RANKING · 2010 CENSUS · 95 SHOWN OF 95

Highest fertility rate, Tennessee counties · 2010

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

01Meigs County, TNTN14,186114.6–

02Sequatchie County, TNTN17,861106.0–

03Dyer County, TNTN36,32098.0–

04Shelby County, TNTN910,22696.2–

05Jackson County, TNTN12,46688.4–

06Pickett County, TNTN5,21985.6–

07Lake County, TNTN6,24980.6–

08Maury County, TNTN118,13178.0–

09Fentress County, TNTN20,32276.1–

10Dickson County, TNTN58,66276.0–

11Bradley County, TNTN115,46575.6–

12Montgomery County, TNTN249,93575.2–

13Chester County, TNTN17,99473.4–

14Lincoln County, TNTN36,85372.0–

15Marshall County, TNTN38,07170.5–

16Perry County, TNTN9,12669.9–

17Coffee County, TNTN62,41969.4–

18Hardeman County, TNTN25,27469.1–

19Wayne County, TNTN16,41669.0–

20Trousdale County, TNTN12,62366.6–

21Grundy County, TNTN14,11666.4–

22Robertson County, TNTN80,17566.3–

23Fayette County, TNTN45,07165.5–

24Franklin County, TNTN45,57964.8–

25Marion County, TNTN29,80464.4–

26Tipton County, TNTN62,28763.8–

27Humphreys County, TNTN19,64663.6–

28Morgan County, TNTN22,16063.6–

29Bedford County, TNTN55,27363.5–

30Hamblen County, TNTN68,84363.4–

31Roane County, TNTN57,39563.1–

32Scott County, TNTN22,67161.9–

33Rhea County, TNTN34,84461.4–

34Madison County, TNTN100,79060.6–

35Grainger County, TNTN25,73959.8–

36Warren County, TNTN43,71759.7–

37Henderson County, TNTN28,51858.9–

38Claiborne County, TNTN33,22958.5–

39Gibson County, TNTN51,77957.7–

40Hawkins County, TNTN59,55957.5–

41Johnson County, TNTN18,71857.4–

42Davidson County, TNTN745,90457.1–

43Cheatham County, TNTN42,77856.8–

44Anderson County, TNTN82,06656.1–

45Henry County, TNTN32,89654.8–

46Hamilton County, TNTN390,83354.8–

47Williamson County, TNTN272,06154.3–

48Sevier County, TNTN101,34254.2–

49Lauderdale County, TNTN24,61753.1–

50Hancock County, TNTN7,07553.0–

51Crockett County, TNTN14,00652.8–

52Campbell County, TNTN40,29052.4–

53Lawrence County, TNTN46,91451.7–

54Washington County, TNTN141,19951.6–

55Cumberland County, TNTN66,30051.3–

56Wilson County, TNTN175,03351.0–

57Sumner County, TNTN215,53850.0–

58Cocke County, TNTN37,88949.7–

59Hickman County, TNTN26,21949.5–

60Greene County, TNTN73,83149.3–

61Putnam County, TNTN86,61248.8–

62DeKalb County, TNTN21,87348.8–

63Rutherford County, TNTN386,35248.5–

64Knox County, TNTN511,45348.0–

65Haywood County, TNTN17,04247.7–

66McMinn County, TNTN57,40447.7–

67McNairy County, TNTN26,23647.5–

68Unicoi County, TNTN17,85647.3–

69Polk County, TNTN18,59247.0–

70Hardin County, TNTN27,98347.0–

71Overton County, TNTN23,78744.8–

72Jefferson County, TNTN60,02444.2–

73White County, TNTN29,61243.7–

74Obion County, TNTN30,06743.7–

75Loudon County, TNTN63,76443.2–

76Carter County, TNTN57,36142.4–

77Giles County, TNTN31,43342.1–

78Monroe County, TNTN49,73041.8–

79Bledsoe County, TNTN15,92041.3–

80Carroll County, TNTN29,20040.7–

81Clay County, TNTN7,82139.8–

82Union County, TNTN21,45039.0–

83Decatur County, TNTN11,82038.5–

84Macon County, TNTN27,66337.9–

85Smith County, TNTN20,98136.9–

86Sullivan County, TNTN163,75936.9–

87Blount County, TNTN143,82036.8–

88Houston County, TNTN8,47935.3–

89Weakley County, TNTN33,26134.3–

90Lewis County, TNTN13,48733.0–

91Stewart County, TNTN14,43931.3–

92Moore County, TNTN6,92029.7–

93Benton County, TNTN16,18328.2–

94Cannon County, TNTN15,29624.7–

95Van Buren County, TNTN6,87421.3–

SHOWING 1–95 OF 95

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