RANKING · 2024 ACS · 253 SHOWN OF 253

Highest fertility rate, Texas counties

Texas 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 253 counties in Texas 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

01Terrell County, TXTX702219.5–

02Collingsworth County, TXTX2,487194.6–

03Live Oak County, TXTX11,929192.5–

04Edwards County, TXTX1,370187.5–

05Kent County, TXTX674181.8–

06McMullen County, TXTX544179.3–

07Jeff Davis County, TXTX1,711177.8–

08Stonewall County, TXTX1,186156.8–

09Presidio County, TXTX5,433143.9–

10Hale County, TXTX31,819135.4–

11Dawson County, TXTX11,776130.1–

12Briscoe County, TXTX1,474129.9–

13Jackson County, TXTX15,393127.1–

14Shackelford County, TXTX3,197118.9–

15Aransas County, TXTX26,146118.5–

16Calhoun County, TXTX19,599118.1–

17Jim Hogg County, TXTX4,555117.2–

18Newton County, TXTX11,954114.3–

19Coleman County, TXTX7,915113.7–

20Karnes County, TXTX15,018110.3–

21Glasscock County, TXTX1,128110.2–

22Lynn County, TXTX6,017109.6–

23Trinity County, TXTX14,384108.5–

24Cottle County, TXTX1,224108.0–

25Fayette County, TXTX25,459107.3–

26Hockley County, TXTX21,600101.5–

27Val Verde County, TXTX47,835100.9–

28Robertson County, TXTX17,839100.2–

29Ochiltree County, TXTX9,28499.0–

30Colorado County, TXTX21,43997.8–

31Limestone County, TXTX22,84996.9–

32Howard County, TXTX30,50494.6–

33Ector County, TXTX173,80192.4–

34San Jacinto County, TXTX29,48891.2–

35Cherokee County, TXTX53,33791.0–

36Cochran County, TXTX2,54687.7–

37Ward County, TXTX11,12587.6–

38Grimes County, TXTX34,25286.4–

39Chambers County, TXTX57,59486.4–

40Titus County, TXTX31,56386.3–

41Yoakum County, TXTX7,43886.1–

42Franklin County, TXTX10,99485.4–

43Midland County, TXTX187,85584.6–

44Hood County, TXTX70,50182.9–

45Armstrong County, TXTX1,84382.8–

46Zapata County, TXTX13,75382.3–

47Maverick County, TXTX58,82381.8–

48Lee County, TXTX18,72981.6–

49Moore County, TXTX21,89181.0–

50Wharton County, TXTX42,06080.2–

51Irion County, TXTX1,46379.6–

52Floyd County, TXTX4,88179.4–

53Stephens County, TXTX9,38079.3–

54Austin County, TXTX33,62579.2–

55Reeves County, TXTX12,13878.7–

56Mitchell County, TXTX8,94778.2–

57Morris County, TXTX12,13377.9–

58Coryell County, TXTX85,59277.5–

59Van Zandt County, TXTX66,13077.2–

60Lipscomb County, TXTX2,95575.8–

61Gaines County, TXTX23,95675.8–

62Scurry County, TXTX16,16274.7–

63Motley County, TXTX1,04374.6–

64Reagan County, TXTX3,16674.6–

65Eastland County, TXTX18,14374.5–

66Houston County, TXTX22,31674.3–

67Shelby County, TXTX24,28673.7–

68Upton County, TXTX3,13173.1–

69Waller County, TXTX69,85872.7–

70Winkler County, TXTX7,54072.6–

71Crockett County, TXTX2,76972.3–

72Upshur County, TXTX44,41072.2–

73Guadalupe County, TXTX201,11172.1–

74Callahan County, TXTX14,49172.0–

75Gonzales County, TXTX20,15972.0–

76Wood County, TXTX49,68871.8–

77Hardeman County, TXTX3,29271.5–

78Orange County, TXTX86,26671.4–

79Henderson County, TXTX88,59570.2–

80Freestone County, TXTX20,81170.2–

81Clay County, TXTX10,76469.7–

82Coke County, TXTX3,41269.6–

83Leon County, TXTX16,89469.3–

84Andrews County, TXTX18,91468.8–

85Hartley County, TXTX4,90467.7–

86Webb County, TXTX281,22466.5–

87Bell County, TXTX402,24866.5–

88Erath County, TXTX43,91166.5–

89Milam County, TXTX26,25865.9–

90Willacy County, TXTX19,97165.8–

91Hunt County, TXTX123,33665.6–

92Ellis County, TXTX240,86765.5–

93Goliad County, TXTX7,20865.3–

94Palo Pinto County, TXTX30,79165.1–

95Jones County, TXTX20,86164.9–

96San Saba County, TXTX5,78764.6–

97Grayson County, TXTX153,61364.6–

98Montague County, TXTX21,96664.4–

99Dallam County, TXTX7,50864.2–

100Baylor County, TXTX3,47264.1–

101Lamb County, TXTX12,57963.6–

102Starr County, TXTX66,31963.2–

103El Paso County, TXTX877,85863.0–

104Crane County, TXTX4,55462.9–

105Kerr County, TXTX54,03762.3–

106Kaufman County, TXTX209,23562.0–

107Fannin County, TXTX39,26561.9–

108Lamar County, TXTX51,50361.8–

109Liberty County, TXTX121,36461.7–

110Hidalgo County, TXTX921,54961.3–

111Polk County, TXTX53,43461.1–

112Medina County, TXTX56,88161.0–

113Sabine County, TXTX10,01261.0–

114Frio County, TXTX18,82361.0–

115Dimmit County, TXTX8,02460.9–

116Refugio County, TXTX6,65760.4–

117Mills County, TXTX4,58060.3–

118Matagorda County, TXTX36,46360.2–

119Gray County, TXTX20,91960.1–

120Victoria County, TXTX92,65660.1–

121Young County, TXTX18,15460.1–

122Montgomery County, TXTX781,19459.3–

123Terry County, TXTX11,72059.1–

124Comal County, TXTX209,16659.0–

125Johnson County, TXTX218,04858.6–

126Nacogdoches County, TXTX66,03558.4–

127Jefferson County, TXTX254,32158.2–

128Harris County, TXTX5,045,02658.2–

129Uvalde County, TXTX24,96358.1–

130Falls County, TXTX17,86957.7–

131Wise County, TXTX83,77857.6–

132Bosque County, TXTX18,91857.6–

133Hopkins County, TXTX39,06357.4–

134Kendall County, TXTX53,28957.0–

135Haskell County, TXTX5,49956.5–

136Brewster County, TXTX9,45856.1–

137Rockwall County, TXTX140,73855.8–

138Deaf Smith County, TXTX18,62655.5–

139Tarrant County, TXTX2,248,46655.1–

140Castro County, TXTX7,29555.1–

141Dallas County, TXTX2,661,39755.1–

142Nueces County, TXTX352,99255.1–

143Taylor County, TXTX150,07754.8–

144Bandera County, TXTX22,87654.6–

145Tom Green County, TXTX120,60254.4–

146Panola County, TXTX23,01854.3–

147Hardin County, TXTX58,72354.2–

148Bee County, TXTX32,51554.2–

149Knox County, TXTX3,19253.9–

150Brazoria County, TXTX419,08053.9–

151Borden County, TXTX56753.9–

152Williamson County, TXTX752,82753.5–

153Swisher County, TXTX6,70353.4–

154Hays County, TXTX304,39053.2–

155Atascosa County, TXTX53,59053.0–

156Parker County, TXTX184,76753.0–

157Bexar County, TXTX2,160,08852.9–

158Potter County, TXTX114,45351.9–

159Washington County, TXTX38,28851.8–

160Oldham County, TXTX1,78351.5–

161Nolan County, TXTX14,11751.4–

162Caldwell County, TXTX55,15051.4–

163Bailey County, TXTX6,96351.2–

164Galveston County, TXTX372,20751.2–

165Cooke County, TXTX44,46151.0–

166Collin County, TXTX1,297,17950.6–

167Wilbarger County, TXTX12,48150.3–

168Burleson County, TXTX20,54950.2–

