Middletown Heights leans heavily Republican by roughly 34 points: about 33% of voters vote Democratic and 67% Republican.
About 82% of adults in Middletown Heights typically vote, above the U.S. average of about 62%. Among adults in Middletown Heights, ~27% vote Democratic, ~55% Republican, and ~18% don't vote. The map below shows estimated turnout by block group.
How Middletown Heights compares
Among cities within 25 miles, Middletown Heights leans more Republican than 57 of 113 neighbors.
Politically, Middletown Heights sits close to the rest of Kentucky.
Politics vary noticeably by neighborhood within Middletown Heights. The southwest side is the most Republican-leaning (R+39) and the southeast side is the least Republican-leaning (R+22), a spread of about 17 points.
Why Middletown Heights leans the way it does
Density, race composition, education, and family structure all sit close to their national averages in Middletown Heights. The lean here lands roughly where demographic data alone would predict.
Preventive-care access and voter turnout
Places with strong routine preventive-care access tend to turn out at a higher rate; Middletown Heights, KY sits in the top quarter 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 Middletown Heights looks the way it does
Areas with strong routine healthcare access turn out at higher rates. Middletown Heights is in the top quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. The dental-visit rate here is about 66%, about 6 points above the U.S. average of 60%. High high-school completion lines up with higher turnout, and about 97% of adults in Middletown Heights have completed high school, above 87% of cities. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Joyes, KY R+35
- Shelbyville, KY R+26
- Montclair, KY R+33
- Olive Branch, KY R+40
- Simpsonville, KY R+32
- Veechdale, KY R+40
- Finchville, KY R+43
- Mulberry, KY R+41
- Clay Village, KY R+50
- Figg, KY R+47
Cities with Similar Populations
- Aldenville, PA R+42
- New Canton, IL R+68
- Kinkler, TX R+70
- Tangier, VA R+70
- Upper Mill, PA R+43
- Grand Valley, PA R+56
- Newcomb, NY R+18
- Winifrede, WV R+56
- McNeil, TX R+49
- Granville, ND R+72
Sources and methodology
Precinct-level voting records used to fit the model come from Kentucky 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.