RANKING · 2024 ACS · 67 SHOWN OF 67

Highest fertility rate, Alabama counties

Alabama counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 67 counties in Alabama that qualify, ranked against each other statewide.

Flip the list · Lowest fertility rate, US counties →

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

01Lamar County, ALAL13,58791.7–

02Tallapoosa County, ALAL40,95388.1–

03Coffee County, ALAL56,95382.2–

04Choctaw County, ALAL11,90481.0–

05Lawrence County, ALAL33,84380.7–

06Chambers County, ALAL34,25380.0–

07Henry County, ALAL18,39475.0–

08St. Clair County, ALAL98,20673.6–

09Franklin County, ALAL32,44971.0–

10Cherokee County, ALAL26,41369.9–

11Randolph County, ALAL23,16368.8–

12Dallas County, ALAL35,14068.7–

13Dale County, ALAL49,91268.1–

14Marengo County, ALAL18,31163.9–

15Cullman County, ALAL94,00963.7–

16Lowndes County, ALAL9,35963.5–

17Washington County, ALAL14,82263.4–

18Cleburne County, ALAL15,97061.9–

19Winston County, ALAL23,82961.3–

20Mobile County, ALAL411,65861.3–

21Talladega County, ALAL81,60361.0–

22Marion County, ALAL29,09760.9–

23Russell County, ALAL58,89860.5–

24Barbour County, ALAL24,60759.4–

25Marshall County, ALAL103,53756.2–

26Bibb County, ALAL22,26255.9–

27Etowah County, ALAL103,88655.5–

28Conecuh County, ALAL10,89955.2–

29Montgomery County, ALAL225,89155.1–

30Autauga County, ALAL61,92054.5–

31Macon County, ALAL18,13254.4–

32Clay County, ALAL14,20753.8–

33Elmore County, ALAL91,57752.3–

34Lauderdale County, ALAL97,13551.3–

35Clarke County, ALAL22,01449.7–

36Coosa County, ALAL10,16148.4–

37Jefferson County, ALAL665,74248.4–

38Covington County, ALAL37,94747.8–

39Tuscaloosa County, ALAL241,36847.7–

40Blount County, ALAL60,15646.3–

41Limestone County, ALAL122,92845.7–

42DeKalb County, ALAL74,08544.6–

43Madison County, ALAL433,51644.3–

44Calhoun County, ALAL115,83444.0–

45Baldwin County, ALAL267,76142.4–

46Shelby County, ALAL238,55241.6–

47Morgan County, ALAL126,48341.0–

48Houston County, ALAL110,31840.6–

49Colbert County, ALAL59,47440.4–

50Jackson County, ALAL54,28139.9–

51Escambia County, ALAL36,66538.4–

52Walker County, ALAL65,14038.3–

53Pickens County, ALAL18,22137.0–

54Chilton County, ALAL47,70834.9–

55Pike County, ALAL33,68834.8–

56Geneva County, ALAL27,55433.5–

57Crenshaw County, ALAL13,17533.3–

58Lee County, ALAL189,88132.8–

59Hale County, ALAL15,19432.6–

60Bullock County, ALAL9,78032.5–

61Monroe County, ALAL18,96527.6–

62Sumter County, ALAL11,58827.5–

63Wilcox County, ALAL9,66625.8–

64Perry County, ALAL7,42522.0–

65Fayette County, ALAL15,87217.6–

66Butler County, ALAL18,10015.2–

67Greene County, ALAL7,0670.0–

SHOWING 1–67 OF 67

Download CSV (full list, 67 rows)

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