Daniel Sangjib Min/Richmond Times-Dispatch via AP

Voters cast their ballots at Robious Elementary School in Chesterfield, Va., on Tuesday, November 6, 2018. 

WASHINGTON (AP) — Health care, immigration and President Donald Trump were high on voters’ minds as they cast ballots in the midterm elections, according to a wide-ranging survey of the electorate conducted by The Associated Press. 

AP’s VoteCast survey of more than 115,000 voters paints a portrait of an enthusiastic yet deeply divided electorate. Women voted considerably more in favor of Democrats in the first nationwide election of Trump’s presidency.

Democrats seized the House and were poised to put a check on Trump. Republicans retained control of the Senate.

Here are some takeaways from VoteCast:

HEALTH CARE AND IMMIGRATION

Health care was at the forefront of many voters’ minds: 26 percent named it as the most important issue facing the country. Immigration was not far behind, with 23 percent naming it as the most important issue.

Nearly 4 in 10 of those who voted for a Democratic House candidate named health care as the most important issue facing the nation, while about as many Republican voters considered immigration to be the top issue.

Others considered the economy (19 percent), gun policy (8 percent) and the environment (7 percent) to be the top issue.

IS IT ALL ABOUT TRUMP?

Nearly two-thirds of voters said Trump was a reason for their vote, while about a third said he was not. Nearly 4 in 10 voters said they cast their ballots to express opposition to the president, while a quarter of voters said they voted to express support for Trump.

WOMEN VOTERS

Women voted considerably more in favor of their congressional Democratic candidate: 56 percent voted for the Democrat, compared with 41 percent voting for the Republican. Men were more narrowly divided in their vote.

Women ages 18 to 29 voted strongly Democratic, with 65 percent of those voters favoring the Democratic candidate.

White women were narrowly divided in their views: 50 percent of white women voted for the Republican, while 47 percent voted for the Democrat. Among non-white women, 80 percent voted for the Democrat.

THE ECONOMY

Voters have a positive view of the state of the national economy — about two-thirds said the condition of the economy is excellent or good, compared with a third who said it’s not good or poor.

WRONG DIRECTION

A majority of voters overall said the country is headed in the wrong direction. Nearly 6 in 10 voters said it is headed in the wrong direction, while around 4 in 10 said it’s on the right track.

HEALTH CARE

A quarter of voters said the Affordable Care Act, often called “Obamacare,” should be repealed entirely. About another quarter said parts of the law should be repealed. Around a third of voters said it should be expanded, and about 1 in 10 preferred it be left as it is.

Nearly 6 in 10 voters said it should be the responsibility of the federal government to make sure that all Americans have health care coverage.

RUSSIAN COLLUSION

The country is evenly divided on whether Trump’s campaign coordinated with the Russian government during the 2016 presidential election. Democrats overwhelmingly said there was collusion, and Republicans overwhelmingly said there was not.

#METOO

Roughly three-quarters of voters were very or somewhat concerned about women not being believed when they make allegations of sexual misconduct. About the same share said they were very or somewhat concerned about men not being given the opportunity to defend themselves against allegations of sexual misconduct.

TRUMP APPROVAL

The survey found that 45 percent of voters approve of Trump’s job performance — a finding that is largely consistent with recent polling. More voters gave Trump a positive rating on his handling of the economy (56 percent), and around half approve of the president on border security.

Nearly half of Americans said Trump is a strong leader and has brought needed change to the government. About 7 in 10 voters said Trump stands up for what he believes in.

Still, only about a third said Trump has the right temperament to serve as president. Around the same share see him as honest and trustworthy.

AP VoteCast is a survey of the American electorate conducted in all 50 states by NORC at the University of Chicago for The Associated Press and Fox News. The survey of 116,789 voters and 22,137 nonvoters was conducted Oct. 29 to Nov. 6, concluding as polls close on Election Day. It combines interviews in English and Spanish with a random sample of registered voters drawn from state voter files; with self-identified registered voters conducted using NORC’s probability-based AmeriSpeak panel, which is designed to be representative of the U.S. population; and with self-identified registered voters selected from nonprobability online panels.