Pikeville, KY, Kentucky: Realigner metro. In 2024, voted R+63%. Republican peak: R+63 in 2024.
Key facts
- 2024 presidential margin
- R+63MIT Election Lab
- Political archetype
- RealignerAkashic typology
- Population
- 91,9512024 5-year
- Median household income
- $43,1502024 5-year
- White (non-Hispanic)
- 94.7%2024 5-year
- Black
- 0.6%2024 5-year
- Hispanic / Latino
- 1.1%2024 5-year
- Peak Democratic margin
- D+46 in 1964MIT Election Lab
- Peak Republican margin
- R+63 in 2024MIT Election Lab
Constituent county margins for Pikeville, KY, KYOne cell per constituent county, colored by 2024 presidential margin from deep red (Republican) through neutral to deep blue (Democratic), ordered bluest first.
R+60D+60
One cell per constituent county. Ordered by 2024 D-vs-R margin (bluest first). Hover for county-level numbers.
38 presidential elections
| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| R | 7,086 | 32,010 | 39,623 | ||
| R | 8,750 | 32,534 | 41,748 | ||
| R | 8,295 | 31,740 | 41,205 | ||
| R | 10,379 | 27,374 | 38,526 | ||
| R | 17,055 | 20,396 | 38,302 | ||
| D | 25,134 | 19,223 | 44,655 | ||
| D | 23,699 | 16,073 | 40,329 | ||
| D | 23,781 | 10,299 | 37,879 | ||
| D | 30,709 | 11,752 | 46,756 | ||
| D | 28,666 | 15,272 | 44,180 | ||
| D | 26,076 | 17,087 | 43,355 | ||
| D | 25,853 | 14,729 | 41,105 | ||
| D | 24,471 | 12,286 | 37,024 | ||
| R | 17,057 | 18,634 | 36,000 | ||
| D | 19,996 | 12,461 | 35,569 | ||
| D | 25,784 | 9,430 | 35,294 | ||
| D | 22,915 | 14,966 | 37,881 | ||
| D | 19,373 | 17,844 | 37,273 | ||
| D | 21,701 | 14,016 | 35,765 | ||
| D | 20,246 | 11,224 | 31,658 | ||
| D | 17,486 | 11,289 | 28,823 | ||
| D | 21,260 | 12,696 | 33,972 | ||
| D | 19,344 | 11,585 | 30,940 | ||
| D | 21,223 | 11,329 | 32,660 | ||
| R | 13,651 | 14,495 | 28,165 | ||
| R | 10,055 | 10,832 | 22,112 | ||
| R | 9,216 | 10,736 | 20,090 | ||
| R | 5,631 | 6,035 | 11,765 | ||
| D | 4,136 | 3,738 | 9,220 | ||
| R | 3,809 | 5,024 | 8,965 | ||
| R | 3,515 | 3,687 | 7,296 | ||
| D | 3,594 | 3,487 | 7,126 | ||
| D | 3,310 | 3,198 | 6,560 | ||
| D | 2,675 | 1,967 | 4,726 | ||
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Demographics
Race, ethnicity, and ancestry
Click any group to see the ancestries typically reported within it.
American
15.1%
English
13.7%
Irish
11.4%
German
6.8%
Scottish
1.7%
Italian
1.1%
Source · American Community Survey 5-year estimates, 2024 release. Hispanic/Latino is an ethnicity that overlaps the race categories, so these shares can total more than 100%. Ancestry is a self-reported, multiple-response item; ancestry percentages do not sum to the parent race percentage.
Age distribution by sex
Median age: 43.1 in this county, 39.1 nationally
Male
Age
Female
85+
75–84
65–74
55–64
45–54
35–44
25–34
18–24
5–17
<5
Source · American Community Survey 5-year estimates, 2024 release.
Median household income
2024 inflation-adjusted dollars
$43,150
Pikeville, KY ranks near the middle of US counties.
Pikeville, KY$43,150
Kentucky$63,726
United States$80,734
Source · American Community Survey 5-year estimates, 2024 release.
Poverty rate
All persons below federal poverty line
25.8%
Children face higher poverty than working-age adults.
Children under 1834.4%
Working age (18–64)24.1%
Seniors (65+)18.0%
Source · American Community Survey 5-year estimates, 2024 release.
Language at home
Population aged 5 and older
98.5%
speak English only
Spanish0.7%
Asian & Pacific Islander0.4%
Other Indo-European0.3%
Other languages0.1%
Source · ACS 5-year estimates, 2024.
Religious adherents
Adherents per capita by tradition
Source · 2020 US Religion Census. Remaining 66.6% of residents not counted as adherents by any reporting body.
Pikeville anchors Pike County, one of Kentucky's most reliably one-party-dominant counties despite a historically union-rooted Democratic past — a shift that accelerated sharply after 2008 and has held by double-digit margins ever since.
The unraveling was not abrupt. The Democratic margin in Pikeville, KY peaked at forty-six points in 1964; it narrowed steadily over the late twentieth century. The 2008 election delivered the metro to the Republican party for the first time in many years, by a margin of nine points. By 2024, the margin had widened further.
The economic and demographic context is severe. The median household income of $43,150 is among the lowest at this geographic scale; 26% of residents live below the federal poverty line.
Cite this page
All citations released under CC BY 4.0. Attribution: Akashic Intelligence.
Pikeville, KY, Kentucky — The Long Memory. Akashic Intelligence — The Long Memory. https://tiers.akashic.app/cbsa/38210/. Accessed May 20, 2026. License: CC BY 4.0.
License: CC BY 4.0
Frequently asked questions
How did Pikeville, KY, Kentucky vote in 2024?
In 2024, Pikeville, KY, Kentucky voted Republican by 62.9 points (R+63), carried by the Republican candidate. Out of 39,623 votes cast, 7,086 went Democratic and 32,010 went Republican.
What is Pikeville, KY, Kentucky's political archetype?
Akashic classifies Pikeville, KY, Kentucky as a "Realigner" metro based on its long-arc presidential voting pattern. Across 38 elections in the dataset, the metro has voted Democratic 22 times, Republican 12 times, and other 0 times.
When did Pikeville, KY, Kentucky last vote Democratic?
The most recent presidential election in which Pikeville, KY, Kentucky voted Democratic was 2004.
How many people live in Pikeville, KY, Kentucky?
Pikeville, KY, Kentucky has a population of 91,951 according to the 2024 American Community Survey 5-year estimates from the US Census Bureau.
What is the median household income in Pikeville, KY, Kentucky?
Median household income in Pikeville, KY, Kentucky is $43,150 — below the national median of $80,734. The Kentucky state median is $63,726.
What is the political history of Pikeville, KY, Kentucky?
Akashic tracks 38 presidential elections in Pikeville, KY, Kentucky from 1876 to 2024. Of those, 22 went Democratic and 12 went Republican. The metro's archetype — "Realigner" — captures the overall trajectory of that voting record.