It is well-documented that education has a direct correlation with health outcomes including morbidity, and mortality. Of those responding, nearly 39% in all four counties have some form of higher education from Trade/Vocational school to Doctorate and Professional Degrees. More than half of all residents have completed high school representing 52.6% of respondents, and nearly 20% graduated high school and have had some college. Those without a complete high-school education represent 8.4% across all four counties. Of those completing higher education, 67% are using their degree or trade within their employment, whereas 33% are not.