Dummies...
West Virginians are different. Overstated stoicism is the best way I can describe it. Maybe Frank, who has a much better way with words than I do, can come up with a better term.
For instance... if you ask a guy how he is doing he will say "Can't complain, nobody would listen anyway.". Now on the face of it, sounds like he is miserable. The truth is he could be having a great day, a terrible day, could be dying of cancer and anything in between and he will tell you the same thing. Now that is what he is going to tell his friends.
What do you think he is going to tell some fool on the phone that has an agenda? That excludes the people like my dad who will mess with pollsters.
West Virginians are, for the most part, the happiest people in the country. That is why they always, no matter where they are, always come back home sooner or later. That is a fact. And wherever they are they always follow the news in WV.
Can't speak for the other states in the bottom 5. I'm thinking it is pretty much the same.