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Refers to the [geographical] region of Cincinnati, OH. Mainly used in a derogatory way by Clevelanders in Metro-Cleveland because Cincinnati is so [conservative] and because Cincinati folk have southern twangs instead of a Cleveland accent. The image of a [Southern redneck] is very much associated with Cincinati and Kentucky. Close proximity to Kentucky, traits of a Southern accent, thoughts of hilbillies, and strong Republican support in Cincinnati makes it a joke to liberal leaning, Cleveland Accent talkin Northerners.
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