RANKING · 2024 ACS · 95 SHOWN OF 95

Highest fertility rate, Tennessee counties

Tennessee counties ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 95 counties in Tennessee that qualify, ranked against each other statewide. The median across all 95 is 52.4.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

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

01Perry County, TNTN9,126107.2+53%

02Marion County, TNTN29,80495.0+47%

03Morgan County, TNTN22,16089.3+40%

04Sequatchie County, TNTN17,86189.3−16%

05Bledsoe County, TNTN15,92088.5+115%

06DeKalb County, TNTN21,87385.8+76%

07Trousdale County, TNTN12,62384.0+26%

08Decatur County, TNTN11,82081.0+111%

09Fentress County, TNTN20,32280.3+6%

10McNairy County, TNTN26,23678.7+66%

11Lake County, TNTN6,24977.6−4%

12Robertson County, TNTN80,17577.5+17%

13Claiborne County, TNTN33,22974.4+27%

14Cumberland County, TNTN66,30074.3+45%

15McMinn County, TNTN57,40474.1+55%

16Lewis County, TNTN13,48772.3+120%

17Houston County, TNTN8,47972.2+104%

18Macon County, TNTN27,66371.8+89%

19Overton County, TNTN23,78771.4+59%

20Lincoln County, TNTN36,85369.5−3%

21Henderson County, TNTN28,51869.4+18%

22Campbell County, TNTN40,29068.3+30%

23Bedford County, TNTN55,27368.3+8%

24Roane County, TNTN57,39568.2+8%

25Hickman County, TNTN26,21967.7+37%

26Smith County, TNTN20,98167.6+83%

27Lawrence County, TNTN46,91467.1+30%

28Jackson County, TNTN12,46665.3−26%

29Hardeman County, TNTN25,27463.7−8%

30Hancock County, TNTN7,07562.3+18%

31Johnson County, TNTN18,71861.5+7%

32Franklin County, TNTN45,57960.9−6%

33Cocke County, TNTN37,88960.9+23%

34Scott County, TNTN22,67160.6−2%

35Rutherford County, TNTN386,35260.2+24%

36Cheatham County, TNTN42,77859.3+4%

37Lauderdale County, TNTN24,61759.1+11%

38Benton County, TNTN16,18357.5+104%

39Hamblen County, TNTN68,84357.2−10%

40Fayette County, TNTN45,07157.0−13%

41Putnam County, TNTN86,61256.0+15%

42Montgomery County, TNTN249,93555.9−26%

43Dickson County, TNTN58,66254.4−28%

44Hamilton County, TNTN390,83354.2−1%

45Davidson County, TNTN745,90454.1−5%

46Cannon County, TNTN15,29653.4+116%

47Jefferson County, TNTN60,02453.3+20%

48Greene County, TNTN73,83152.4+6%

49Warren County, TNTN43,71752.3−12%

50Coffee County, TNTN62,41951.9−25%

51Rhea County, TNTN34,84451.7−16%

52Bradley County, TNTN115,46551.1−32%

53Blount County, TNTN143,82051.0+39%

54Madison County, TNTN100,79051.0−16%

55Meigs County, TNTN14,18650.9−56%

56Marshall County, TNTN38,07150.6−28%

57Sumner County, TNTN215,53849.2−2%

58Carroll County, TNTN29,20049.1+21%

59Wilson County, TNTN175,03348.7−5%

60Shelby County, TNTN910,22648.3−50%

61Carter County, TNTN57,36148.2+14%

62Haywood County, TNTN17,04247.90%

63Hawkins County, TNTN59,55947.9−17%

64Maury County, TNTN118,13147.8−39%

65Sullivan County, TNTN163,75947.3+28%

66Chester County, TNTN17,99447.2−36%

67Stewart County, TNTN14,43947.1+51%

68Grainger County, TNTN25,73946.9−22%

69Williamson County, TNTN272,06146.7−14%

70Tipton County, TNTN62,28746.2−28%

71Union County, TNTN21,45044.4+14%

72Humphreys County, TNTN19,64644.3−30%

73Weakley County, TNTN33,26144.1+29%

74Hardin County, TNTN27,98343.8−7%

75Anderson County, TNTN82,06643.2−23%

76Giles County, TNTN31,43342.7+2%

77Unicoi County, TNTN17,85642.1−11%

78Knox County, TNTN511,45341.5−14%

79White County, TNTN29,61240.9−6%

80Sevier County, TNTN101,34240.9−25%

81Obion County, TNTN30,06738.8−11%

82Monroe County, TNTN49,73038.8−7%

83Moore County, TNTN6,92038.7+30%

84Crockett County, TNTN14,00638.6−27%

85Gibson County, TNTN51,77938.0−34%

86Dyer County, TNTN36,32038.0−61%

87Loudon County, TNTN63,76434.2−21%

88Clay County, TNTN7,82134.1−14%

89Wayne County, TNTN16,41633.4−52%

90Henry County, TNTN32,89632.3−41%

91Grundy County, TNTN14,11632.0−52%

92Polk County, TNTN18,59230.8−34%

93Washington County, TNTN141,19930.7−40%

94Pickett County, TNTN5,21930.6−64%

95Van Buren County, TNTN6,87420.6−3%

SHOWING 1–95 OF 95

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES