Amidst the transition from agriculture to tourism, ethnic villages are facing issues of “misalignment” and “disequilibrium” between economic growth and cultural heritage conservation. Previous research has often isolated the effects of cultural heritage conservation or socio-economic development, neglecting their reciprocal influences within the coupling coordination. This study addresses this gap by assessing 43 villages in Leishan County, quantifying the preservation status of the cultural landscape (PSCL) and socio-economic level (SEL) using a comprehensive evaluation model and revealing the coupling coordination relationship between PSCL and SEL in each village with the coupling coordination degree (CCD) model. Spatial autocorrelation and the geographical detector model reveal the spatial agglomeration characteristics and influential factors of the CCD. The results highlight three findings. (1) The majority of villages (93%) are in a moderate imbalance stage or a serious imbalance stage, underscoring an urgent need for targeted policies. (2) Spatial autocorrelation analysis exposes significant clustering, with the northwest corner exhibiting the most pronounced high-value aggregation, which contrasts with the southern region’s low-value clustering. A ‘low–high’ clustering pattern is observed in the northern region, while the southwestern corner presents a ‘high–low’ distribution. (3) Key determinants affecting the CCD include the tourism revenue, tourist volume, resident participation in tourism, village hollowing level, and number of historical buildings. The interactions between driving factors show non-linear and two-factor enhancement effects. This study concludes with policy recommendations advocating for context-specific strategies to enhance the CCD, emphasizing the importance of aligning cultural preservation with economic progress in ethnic villages.