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 (2023 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 2000

01Crittenden County, KYKY8,807159.0–

02Livingston County, KYKY8,863114.4–

03Powell County, KYKY12,81299.5–

04Cumberland County, KYKY5,99298.2–

05Graves County, KYKY37,05091.4–

06Casey County, KYKY16,20586.9–

07Caldwell County, KYKY12,60985.9–

08Wayne County, KYKY19,59784.2–

09Pendleton County, KYKY14,80082.6–

10Christian County, KYKY70,11581.4–

11McLean County, KYKY9,06480.2–

12Ohio County, KYKY23,93479.2–

13Magoffin County, KYKY11,11077.0–

14Allen County, KYKY22,53676.9–

15Mercer County, KYKY23,73375.6–

16Todd County, KYKY12,97275.5–

17Laurel County, KYKY63,74675.0–

18Morgan County, KYKY14,41574.8–

19Daviess County, KYKY104,89874.1–

20Lawrence County, KYKY15,76574.0–

21Clinton County, KYKY9,13972.7–

22Owen County, KYKY11,60172.3–

23Spencer County, KYKY20,99871.2–

24Owsley County, KYKY3,93270.3–

25Breckinridge County, KYKY21,50370.1–

26Elliott County, KYKY7,26568.5–

27Carroll County, KYKY11,14167.6–

28Bell County, KYKY22,82966.8–

29Rockcastle County, KYKY16,14866.4–

30Whitley County, KYKY37,29766.1–

31Scott County, KYKY62,26266.0–

32Lewis County, KYKY12,90165.3–

33Trigg County, KYKY14,51265.2–

34Montgomery County, KYKY28,82265.0–

35Pulaski County, KYKY67,38462.4–

36Green County, KYKY11,64462.2–

37Bracken County, KYKY8,51161.9–

38Perry County, KYKY26,55561.8–

39Martin County, KYKY10,69760.7–

40Marion County, KYKY20,11559.8–

41Knox County, KYKY29,53258.8–

42Butler County, KYKY12,52058.8–

43Johnson County, KYKY22,05158.8–

44Grayson County, KYKY27,40658.7–

45Letcher County, KYKY19,95258.4–

46Franklin County, KYKY52,64958.2–

47Menifee County, KYKY6,43058.1–

48Lee County, KYKY7,29757.9–

49Grant County, KYKY26,18157.9–

50Boyle County, KYKY31,63257.8–

51Kenton County, KYKY175,77957.6–

52Taylor County, KYKY26,76357.5–

53Meade County, KYKY30,69957.3–

54Boyd County, KYKY47,75157.2–

55Russell County, KYKY18,60857.1–

56Henderson County, KYKY44,25556.9–

57Shelby County, KYKY51,24356.6–

58Fayette County, KYKY329,75156.6–

59Carter County, KYKY26,14956.3–

60Lincoln County, KYKY25,35355.5–

61Campbell County, KYKY95,44155.4–

62Bath County, KYKY13,17653.6–

63Gallatin County, KYKY8,84053.1–

64Rowan County, KYKY24,47652.2–

65Floyd County, KYKY34,40152.2–

66Barren County, KYKY45,64151.9–

67Union County, KYKY12,83951.9–

68Boone County, KYKY145,31651.6–

69Jefferson County, KYKY795,22251.0–

70Muhlenberg County, KYKY30,63450.9–

71Hopkins County, KYKY45,12750.5–

72Henry County, KYKY16,44750.4–

73Anderson County, KYKY25,22550.3–

74Clay County, KYKY19,46550.1–

75Marshall County, KYKY31,65949.7–

76Nelson County, KYKY49,03649.2–

77Calloway County, KYKY39,42148.9–

78Logan County, KYKY28,66948.6–

79Bullitt County, KYKY86,45448.6–

80Mason County, KYKY16,93648.0–

81Hardin County, KYKY113,48247.9–

82Metcalfe County, KYKY10,58347.8–

83Oldham County, KYKY70,98647.7–

84Madison County, KYKY101,69646.3–

85Warren County, KYKY149,37545.2–

86Fulton County, KYKY6,21844.8–

87Hancock County, KYKY9,05044.7–

88Breathitt County, KYKY12,55843.3–

89Hart County, KYKY20,11743.1–

90Larue County, KYKY15,18440.5–

91Fleming County, KYKY15,78740.3–

92Washington County, KYKY12,36840.0–

93Greenup County, KYKY35,21339.7–

94Edmonson County, KYKY12,74939.3–

95Lyon County, KYKY9,12339.1–

96Garrard County, KYKY18,20739.1–

97Wolfe County, KYKY6,29838.9–

98Harrison County, KYKY19,62738.5–

99Pike County, KYKY54,72138.0–

100Bourbon County, KYKY20,24337.6–

101Jessamine County, KYKY57,14736.2–

102Hickman County, KYKY4,37236.1–

103Harlan County, KYKY24,72535.9–

104McCreary County, KYKY17,12435.2–

105Knott County, KYKY13,32135.0–

106Leslie County, KYKY9,62734.5–

107Carlisle County, KYKY4,74732.9–

108Monroe County, KYKY11,19132.3–

109Adair County, KYKY19,42331.7–

110Woodford County, KYKY27,88331.5–

111Webster County, KYKY12,92930.3–

112Jackson County, KYKY13,32530.0–

113Nicholas County, KYKY7,94929.6–

114Robertson County, KYKY2,32529.5–

115Clark County, KYKY37,88827.1–

116McCracken County, KYKY67,55327.0–

117Simpson County, KYKY20,78826.3–

118Estill County, KYKY13,96225.4–

119Ballard County, KYKY7,59414.0–

120Trimble County, KYKY8,7014.6–

SHOWING 1–120 OF 120

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