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Adjective. Used as a pejorative to describe a place or thing (as well as infrequently used to describe a person or persons) as being overtly white trash/hillbilly/redneck/Appalachian. It also thereby implies these places have qualities that are ascribed to the aforementioned adjectives, such as racist/white supremacist, incestuous, impoverished, poorly educated, politically right-wing, and fundamentalist Christian. It is a secondary adjective for the respective word which is ordinarily used to describe a particular sound attributed to music such as bluegrass, specifically referencing the desired sound of the string instruments such as a banjo.
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