The population has fluctuated but generally increased from 1,065 in 2013 to 1,090 in 2022, indicating a relatively stable community with slight growth.

The demographic evolution of Retnuh Hills reflects broader national trends of increasing racial segregation in some urban areas, particularly in the South. The strengthening of the Black majority in this neighborhood might be part of a larger pattern of racial clustering in American cities.

The economic improvement seen in Retnuh Hills, with rising median incomes, is somewhat contrary to national trends where many predominantly Black neighborhoods have faced economic challenges. This positive economic trajectory could indicate successful local initiatives or economic development programs specific to Winston-Salem or this particular neighborhood.

The decline in the Hispanic population percentage, while the Black population increased, might reflect broader migration patterns or changes in local employment opportunities that have differently affected these demographic groups.

Retnuh Hills has evolved from a moderately diverse neighborhood to a strong Black majority community over the past decade, accompanied by generally positive economic trends. This transformation provides a case study of demographic and economic shifts in urban America, particularly in mid-sized Southern cities.