Poll really doesn't break down regions at all, and instead includes all rural areas mixed in with urban areas that could be hundreds of miles away. I'm way upstate NY ,having moved here after 30 years in Vermont. A consideration in the move was the great cycling to be had on this side of Lake Champlain. Roads are in much better condition, traffic is lower to non existent and the culture is accepting. Yet, Vermont is 20 places lower than NY and I can only assume that is because the whole NYC/Suburb thing effects the polling, even though its 300 miles away. I've no doubt its the same with a lot of states.