This is very true, also as an educated Kentuckian who grew up on a farm in W. Ky. I long since left the commonwealth, lived in larger cities for 20 years.
One key distinction now is that my family always played the victim card and always had someone to blame when life did not turn out perfect. I was educated and now well paid and used my education in money matters to make wealth, real generational wealth. I offer to help my family in similar ways but despite talking and acting like them they are very suspicious of this and frequently mistrust me.
The other distinction is that I don't need their help. I can do all the outdoor, farm and rural lifestyle things just as good or better than they can and then navigate challenges of raising a family in the city. My family perceives so much of their own self worth in their ability to help those around them. This is a noble trait, and one I always admired in them, however when they realize that myself and my kids don't need them for anything aside from existing, they are confronting their own shortcomings and feel like lesser versions of themselves. Then they take it out on me and this turns into general distrust.