RANKING · 2024 ACS · 19 SHOWN OF 19

Highest fertility rate, South Dakota cities

South Dakota cities ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 19 cities in South Dakota that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Harrisburg, SDSD10,405128.5–

02Box Elder, SDSD13,936124.9–

03Madison, SDSD6,065113.4–

04Huron, SDSD14,607106.6–

05Belle Fourche, SDSD5,79178.1–

06Yankton, SDSD15,81676.7–

07Sioux Falls, SDSD213,74870.4–

08Rapid Valley, SDSD6,97567.6–

09Aberdeen, SDSD27,96161.7–

10Rapid City, SDSD80,58947.3–

11Sturgis, SDSD6,92247.2–

12Spearfish, SDSD14,15441.9–

13Tea, SDSD8,01941.9–

14Pierre, SDSD13,84839.8–

15Mitchell, SDSD15,75636.0–

16Brookings, SDSD25,35531.4–

17Watertown, SDSD23,73628.5–

18Vermillion, SDSD11,72026.5–

19Brandon, SDSD11,30615.9–

SHOWING 1–19 OF 19

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES