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RANKING · 2024 ACS · 14 SHOWN OF 14

Highest fertility rate, Massachusetts counties

Massachusetts 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 14 counties in Massachusetts that qualify, ranked against each other statewide.

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SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationMost uninsured peopleLargest senior populationMost unmarried people
YEAR20102024
Highest fertility rate by state
All USAlaskaAlabamaArkansasArizonaCaliforniaColoradoFloridaGeorgiaIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010
01Dukes County, MAMA21,21981.3+182%
02Bristol County, MAMA593,64050.8+4%
03Worcester County, MAMA888,50250.6+1%
04Franklin County, MAMA70,69849.9+19%
05Essex County, MAMA826,65348.9+15%
06Hampden County, MAMA464,33847.0−12%
07Plymouth County, MAMA546,82946.7−3%
08Middlesex County, MAMA1,669,97945.8−6%
09Nantucket County, MAMA14,75844.2−55%
10Barnstable County, MAMA233,53942.9−16%
11Norfolk County, MAMA739,74939.2−19%
12Suffolk County, MAMA791,89136.7−21%
13Berkshire County, MAMA128,22434.5−14%
14Hampshire County, MAMA164,06518.8−40%
SHOWING 1–14 OF 14
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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES