RANKING · 2024 ACS · 175 SHOWN OF 175

Lowest fertility rate, North Carolina cities

North Carolina cities with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 175 cities in North Carolina that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

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

01Cullowhee, NCNC7,9730.0–

02Porters Neck, NCNC7,6540.0−100%

03St. James, NCNC7,3180.0–

04Marvin, NCNC7,0400.0−100%

05Oak Ridge, NCNC7,8960.0−100%

06Whispering Pines, NCNC5,5050.0−100%

07Carolina Shores, NCNC5,5400.0−100%

08Unionville, NCNC7,3222.5−92%

09Boone, NCNC19,9295.7−72%

10Brevard, NCNC8,0986.1−62%

11Midland, NCNC5,1517.1−95%

12Elon, NCNC11,3668.4−20%

13Chapel Hill, NCNC63,5659.4−60%

14Williamston, NCNC5,08610.8−75%

15Silver Lake, NCNC6,56312.4−66%

16Rolesville, NCNC12,83912.4−91%

17Davidson, NCNC16,66213.0−32%

18Sawmills, NCNC5,10514.9−86%

19Cherryville, NCNC6,52315.6−64%

20Waynesville, NCNC11,00616.8−78%

21Aberdeen, NCNC10,06618.1−76%

22Pleasant Garden, NCNC5,16518.5−76%

23Black Mountain, NCNC8,49119.1−70%

24Fletcher, NCNC8,37319.5−69%

25Pittsboro, NCNC5,05420.0−32%

26Smithfield, NCNC13,11420.5−62%

27Reidsville, NCNC14,69221.2−73%

28Clayton, NCNC32,63324.2−58%

29Archdale, NCNC12,25426.7−36%

30Wrightsboro, NCNC6,28726.9+49%

31Northchase, NCNC5,89627.1−73%

32Woodfin, NCNC8,22927.1−50%

33Thomasville, NCNC27,73327.7−58%

34Lewisville, NCNC14,42129.1−66%

35Hickory, NCNC45,97530.6−24%

36Wilmington, NCNC126,80930.7−38%

37Summerfield, NCNC11,32732.1−61%

38Mills River, NCNC7,50432.3−29%

39Dunn, NCNC8,81432.3−47%

40St. Stephens, NCNC9,45732.6+26%

41Leland, NCNC35,73133.3−43%

42Rocky Mount, NCNC55,12033.9−42%

43Greenville, NCNC96,44334.4+10%

44Carrboro, NCNC20,96234.6+8%

45Wesley Chapel, NCNC9,56634.9−36%

46Asheville, NCNC93,52335.0−45%

47Kings Grant, NCNC9,00335.4−50%

48Gibsonville, NCNC9,87635.5−44%

49Henderson, NCNC15,01335.8−9%

50Wilson, NCNC49,57236.6−33%

51Clemmons, NCNC22,80836.9+1%

52Cornelius, NCNC35,09437.1+12%

53Concord, NCNC114,59837.3−39%

54Indian Trail, NCNC44,30338.0−50%

55Angier, NCNC9,41038.0+168%

56Durham, NCNC305,56138.6−46%

57Lexington, NCNC20,23839.5+40%

58Long View, NCNC5,38739.9−62%

59Butner, NCNC8,11240.0+10%

60Salisbury, NCNC36,87940.9−26%

61Marion, NCNC7,44041.5+28%

62Greensboro, NCNC308,66741.6−18%

63Morrisville, NCNC32,46641.7−19%

64Stallings, NCNC17,76041.8−28%

65Locust, NCNC6,12042.0+22%

66Cary, NCNC183,58242.4−24%

67Wake Forest, NCNC58,14742.7−24%

68Cramerton, NCNC5,71343.7−56%

69Rockingham, NCNC8,81543.7+1%

70Mocksville, NCNC6,28244.1+109%

71Oak Island, NCNC9,33744.3+38%

72Surf City, NCNC5,14244.4+23%

73Wendell, NCNC19,68744.6−35%

74High Point, NCNC120,57144.6−24%

75Harrisburg, NCNC20,74245.1−5%

76Sanford, NCNC34,13845.7−41%

77Morehead City, NCNC10,43446.2−63%

78Holly Springs, NCNC50,28846.3−23%

79Mount Holly, NCNC19,03346.5−21%

80Wadesboro, NCNC5,03546.6−11%

81Winston-Salem, NCNC257,27147.3−17%

82Belmont, NCNC16,41547.7−33%

83Boiling Spring Lakes, NCNC6,87548.2+47%

84Myrtle Grove, NCNC12,63748.5−24%

85Raleigh, NCNC506,30648.6−13%

86Charlotte, NCNC964,78449.2−16%

