Elkhorn leans Republican by roughly 16 points: about 42% of voters vote Democratic and 58% Republican.
About 52% of adults in Elkhorn typically vote, below the U.S. average of about 62%. Among adults in Elkhorn, ~22% vote Democratic, ~30% Republican, and ~48% don't vote. The map below shows estimated turnout by block group.
How Elkhorn compares
Among cities within 25 miles, Elkhorn leans more Republican than 4 of 151 neighbors.
Elkhorn runs about 27 points more Democratic than West Virginia as a whole.
Why Elkhorn leans the way it does
This analysis examined 14,881 data points per city to find what predicts political lean and turnout. The items below are a few correlations that stood out for Elkhorn, not a ranked or complete list of what matters most.
Areas with low college attainment vote Republican. Fewer than 1% of adults in Elkhorn hold a bachelor's degree, about 17 points below the West Virginia average of 17%. A high family-household share predicts Republican voting, and about 75% of households in Elkhorn are family households, above 76% of cities.
Preventive-care access and voter turnout
Places with limited routine preventive-care access tend to turn out at a lower rate; Elkhorn, WV sits in the bottom tenth nationally on this measure. Dental visits do not drive turnout; the rate reflects income, insurance, and healthcare access, which line up with who votes.
Why turnout in Elkhorn looks the way it does
Areas with limited routine healthcare access turn out at lower rates. Elkhorn is in the bottom quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. The dental-visit rate here is about 41%, about 11 points below the West Virginia average of 52%. High food insecurity lines up with lower turnout, and about 31% of adults in Elkhorn report food insecurity, above 96% of cities. High-crime urban areas turn out at lower rates, and Elkhorn sits in the top 15% on a violent-crime measure. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Switchback, WV R+50
- Northfork, WV R+7
- Keystone, WV R+19
- Landgraff, WV R+30
- Maybeury, WV R+35
- Ashland, WV R+3
- Anawalt, WV R+58
- Pageton, WV R+53
- Crumpler, WV Even
Cities with Similar Populations
- Dewart, PA R+54
- New Lands, NC R+41
- Christy, KY R+42
- Windsor Mercer County, IL R+31
- Trimble, IL R+53
- Soperton, WI R+36
- Esther, LA R+80
- Somerset, IL R+61
- Nashville, OR D+9
- Doubling Gap, PA R+62
All Local Stats
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Sources and methodology
Precinct-level voting records used to fit the model come from West Virginia Secretary of State, Elections, distributed by the Voting and Election Science Team. Demographic inputs come from the U.S. Census Bureau (ACS 5-year estimates and the 2020 Decennial Census). Health and environmental inputs come from the CDC (PLACES and the Environmental Justice Index). Land cover comes from the USGS and EPA. Election-day and lead-up weather come from PRISM 4km daily grids and the NOAA Global Historical Climatology Network. Mail-voting and election-administration patterns come from the MIT Election Lab's Survey of the Performance of American Elections. Block-group crime detail comes from CrimeGrade. Internet data and modeling support provided by ISPreports.org.
Modeling and analysis by the BestNeighborhood data science team. Full methodology and findings: political spectrum map.
Methodology reviewed by the BestNeighborhood data team. Last updated May 2026.