percentile indicates where our region ranks nationally in terms of adults in our region who rate their health as poor or fair. It is an indicator of the level of disability or chronic disease in our region. It can also indicate unhealthy lifestyle habits. Beyond the obvious, poor health can also contribute to reduced income and a vicious cycle called the health-poverty trap—a self-reinforcing cycle of poverty. There are countless other chain reactions caused by “Poor or Fair Health” affecting a very broad range of quality-of-life factors in our region.