RANKING · 2024 ACS · 86 SHOWN OF 86

Highest fertility rate, Kentucky cities

Kentucky cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 86 cities in Kentucky that qualify, ranked against each other statewide. The median across all 86 is 49.4.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Elsmere, KYKY9,521138.9+233%

02Oak Grove, KYKY7,830113.5−22%

03Edgewood, KYKY8,503107.5+362%

04Mayfield, KYKY9,851107.4+84%

05Fort Campbell North, KYKY11,356104.3+9%

06La Grange, KYKY10,669101.4+6%

07Princeton, KYKY6,168100.1+336%

08Somerset, KYKY12,69596.5+176%

09Alexandria, KYKY10,99493.0+138%

10Walton, KYKY5,86886.6+23%

11Lebanon, KYKY6,69985.7+13%

12Fort Knox, KYKY8,83684.4+6%

13Mount Washington, KYKY18,98978.7+12%

14Cold Spring, KYKY6,64077.4+49%

15Glasgow, KYKY15,30275.7−9%

16Francisville, KYKY10,56575.5+73%

17Middlesborough, KYKY8,77674.1−3%

18Erlanger, KYKY20,15872.3−21%

19Harrodsburg, KYKY9,57671.6−1%

20Hopkinsville, KYKY30,41170.9−36%

21Frankfort, KYKY28,65769.1+78%

22Fort Thomas, KYKY17,14268.6+19%

23Owensboro, KYKY60,89267.8+51%

24Elizabethtown, KYKY35,44866.6+40%

25London, KYKY7,63766.0−28%

26Central City, KYKY5,79366.0+460%

27Campbellsville, KYKY11,78365.3+20%

28Ashland, KYKY20,99664.5+17%

29Georgetown, KYKY40,88363.7+42%

30Independence, KYKY30,19863.0−33%

31Monticello, KYKY5,72160.8−50%

32Bellevue, KYKY5,84759.7−45%

33Leitchfield, KYKY7,01558.9−39%

34Lexington, KYKY329,75156.6+18%

35Murray, KYKY18,96455.6+6%

36Williamsburg, KYKY5,37154.3−22%

37Danville, KYKY17,73653.6−26%

38Florence, KYKY34,01852.7+23%

39Louisville, KYKY641,96252.3−14%

40Maysville, KYKY8,68851.5+7%

41Fort Wright, KYKY6,24051.3+5%

42Berea, KYKY16,66249.9+21%

43Burlington, KYKY18,00849.4−25%

44Shelbyville, KYKY18,45348.1−40%

45Wilmore, KYKY6,38046.1+304%

46St. Matthews, KYKY17,86844.9−33%

47Bowling Green, KYKY78,50544.5−29%

48Cynthiana, KYKY6,57644.5−29%

49Richmond, KYKY40,66344.3−6%

50Madisonville, KYKY19,42844.2+31%

51Covington, KYKY41,84744.1−25%

52Lawrenceburg, KYKY12,32943.5−10%

53Fort Mitchell, KYKY8,75143.3−24%

54Middletown, KYKY9,94442.7+29%

55Newport, KYKY13,99842.6−51%

56Union, KYKY7,93741.9−3%

57Bardstown, KYKY14,16141.2−41%

58Nicholasville, KYKY33,85740.5−43%

59Henderson, KYKY27,82239.7−43%

60Crestwood, KYKY6,58239.7−57%

61Douglass Hills, KYKY5,57539.6−43%

62Oakbrook, KYKY10,21136.3−16%

63Jeffersontown, KYKY29,19336.2−41%

64Taylor Mill, KYKY7,14435.3−37%

65Winchester, KYKY19,51434.7−60%

66Radcliff, KYKY22,57633.6−56%

67Shepherdsville, KYKY14,93131.3−28%

68Villa Hills, KYKY7,79731.2−57%

69Dayton, KYKY5,97429.3−70%

70Paducah, KYKY26,73028.2−69%

71Hillview, KYKY9,02027.5−38%

72Franklin, KYKY10,75926.9−55%

73Shively, KYKY15,89526.8−49%

74Versailles, KYKY10,73425.7−41%

75Vine Grove, KYKY7,01825.7−6%

76Highland Heights, KYKY6,34123.6−36%

77Lyndon, KYKY11,30122.7−4%

78Paris, KYKY10,13022.5−62%

79Mount Sterling, KYKY7,58622.3−60%

80Corbin, KYKY7,91122.0−49%

81Hebron, KYKY6,40721.1−62%

82Flatwoods, KYKY7,43918.5−53%

83Morehead, KYKY6,77612.7+167%

84Pikeville, KYKY7,27012.6−64%

85Russellville, KYKY7,45410.9−84%

86Reidland, KYKY5,2770.0−100%

SHOWING 1–86 OF 86

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES