Kentucky's 5th congressional district is a congressional district in the U.S. state of Kentucky. Located in the heart of Appalachia in Southeastern Kentucky, the rural district is the second most impoverished district in the nation and, as of the 2010 U.S. Census, has the highest percentage of White Americans in the nation. Within the district are the economic leading cities of Pikeville, Prestonsburg, Middlesboro, Hazard, Jackson, Morehead, London, and Somerset. It is the most rural district in the United States, with 76.49% of its population in rural areas. It has been represented by Republican Hal Rogers since 1981.