Based on the premise that ecological and health problems, and human responses to these problems, are directly related to community social and economic conditions, this study examined differences in health, housing, and human concerns across socioeconomically defined neighborhoods in West Virginia. Counties were grouped into three environmental regions. In each community, relatively homogeneous, geographically bound neighborhoods were mapped; within each neighborhood, approximately 100 households were selected. Each of these environments consisted of a residential ecosystem, or an intact residential environment in which common social and technological relationships existed between the residents and their surrounding neighborhood environment. The survey instrument used to conduct the 2,000 interviews was the Neighborhood Environmental Evaluation Decision System, designed to yield data dealing with such problems as migration, medical services, births-deaths, mental health, housing, sewage disposal, city services, and neighborhood environmental pollution. Some findings were: residents of lower income neighborhoods had a much greater incidence of health problems and received considerably fewer health services; and there was a strong tendency for both urban and rural low income neighborhood residents to report dissatisfaction and concern with numerous human services. (NQ)