West Middletown leans heavily Republican by roughly 48 points: about 26% of voters vote Democratic and 74% Republican.
About 78% of adults in West Middletown typically vote, above the U.S. average of about 62%. Among adults in West Middletown, ~20% vote Democratic, ~58% Republican, and ~22% don't vote. The map below shows estimated turnout by block group.
How West Middletown compares
Among cities within 25 miles, West Middletown leans more Republican than 99 of 166 neighbors.
West Middletown runs about 46 points more Republican than Pennsylvania as a whole.
Why West Middletown leans the way it does
Density, race composition, education, and family structure all sit close to their national averages in West Middletown. 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; West Middletown, PA sits above the national average 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 West Middletown looks the way it does
Areas with high high-school completion turn out at higher rates. About 96% of adults in West Middletown have completed high school, about 6 points above the U.S. average of 90%. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Avella, PA R+49
- Buffalo, PA R+45
- Woodrow, PA R+46
- Taylorstown, PA R+50
- Gretna, PA R+43
- Studa, PA R+49
- Cross Creek, PA R+48
- Hickory, PA R+42
- Atlasburg, PA R+39
- Bethany, WV R+28
Cities with Similar Populations
- Murphy, WV R+64
- Millerville, AL R+73
- Sandgate, VT D+19
- Littlefield, AZ R+59
- Waterson, PA R+55
- McCol Place, IN R+59
- Greenleafton, MN R+33
- Tiffin, MO R+68
- Mayfield, KS R+70
- Pownal Center, VT R+8
Sources and methodology
Precinct-level voting records used to fit the model come from Pennsylvania Department of State, Bureau 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.