My memories of growing up in southwestern Ohio are of rivers, not lakes so I vote for the "Ohio River Valley". Where I grew up west of Cincinnati there were 3 rivers, the Great Miami, the Whitewater and the Ohio River within a 5-10 mile radius of my house.
We water skied and sailed on the Ohio. We could take a ferry boat across the Ohio into Ky. and go to Indiana to canoe on the Whitewater. In order to drive east into Cincinnati we drove along and crossed the Great Miami. For a night out we took river boats to view the scenery at night or ate at restaurants along the Ohio. On Labor Day fireworks are brought up the river and set off between the bridges that connected Cincinnati with Ky.
When I moved into Cincinnati I rode my bike along the Little Miami on the Loveland (Little Miami) bike trail. On the Ky side we rode along the Ohio.
IMHO, Northern Ohio groups better with the Great Lakes while Southern and Southwestern Ohio groups better with the Ohio Valley, ie, Ky, Indiana.



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