I think we need some Foxworthy jokes to explain this...
When you fled so the other tribe wouldn't eat you, it might be a shithole.
When beer is illegal but boys are not, it might be a shithole.
When the only white men you've ever seen wear light blue helmets, it might be a shithole.
When toilet paper counts as an invention, it might be a shithole.
When your toilet is the ditch in your street, it might be a shithole.
When you have to walk 3 miles just to get a bucket of clean water, it might be a shithole.
When the local hospital has to re-use the needles on its syringes, it might be a shithole.
When the only school in your entire city is a Massadrah, it might be a shithole.