The purpose of this paper is to examine whether health lifestyles differ significantly between social classes within the Deep South. Relatively little is known about the health lifestyles practiced within this region. Results from this study show significant class differences in health lifestyles within the South (especially drinking alcohol, smoking, dietary practices, and exercise as well as self-reported health variables). The cultural and social features of this area have not facilitated dispersion of health promoting lifestyles. Therefore, "life chances" and especially "place" appear to be more important than "life choices" for positive health lifestyles. © 2002 Elsevier Science Ltd.