This report provides information on 12 indicators of child and adolescent health, education, and economic status in West Virginia at the state and county level. It includes a state profile, a minority profile, and 55 county profiles. Each of the indicators is discussed on a state-wide basis. The bulk of the report consists of one-page county profiles, each of which contains a chart showing the percentage increase or decrease in each of the 12 indicators from 1980 to 1991, actual rates in each period, state rate, and county rank. Tables outlining county demographic and family income data are also presented. The report documents several alarming trends. First, nearly 30 percent of West Virginia women giving birth for the first time are starting families with significant disadvantages, falling into at least 2 of 3 categories: they have less than 12 years of schooling, they are unmarried, or they are under age 20. The state's unmarried teen pregnancy rate also increased by 60 percent from 1980 to 1991. On the positive side, the report notes that rates have declined significantly for infant and child mortality, high school dropouts, and overall teenage pregnancy. Appendixes provide information about indicator definitions, methodology, and sources, along with the raw data for each county. (MDM)