RANKING · 2024 ACS · 95 SHOWN OF 95

Highest fertility rate, Tennessee counties

Tennessee 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 95 counties in Tennessee 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

01Perry County, TNTN9,126107.2–

02Marion County, TNTN29,80495.0–

03Morgan County, TNTN22,16089.3–

04Sequatchie County, TNTN17,86189.3–

05Bledsoe County, TNTN15,92088.5–

06DeKalb County, TNTN21,87385.8–

07Trousdale County, TNTN12,62384.0–

08Decatur County, TNTN11,82081.0–

09Fentress County, TNTN20,32280.3–

10McNairy County, TNTN26,23678.7–

11Lake County, TNTN6,24977.6–

12Robertson County, TNTN80,17577.5–

13Claiborne County, TNTN33,22974.4–

14Cumberland County, TNTN66,30074.3–

15McMinn County, TNTN57,40474.1–

16Lewis County, TNTN13,48772.3–

17Houston County, TNTN8,47972.2–

18Macon County, TNTN27,66371.8–

19Overton County, TNTN23,78771.4–

20Lincoln County, TNTN36,85369.5–

21Henderson County, TNTN28,51869.4–

22Campbell County, TNTN40,29068.3–

23Bedford County, TNTN55,27368.3–

24Roane County, TNTN57,39568.2–

25Hickman County, TNTN26,21967.7–

26Smith County, TNTN20,98167.6–

27Lawrence County, TNTN46,91467.1–

28Jackson County, TNTN12,46665.3–

29Hardeman County, TNTN25,27463.7–

30Hancock County, TNTN7,07562.3–

31Johnson County, TNTN18,71861.5–

32Franklin County, TNTN45,57960.9–

33Cocke County, TNTN37,88960.9–

34Scott County, TNTN22,67160.6–

35Rutherford County, TNTN386,35260.2–

36Cheatham County, TNTN42,77859.3–

37Lauderdale County, TNTN24,61759.1–

38Benton County, TNTN16,18357.5–

39Hamblen County, TNTN68,84357.2–

40Fayette County, TNTN45,07157.0–

41Putnam County, TNTN86,61256.0–

42Montgomery County, TNTN249,93555.9–

43Dickson County, TNTN58,66254.4–

44Hamilton County, TNTN390,83354.2–

45Davidson County, TNTN745,90454.1–

46Cannon County, TNTN15,29653.4–

47Jefferson County, TNTN60,02453.3–

48Greene County, TNTN73,83152.4–

49Warren County, TNTN43,71752.3–

50Coffee County, TNTN62,41951.9–

51Rhea County, TNTN34,84451.7–

52Bradley County, TNTN115,46551.1–

53Blount County, TNTN143,82051.0–

54Madison County, TNTN100,79051.0–

55Meigs County, TNTN14,18650.9–

56Marshall County, TNTN38,07150.6–

57Sumner County, TNTN215,53849.2–

58Carroll County, TNTN29,20049.1–

59Wilson County, TNTN175,03348.7–

60Shelby County, TNTN910,22648.3–

61Carter County, TNTN57,36148.2–

62Haywood County, TNTN17,04247.9–

63Hawkins County, TNTN59,55947.9–

64Maury County, TNTN118,13147.8–

65Sullivan County, TNTN163,75947.3–

66Chester County, TNTN17,99447.2–

67Stewart County, TNTN14,43947.1–

68Grainger County, TNTN25,73946.9–

69Williamson County, TNTN272,06146.7–

70Tipton County, TNTN62,28746.2–

71Union County, TNTN21,45044.4–

72Humphreys County, TNTN19,64644.3–

73Weakley County, TNTN33,26144.1–

74Hardin County, TNTN27,98343.8–

75Anderson County, TNTN82,06643.2–

76Giles County, TNTN31,43342.7–

77Unicoi County, TNTN17,85642.1–

78Knox County, TNTN511,45341.5–

79White County, TNTN29,61240.9–

80Sevier County, TNTN101,34240.9–

81Obion County, TNTN30,06738.8–

82Monroe County, TNTN49,73038.8–

83Moore County, TNTN6,92038.7–

84Crockett County, TNTN14,00638.6–

85Gibson County, TNTN51,77938.0–

86Dyer County, TNTN36,32038.0–

87Loudon County, TNTN63,76434.2–

88Clay County, TNTN7,82134.1–

89Wayne County, TNTN16,41633.4–

90Henry County, TNTN32,89632.3–

91Grundy County, TNTN14,11632.0–

92Polk County, TNTN18,59230.8–

93Washington County, TNTN141,19930.7–

94Pickett County, TNTN5,21930.6–

95Van Buren County, TNTN6,87420.6–

SHOWING 1–95 OF 95

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