West Virginia has trended strongly conservative for at least 2 major elections
The general attitude in WV is essentially Conservative, however, the state only recently came under Republican control - controlled by Democrats for 80+ years. You talk to someone there, and you can tell their values are certainly Conservative, BUT, Ma n Pa voted Democrat, and Gma and Gpa voted Democrat and so on.
I lived there for 4 years. Worst 4 years of my life. Conservative or Liberal, the State just generally sucks, in my humblest of opinions. There's a reason WV is made fun of in movies and such. In general, it's true. The last straw for us was living down the road from the guy who got caught molesting the neighbor's dead pigmy goat while wearing women's lingerie and being entirely blitzed on bath salts. Lol. I can find the news link if you'd like.