RANKING · 2024 ACS · 120 SHOWN OF 120

Highest fertility rate, Kentucky counties

Kentucky counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 120 counties in Kentucky that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

01Crittenden County, KYKY8,807159.0+895%

02Livingston County, KYKY8,863114.4+87%

03Powell County, KYKY12,81299.5+22%

04Cumberland County, KYKY5,99298.2–

05Graves County, KYKY37,05091.4+68%

06Casey County, KYKY16,20586.9+102%

07Caldwell County, KYKY12,60985.9+66%

08Wayne County, KYKY19,59784.2+64%

09Pendleton County, KYKY14,80082.6+6%

10Christian County, KYKY70,11581.4−18%

11McLean County, KYKY9,06480.2−1%

12Ohio County, KYKY23,93479.2+18%

13Magoffin County, KYKY11,11077.0+51%

14Allen County, KYKY22,53676.9−9%

15Mercer County, KYKY23,73375.6+18%

16Todd County, KYKY12,97275.5−15%

17Laurel County, KYKY63,74675.0+25%

18Morgan County, KYKY14,41574.8+212%

19Daviess County, KYKY104,89874.1+46%

20Lawrence County, KYKY15,76574.0+63%

21Clinton County, KYKY9,13972.7+30%

22Owen County, KYKY11,60172.3−30%

23Spencer County, KYKY20,99871.2+8%

24Owsley County, KYKY3,93270.3+74%

25Breckinridge County, KYKY21,50370.1+45%

26Elliott County, KYKY7,26568.5+29%

27Carroll County, KYKY11,14167.6+34%

28Bell County, KYKY22,82966.8−5%

29Rockcastle County, KYKY16,14866.4+28%

30Whitley County, KYKY37,29766.1+34%

31Scott County, KYKY62,26266.0+58%

32Lewis County, KYKY12,90165.3−9%

33Trigg County, KYKY14,51265.2+76%

34Montgomery County, KYKY28,82265.0+35%

35Pulaski County, KYKY67,38462.4+20%

36Green County, KYKY11,64462.2+32%

37Bracken County, KYKY8,51161.9−15%

38Perry County, KYKY26,55561.8+40%

39Martin County, KYKY10,69760.7+88%

40Marion County, KYKY20,11559.8−21%

41Knox County, KYKY29,53258.8+7%

42Butler County, KYKY12,52058.8−37%

43Johnson County, KYKY22,05158.8−7%

44Grayson County, KYKY27,40658.7+7%

45Letcher County, KYKY19,95258.4+28%

46Franklin County, KYKY52,64958.2+31%

47Menifee County, KYKY6,43058.1+93%

48Lee County, KYKY7,29757.9−9%

49Grant County, KYKY26,18157.9−36%

50Boyle County, KYKY31,63257.8−5%

51Kenton County, KYKY175,77957.6−7%

52Taylor County, KYKY26,76357.5−8%

53Meade County, KYKY30,69957.3+34%

54Boyd County, KYKY47,75157.2+17%

55Russell County, KYKY18,60857.1−1%

56Henderson County, KYKY44,25556.9−10%

57Shelby County, KYKY51,24356.6−7%

58Fayette County, KYKY329,75156.6+18%

59Carter County, KYKY26,14956.3+15%

60Lincoln County, KYKY25,35355.5+12%

61Campbell County, KYKY95,44155.4−11%

62Bath County, KYKY13,17653.6−29%

63Gallatin County, KYKY8,84053.1+2%

64Rowan County, KYKY24,47652.2−26%

65Floyd County, KYKY34,40152.2+29%

66Barren County, KYKY45,64151.9−28%

67Union County, KYKY12,83951.9−13%

68Boone County, KYKY145,31651.6−7%

69Jefferson County, KYKY795,22251.0−14%

70Muhlenberg County, KYKY30,63450.9−13%

71Hopkins County, KYKY45,12750.5+19%

72Henry County, KYKY16,44750.4−10%

73Anderson County, KYKY25,22550.3+4%

74Clay County, KYKY19,46550.1+19%

75Marshall County, KYKY31,65949.7+10%

76Nelson County, KYKY49,03649.2−29%

77Calloway County, KYKY39,42148.9+24%

78Logan County, KYKY28,66948.6−20%

79Bullitt County, KYKY86,45448.6−5%

80Mason County, KYKY16,93648.0−10%

81Hardin County, KYKY113,48247.9−21%

82Metcalfe County, KYKY10,58347.8−34%

83Oldham County, KYKY70,98647.7+2%

84Madison County, KYKY101,69646.3−10%

85Warren County, KYKY149,37545.2−24%

86Fulton County, KYKY6,21844.8−23%

87Hancock County, KYKY9,05044.7−30%

88Breathitt County, KYKY12,55843.3+5%

89Hart County, KYKY20,11743.1−43%

90Larue County, KYKY15,18440.5−28%

91Fleming County, KYKY15,78740.3−7%

92Washington County, KYKY12,36840.0−52%

93Greenup County, KYKY35,21339.7−4%

94Edmonson County, KYKY12,74939.3−30%

95Lyon County, KYKY9,12339.1−15%

96Garrard County, KYKY18,20739.1+2%

97Wolfe County, KYKY6,29838.9+108%

98Harrison County, KYKY19,62738.5−11%

99Pike County, KYKY54,72138.0−25%

100Bourbon County, KYKY20,24337.6−36%

101Jessamine County, KYKY57,14736.2−27%

102Hickman County, KYKY4,37236.1−7%

103Harlan County, KYKY24,72535.9−45%

104McCreary County, KYKY17,12435.2−41%

105Knott County, KYKY13,32135.0−34%

106Leslie County, KYKY9,62734.5+14%

107Carlisle County, KYKY4,74732.9−36%

108Monroe County, KYKY11,19132.3−34%

109Adair County, KYKY19,42331.7−51%

110Woodford County, KYKY27,88331.5−35%

111Webster County, KYKY12,92930.3−52%

112Jackson County, KYKY13,32530.0−39%

113Nicholas County, KYKY7,94929.6−73%

114Robertson County, KYKY2,32529.5−83%

115Clark County, KYKY37,88827.1−63%

116McCracken County, KYKY67,55327.0−60%

117Simpson County, KYKY20,78826.3−43%

118Estill County, KYKY13,96225.4−47%

119Ballard County, KYKY7,59414.0−81%

120Trimble County, KYKY8,7014.6−94%

SHOWING 1–120 OF 120

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES