The simple answer is Mostly Southern call it  but with some Midwestern traits  For example Kentuckys hilly topography with many streams and rivers are typical of the South but the United We Stand Divided We Fall motto is totally opposite of most States rights mottos in the South  Economically we area somewhere in between having a better economy and population growth than most Midwestern states but still behind true sunbelt states like Georgia Tennessee or the Carolinas Food and accent wise we are definatly southern  As For LouisvilleI think that the old stock native Louisvillians are  midwestern in accent and attitude but Jeffersons County nearly doubled its population from  with people mostly from south central and western Kentucky which really altered the culture Econmoically Louisville today has less of a heavy industry based economy  city than it use to be but instead has employment concentrated in a few high tech automobile factories and in the service industry making it less Cincinnati and more like Nashville  April