diff --git a/doc/source/whatsnew/v3.0.0.rst b/doc/source/whatsnew/v3.0.0.rst
index cd917924880f1..39b5a810e3a8f 100644
--- a/doc/source/whatsnew/v3.0.0.rst
+++ b/doc/source/whatsnew/v3.0.0.rst
@@ -568,6 +568,7 @@ I/O
 - Bug in :meth:`DataFrame.to_string` that raised ``StopIteration`` with nested DataFrames. (:issue:`16098`)
 - Bug in :meth:`HDFStore.get` was failing to save data of dtype datetime64[s] correctly (:issue:`59004`)
 - Bug in :meth:`read_csv` causing segmentation fault when ``encoding_errors`` is not a string. (:issue:`59059`)
+- Bug in :meth:`read_csv` not respecting ``dtype`` for ``index``. (:issue:`59077`)
 - Bug in :meth:`read_csv` raising ``TypeError`` when ``index_col`` is specified and ``na_values`` is a dict containing the key ``None``. (:issue:`57547`)
 - Bug in :meth:`read_csv` raising ``TypeError`` when ``nrows`` and ``iterator`` are specified without specifying a ``chunksize``. (:issue:`59079`)
 - Bug in :meth:`read_excel` raising ``ValueError`` when passing array of boolean values when ``dtype="boolean"``. (:issue:`58159`)
diff --git a/pandas/core/indexes/base.py b/pandas/core/indexes/base.py
index 7d43498d4267b..ffd76b4c86670 100644
--- a/pandas/core/indexes/base.py
+++ b/pandas/core/indexes/base.py
@@ -6379,9 +6379,11 @@ def _transform_index(self, func, *, level=None) -> Index:
         """
         if isinstance(self, ABCMultiIndex):
             values = [
-                self.get_level_values(i).map(func)
-                if i == level or level is None
-                else self.get_level_values(i)
+                (
+                    self.get_level_values(i).map(func)
+                    if i == level or level is None
+                    else self.get_level_values(i)
+                )
                 for i in range(self.nlevels)
             ]
             return type(self).from_arrays(values)
@@ -7478,7 +7480,14 @@ def ensure_index_from_sequences(sequences, names=None) -> Index:
     if len(sequences) == 1:
         if names is not None:
             names = names[0]
-        return Index(maybe_sequence_to_range(sequences[0]), name=names)
+        data = sequences[0]
+        conv_data = maybe_sequence_to_range(data)
+        dtype = (
+            data.dtype
+            if isinstance(data, np.ndarray) and isinstance(conv_data, range)
+            else None
+        )
+        return Index(conv_data, dtype=dtype, name=names)
     else:
         # TODO: Apply maybe_sequence_to_range to sequences?
         return MultiIndex.from_arrays(sequences, names=names)
diff --git a/pandas/io/parsers/python_parser.py b/pandas/io/parsers/python_parser.py
index 05fe963e9b2b7..e3002afd46c5d 100644
--- a/pandas/io/parsers/python_parser.py
+++ b/pandas/io/parsers/python_parser.py
@@ -309,13 +309,17 @@ def read(
         data, columns = self._exclude_implicit_index(alldata)
 
         conv_data = self._convert_data(data)
-        conv_data = self._do_date_conversions(columns, conv_data)
+        date_data = self._do_date_conversions(columns, conv_data)
+
+        if not self._implicit_index:
+            # propagate index dtype
+            alldata = list(conv_data.values())  # type: ignore[arg-type]
 
         index, result_columns = self._make_index(
-            conv_data, alldata, columns, indexnamerow
+            date_data, alldata, columns, indexnamerow
         )
 
-        return index, result_columns, conv_data
+        return index, result_columns, date_data
 
     def _exclude_implicit_index(
         self,
diff --git a/pandas/tests/io/parser/dtypes/test_dtypes_basic.py b/pandas/tests/io/parser/dtypes/test_dtypes_basic.py
index d45368dece6d2..452bd19ecbd3b 100644
--- a/pandas/tests/io/parser/dtypes/test_dtypes_basic.py
+++ b/pandas/tests/io/parser/dtypes/test_dtypes_basic.py
@@ -59,18 +59,25 @@ def test_dtype_all_columns(all_parsers, dtype, check_orig):
 def test_dtype_per_column(all_parsers):
     parser = all_parsers
     data = """\
-one,two
-1,2.5
-2,3.5
-3,4.5
-4,5.5"""
+one,two,three
+1,2.5,11
+2,3.5,12
+3,4.5,13
+4,5.5,14"""
     expected = DataFrame(
-        [[1, "2.5"], [2, "3.5"], [3, "4.5"], [4, "5.5"]], columns=["one", "two"]
+        [[1, "2.5", 11], [2, "3.5", 12], [3, "4.5", 13], [4, "5.5", 14]],
+        columns=["one", "two", "three"],
     )
     expected["one"] = expected["one"].astype(np.float64)
     expected["two"] = expected["two"].astype(object)
+    expected["three"] = expected["three"].astype(np.uint32)
+    expected.set_index("three", inplace=True)
 
-    result = parser.read_csv(StringIO(data), dtype={"one": np.float64, 1: str})
+    result = parser.read_csv(
+        StringIO(data),
+        dtype={"one": np.float64, 1: str, "three": np.uint32},
+        index_col="three",
+    )
     tm.assert_frame_equal(result, expected)