Heathsville leans Democratic by roughly 26 points: about 63% of voters vote Democratic and 37% Republican.
About 83% of adults in Heathsville typically vote, above the U.S. average of about 62%. Among adults in Heathsville, ~52% vote Democratic, ~31% Republican, and ~17% don't vote. The map below shows estimated turnout by block group.
How Heathsville compares
Among cities within 25 miles, Heathsville leans more Democratic than 36 of 58 neighbors.
Heathsville runs about 29 points more Democratic than North Carolina as a whole. North Carolina leans Republican overall, while Heathsville is one of the few Democratic-leaning pockets.
Politics vary noticeably by neighborhood within Heathsville. The southwest side runs the most Democratic (D+73) and the northeast side runs the most Republican (R+15), a spread of about 88 points.
Why Heathsville 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 Heathsville, not a ranked or complete list of what matters most.
Rural, majority-Black areas of the Southern Black Belt vote Democratic, against the usual rural pattern. About 56% of residents in Heathsville are Black or African American, about 38 points above the North Carolina average of 18%. Heathsville runs against the grain of North Carolina, a Democratic-leaning pocket in a Republican-leaning state.
Walkability and Republican lean
Places with a low walkability score tend to lean Republican; Heathsville, NC sits below the national average on this measure. A walkable street grid does not change how people vote; it mostly reflects how urban a place is.
Why turnout in Heathsville looks the way it does
Areas with limited routine healthcare access turn out at lower rates. Heathsville is in the bottom quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Dawson Crossroads, NC D+70
- Ringwood, NC D+65
- Enfield, NC D+64
- Aurelian Springs, NC Even
- Glenview, NC D+73
- Hollister, NC D+41
- Halifax, NC D+24
- Rheasville, NC D+36
- Ita, NC D+42
- Days Crossroads, NC D+46
Cities with Similar Populations
- Sandlick, WV R+70
- Norris, MS R+31
- West Alton, MO R+52
- Muddy Ford, KY R+55
- St. Paul, IA R+46
- Driggs, AR R+69
- Brooklyn, PA R+46
- Northfield, IA R+50
- Sandfordville, NY R+34
- Mud Lake, ID R+76
Sources and methodology
Precinct-level voting records used to fit the model come from North Carolina State Board of 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.