169Kleberg County, TXTX30,31550.1–

170Foard County, TXTX1,04449.8–

171Jasper County, TXTX33,07549.5–

172Smith County, TXTX252,54949.2–

173Camp County, TXTX13,38049.0–

174Angelina County, TXTX88,15448.8–

175Walker County, TXTX83,84248.8–

176Fort Bend County, TXTX975,19148.1–

177Cameron County, TXTX433,94648.1–

178Navarro County, TXTX57,18147.9–

179McLennan County, TXTX272,02047.9–

180Comanche County, TXTX14,43247.8–

181Bowie County, TXTX92,69647.5–

182San Patricio County, TXTX72,05347.1–

183Duval County, TXTX9,40247.1–

184Throckmorton County, TXTX1,55446.9–

185Denton County, TXTX1,069,34646.7–

186Crosby County, TXTX4,85246.4–

187Tyler County, TXTX20,44346.4–

188DeWitt County, TXTX20,30946.3–

189Parmer County, TXTX9,67846.2–

190Hutchinson County, TXTX19,63345.7–

191Blanco County, TXTX13,58145.7–

192Red River County, TXTX11,81645.5–

193Cass County, TXTX28,65145.3–

194Brown County, TXTX38,71145.3–

195Lubbock County, TXTX328,90644.6–

196Jim Wells County, TXTX38,80444.6–

197Randall County, TXTX152,35144.6–

198Hill County, TXTX39,50344.6–

199Gregg County, TXTX126,09544.4–

200Bastrop County, TXTX118,90843.9–

201Travis County, TXTX1,389,67043.8–

202Wichita County, TXTX129,55543.0–

203Brazos County, TXTX249,08842.4–

204Dickens County, TXTX1,69242.1–

205Harrison County, TXTX71,95641.9–

206Schleicher County, TXTX2,24541.7–

207Rusk County, TXTX54,85441.5–

208Sherman County, TXTX2,78141.2–

209Zavala County, TXTX9,03740.5–

210Archer County, TXTX9,12940.2–

211Wilson County, TXTX56,13940.1–

212Childress County, TXTX6,64339.0–

213Somervell County, TXTX10,26138.9–

214Marion County, TXTX9,89638.9–

215Anderson County, TXTX59,80538.2–

216Rains County, TXTX13,54237.8–

217Donley County, TXTX3,21337.4–

218Fisher County, TXTX3,69236.6–

219Madison County, TXTX14,22636.6–

220Lavaca County, TXTX20,65136.0–

221Llano County, TXTX23,35335.7–

222Runnels County, TXTX9,69334.4–

223Sutton County, TXTX3,20333.8–

224Burnet County, TXTX57,01532.8–

225Carson County, TXTX5,80531.9–

226Pecos County, TXTX14,56031.8–

227Lampasas County, TXTX23,65731.7–

228Kinney County, TXTX3,12831.6–

229Gillespie County, TXTX28,52730.9–

230Jack County, TXTX9,56330.4–

231Hall County, TXTX2,73729.6–

232Real County, TXTX2,74526.5–

233Sterling County, TXTX1,34925.8–

234Wheeler County, TXTX4,77323.9–

235Concho County, TXTX3,60722.6–

236Hansford County, TXTX4,94419.7–

237McCulloch County, TXTX7,47218.2–

238Kimble County, TXTX4,43817.8–

239Martin County, TXTX5,28415.9–

240Hamilton County, TXTX8,68015.8–

241Delta County, TXTX5,54914.7–

242Garza County, TXTX4,51011.3–

243San Augustine County, TXTX7,7229.8–

244Brooks County, TXTX6,5792.9–

245Culberson County, TXTX2,2670.0–

246Hemphill County, TXTX3,0830.0–

247Hudspeth County, TXTX3,4330.0–

248Kenedy County, TXTX3190.0–

249King County, TXTX1920.0–

250La Salle County, TXTX6,5170.0–

251Mason County, TXTX3,9900.0–

252Menard County, TXTX1,9560.0–

253Roberts County, TXTX8670.0–

SHOWING 1–253 OF 253

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