Old Town is a Republican stronghold. About 24% of voters here vote Democratic and 76% Republican.
About 78% of adults in Old Town typically vote, above the U.S. average of about 62%. Among adults in Old Town, ~19% vote Democratic, ~59% Republican, and ~22% don't vote. The map below shows estimated turnout by block group.
How Old Town compares
Among cities within 25 miles, Old Town leans more Republican than 20 of 35 neighbors.
Old Town runs about 40 points more Republican than Iowa as a whole.
Why Old Town leans the way it does
Density, race composition, education, and family structure all sit close to their national averages in Old Town. The lean here lands roughly where demographic data alone would predict.
High-school completion, uninsured rate, and voter turnout
Places that combine high-school-completion-heavy adults and a low uninsured rate tend to turn out at a higher rate, as Old Town, IA does.
Why turnout in Old Town looks the way it does
Areas with strong routine healthcare access turn out at higher rates. Old Town 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 71%, about 11 points above the U.S. average of 60%. Homeowners vote more often than renters, and about 94% of households in Old Town own their home, about 19 points above the U.S. average of 75%. High high-school completion lines up with higher turnout, and about 99% of adults in Old Town have completed high school, above 98% of cities. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Milford, IA R+36
- West Okoboji, IA R+26
- Wahpeton, IA R+18
- Arnolds Park, IA R+24
- Okoboji, IA R+20
- Triboji Beach, IA R+36
- Spirit Lake, IA R+30
- Fostoria, IA R+53
- Terril, IA R+49
- Spencer, IA R+27
Cities with Similar Populations
- Gifford, WA R+46
- Beclabito, NM D+29
- Eddy, NY R+21
- Elk Creek, CA R+61
- Otoe, NE R+52
- Hubbardstown, WV R+69
- Indianola, UT R+66
- Oriental, PA R+66
- Ephraim, WI D+23
- Terryville, TX R+69
Sources and methodology
Precinct-level voting records used to fit the model come from Iowa 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.