87Kernersville, NCNC29,12849.6+55%

88Lake Norman of Iredell, NCNC12,49450.0−23%

89Matthews, NCNC32,76950.0+20%

90Hendersonville, NCNC15,86750.1−52%

91Clinton, NCNC8,46650.5−11%

92Huntersville, NCNC68,53551.2−3%

93Washington, NCNC9,91051.6−38%

94Winterville, NCNC10,97351.8−15%

95Murraysville, NCNC16,33953.2+10%

96New Bern, NCNC34,72453.6−27%

97Oxford, NCNC8,98554.0+181%

98Waxhaw, NCNC23,14054.3+27%

99Hope Mills, NCNC18,32455.0−12%

100Lumberton, NCNC18,95555.1−46%

101Burlington, NCNC61,49656.0−4%

102Bessemer City, NCNC5,83456.1+171%

103Walkertown, NCNC6,12056.5−31%

104Mebane, NCNC21,95256.6+49%

105Conover, NCNC8,93856.9+36%

106Elizabeth City, NCNC19,62257.0+19%

107Roxboro, NCNC8,38057.5−41%

108Weddington, NCNC14,51757.8+187%

109Eden, NCNC15,50058.2+63%

110Carolina Beach, NCNC6,87058.4+696%

111Lillington, NCNC5,04058.6−0%

112Kannapolis, NCNC61,70858.8+19%

113Shelby, NCNC23,30960.0+17%

114Zebulon, NCNC11,93360.3−42%

115Mooresville, NCNC55,84260.4+53%

116Goldsboro, NCNC35,01260.6−15%

117Hillsborough, NCNC9,77861.7−33%

118Anderson Creek, NCNC13,92761.9–

119Trinity, NCNC7,27462.8+122%

120Roanoke Rapids, NCNC14,38663.4−10%

121Pinehurst, NCNC18,67063.9+226%

122Spout Springs, NCNC11,24264.0–

123Hampstead, NCNC9,29264.4+135%

124Mint Hill, NCNC29,47664.5+47%

125Southern Pines, NCNC17,35764.9+132%

126Nashville, NCNC5,91165.0+362%

127Pineville, NCNC11,85165.2−43%

128Fayetteville, NCNC209,12066.3−11%

129Graham, NCNC20,13167.5−7%

130Apex, NCNC80,41967.6+19%

131Gastonia, NCNC87,06768.7+33%

132Etowah, NCNC7,96868.9−34%

133Laurinburg, NCNC14,58268.9+17%

134Westport, NCNC5,91569.0+377%

135Garner, NCNC41,56269.3+30%

136Morganton, NCNC17,84969.4−4%

137Fuquay-Varina, NCNC48,53671.2−6%

138Barbecue, NCNC5,91071.4–

139Creedmoor, NCNC5,04673.3+63%

140Monroe, NCNC42,64473.3−23%

141East Flat Rock, NCNC6,32375.0−27%

142Lenoir, NCNC18,37276.3+53%

143Jacksonville, NCNC72,73277.1−14%

144Lake Norman of Catawba, NCNC9,90678.0–

145Knightdale, NCNC23,14478.5−11%

146Kings Mountain, NCNC12,11778.7+73%

147Tarboro, NCNC10,97979.2+24%

148Kill Devil Hills, NCNC7,73179.8+35%

149Albemarle, NCNC17,76980.5−3%

150Havelock, NCNC17,43080.9+15%

151Half Moon, NCNC7,37882.0+11%

152Piney Green, NCNC14,07883.2−24%

153Statesville, NCNC32,18184.7+22%

154Mount Airy, NCNC10,68288.8+69%

155Asheboro, NCNC27,99090.5+87%

156Holly Ridge, NCNC5,90894.5+269%

157King, NCNC7,97795.6−25%

158Spring Lake, NCNC11,25298.8−41%

159Dallas, NCNC6,39299.7+688%

160Briar Chapel, NCNC6,049100.8–

161Lincolnton, NCNC12,465102.9+97%

162Newton, NCNC13,822106.7+45%

163Stokesdale, NCNC6,133109.8+126%

164Midway, NCNC5,104116.8+313%

165Swannanoa, NCNC6,901117.1+280%

166Selma, NCNC7,406119.7+87%

167Forest City, NCNC7,410119.7+85%

168Kinston, NCNC19,705124.7+142%

169Shallotte, NCNC5,335130.4+95%

170Ayden, NCNC5,263157.7+125%

171Siler City, NCNC8,155161.2+295%

172Moyock, NCNC5,684165.8+138%

173Hamlet, NCNC5,870213.7+208%

174Ogden, NCNC8,249221.4+117%

175Archer Lodge, NCNC5,649231.9+311%

SHOWING 1–175 OF 175

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES