RANKING · 2024 ACS · 500 SHOWN OF 3,143

Lowest fertility rate, US counties

US counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). Greene County, Alabama leads at 0.0. 3,143 counties qualify in total. Texas carries 8 of the top 25 entries.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

USUnited States334,922,49951.3–

01Greene County, ALAL7,0670.0−100%

02Yakutat, AKAK6720.0−100%

03Divide County, NDND2,1100.0–

04Banner County, NENE6860.0−100%

05Lincoln County, NVNV4,3200.0−100%

06Catron County, NMNM3,8270.0–

07Mora County, NMNM4,0510.0–

08Hyde County, NCNC4,5540.0−100%

09Gilliam County, OROR1,9710.0−100%

10Culberson County, TXTX2,2670.0−100%

11Hemphill County, TXTX3,0830.0−100%

12Hudspeth County, TXTX3,4330.0−100%

13Kenedy County, TXTX3190.0−100%

14King County, TXTX1920.0–

15La Salle County, TXTX6,5170.0−100%

16Mason County, TXTX3,9900.0−100%

17Menard County, TXTX1,9560.0−100%

18Blaine County, NENE4580.0−100%

19Hinsdale County, COCO7530.0−100%

20Huerfano County, COCO7,0110.0−100%

21Jackson County, COCO1,2110.0−100%

22Camas County, IDID1,3160.0−100%

23Miller County, GAGA5,8120.0−100%

24Kalawao County, HIHI820.0–

25Stanton County, KSKS1,9860.0−100%

26Esmeralda County, NVNV7290.0−100%

27Eureka County, NVNV1,8670.0−100%

28Roberts County, TXTX8670.0−100%

29Sierra County, CACA3,0981.9−64%

30Adams County, NDND2,2752.7−91%

31Mathews County, VAVA8,5292.8−94%

32Brooks County, TXTX6,5792.9−95%

33Glascock County, GAGA3,1413.0−96%

34Lincoln County, GAGA8,1124.4−76%

35Trimble County, KYKY8,7014.6−94%

36Cimarron County, OKOK2,0594.8−94%

37Clark County, KSKS1,9005.2−66%

38Quay County, NMNM8,4546.6−85%

39Granite County, MTMT3,6586.6−62%

40Cameron County, PAPA4,2117.4−77%

41Sully County, SDSD1,4797.6−84%

42Jones County, SDSD9138.2−90%

43Custer County, IDID4,6368.6−86%

44Comanche County, KSKS1,6738.8−90%

45Garfield County, NENE1,7108.8+12%

46San Augustine County, TXTX7,7229.8−86%

47Slope County, NDND6289.9−69%

48Forest County, PAPA6,6149.9−85%

49Jefferson County, MSMS6,82510.0−69%

50Middlesex County, VAVA10,84110.6+36%

51Gunnison County, COCO17,43911.1−81%

52Powell County, MTMT7,15711.2−87%

53Garza County, TXTX4,51011.3−50%

54Hodgeman County, KSKS1,61911.8−91%

55McPherson County, NENE36911.8−94%

56Bristol Bay, AKAK84711.8−50%

57Sharkey County, MSMS3,09711.9−65%

58Dawes County, NENE7,85812.7−33%

59Bienville Parish, LALA12,26913.0−76%

60Union County, ININ6,86313.3−77%

61Calhoun County, WVWV5,97813.7−84%

62Northumberland County, VAVA12,55713.8−79%

63Ballard County, KYKY7,59414.0−81%

64Saguache County, COCO6,73214.1−80%

65Taos County, NMNM34,56414.1−64%

66Ontonagon County, MIMI5,82314.4−72%

67Richmond County, VAVA9,29414.5−71%

68Warren County, GAGA5,26914.6−56%

69Delta County, TXTX5,54914.7−80%

70Rappahannock County, VAVA7,43915.1−77%

71Keweenaw County, MIMI2,18615.1−81%

72Butler County, ALAL18,10015.2−92%

73Telfair County, GAGA11,19515.3−86%

74Oglethorpe County, GAGA16,41515.3−56%

75Watauga County, NCNC54,78615.4−53%

76Inyo County, CACA18,15815.4−84%

77Manassas Park, VAVA16,56015.6−73%

78Hamilton County, TXTX8,68015.8−39%

79Baker County, GAGA2,72515.9−84%

80Boone County, WVWV20,25115.9−55%

81Martin County, TXTX5,28415.9−57%

82Osborne County, KSKS3,28515.9−77%

83McIntosh County, GAGA11,98916.3−81%

84Mariposa County, CACA16,91816.6−73%

85Golden Valley County, NDND1,80816.8–

86Stone County, ARAR12,70317.0−68%

87Lincoln County, ARAR12,76417.3−65%

88Harrisonburg, VAVA50,83917.4−39%

89Fayette County, ALAL15,87217.6−59%

90Oliver County, NDND1,89817.6−85%

91Kimble County, TXTX4,43817.8−46%

92Pulaski County, ILIL4,82018.1−78%

93McCulloch County, TXTX7,47218.2−68%

94Haines, AKAK2,06818.4–

95Logan County, ARAR21,63318.5−65%

96Nicholas County, WVWV23,84818.7−57%

97Hampshire County, MAMA164,06518.8−40%

98Perry County, MSMS11,57719.0−80%

99Calhoun County, ILIL4,30019.2−70%

100Shelby County, IAIA11,68919.3−75%

101Washington County, IDID11,58319.4−73%

102Liberty County, FLFL8,03519.5+7%

103Silver Bow County, MTMT36,11819.5−58%

104Colfax County, NMNM12,18419.7−74%

105Hansford County, TXTX4,94419.7−78%

106Summit County, COCO31,51719.8−39%

107Jefferson County, IAIA15,29120.0−44%

108Twiggs County, GAGA7,59720.2−49%

109Van Buren County, TNTN6,87420.6−3%

110Chouteau County, MTMT5,86520.7−59%

111Millard County, UTUT14,05721.1−79%

112Yalobusha County, MSMS12,37521.1−65%

113Stutsman County, NDND21,41421.1−57%

114Peach County, GAGA29,87721.3−44%

115Dodge County, GAGA19,66321.5−30%

116Humphreys County, MSMS7,00121.7−76%

117Leelanau County, MIMI22,98221.9−51%

118Perry County, ALAL7,42522.0−10%

119Tucker County, WVWV6,54022.0−62%

120Chase County, KSKS2,57222.1−48%

121Columbia County, PAPA66,19322.2−44%

122Concho County, TXTX3,60722.6−65%

123Cavalier County, NDND3,49722.6−60%

124Elk County, KSKS2,45822.9−43%

125Brooks County, GAGA16,10123.0−64%

126Monroe County, ININ143,34523.0−31%

127Greenlee County, AZAZ9,31223.1−56%

128Perry County, ARAR10,30923.2−63%

129Montgomery County, VAVA98,43423.4−35%

130Cheyenne County, KSKS2,60423.7+92%

131Claiborne County, MSMS8,05823.8+72%

132Benton County, OROR97,72823.9−39%

133Wheeler County, TXTX4,77323.9−77%

134Haywood County, NCNC63,36923.9−54%

135Covington, VAVA5,68023.9−30%

136Cleveland County, ARAR7,22424.0−54%

137San Miguel County, COCO7,75324.2+19%

138Faulk County, SDSD2,17824.2−63%

139Tallahatchie County, MSMS10,87724.3−46%

140Clay County, SDSD15,03124.3+18%

141Skamania County, WAWA12,66924.4+158%

142Clearwater County, IDID9,11824.6−36%

143Kiowa County, OKOK8,18124.6−26%

144Meagher County, MTMT2,13724.8+12%

145Cheyenne County, COCO1,71324.8−53%

146Wheatland County, MTMT2,10025.0−46%

147Graham County, NCNC8,19025.0−57%

148Conejos County, COCO7,52925.0−68%

149Fredericksburg, VAVA30,39325.0−34%

150Clarke County, GAGA129,92125.1−38%

151Norton, VAVA3,47725.1+285%

152Macon County, NCNC39,23225.2−63%

153Rooks County, KSKS4,64625.3−77%

154Archuleta County, COCO14,30625.3−29%

155Estill County, KYKY13,96225.4−47%

156Hoonah-Angoon Census Area, AKAK2,27125.6−72%

157Wilcox County, ALAL9,66625.8+19%

158Sterling County, TXTX1,34925.8−78%

159Stanley County, SDSD3,01825.8−74%

160Jackson County, NCNC45,03925.9−52%

161Bamberg County, SCSC12,79625.9−54%

162Orleans County, VTVT27,60025.9−55%

163Denali, AKAK1,61626.2−35%

164Tompkins County, NYNY104,04726.2−10%

165Simpson County, KYKY20,78826.3−43%

166Greeley County, KSKS1,18226.3+15%

167Real County, TXTX2,74526.5−57%

168Taliaferro County, GAGA1,66226.6+459%

169Oregon County, MOMO8,70926.6+15%

170Newton County, ARAR7,02626.6−57%

171Story County, IAIA101,29126.6−39%

172Orange County, NCNC152,49826.8−10%

173Richardson County, NENE7,53026.8−55%

174McCracken County, KYKY67,55327.0−60%

175Sullivan County, MOMO5,73827.1−38%

176Clark County, KYKY37,88827.1−63%

177Butte County, IDID2,78327.2−21%

178Schley County, GAGA4,59327.3−26%

179Lake County, MNMN10,74627.4−72%

180Sumter County, ALAL11,58827.5−59%

181Monroe County, ALAL18,96527.6−52%

182Summit County, UTUT43,14127.6−52%

183Custer County, COCO5,59028.0−70%

184Blaine County, MTMT6,86028.1−65%

185Rich County, UTUT2,68728.1−32%

186Roosevelt County, MTMT10,24228.2−65%

187Athens County, OHOH63,19728.2−21%

188Knox County, MEME41,11728.4−34%

189Greene County, NYNY47,23828.4−18%

190Habersham County, GAGA50,41628.6−15%

191Somerset County, MDMD24,97328.7+209%

192Sierra County, NMNM11,39528.7+63%

193Jackson County, WVWV27,45028.8−35%

194Adams County, NENE31,07128.8−58%

195Union County, NMNM3,84428.8+31%

196Martin County, NCNC21,60128.8−55%

197Alexander County, ILIL4,57028.9−26%

198Sac County, IAIA9,52528.9−63%

199Towns County, GAGA13,28528.9−19%

200Nuckolls County, NENE4,10028.9−41%

201Assumption Parish, LALA19,72029.0−56%

202Putnam County, ININ37,87629.0−47%

203Summers County, WVWV11,53229.1−45%

204Forest County, WIWI9,57429.1−48%

205Washington County, RIRI129,79529.2−14%

206Fayette County, WVWV38,16529.3−34%

207Noble County, OHOH14,27629.3−25%

208Alachua County, FLFL290,02829.5−7%

209Robertson County, KYKY2,32529.5−83%

210Scott County, KSKS4,81529.5−57%

211Humboldt County, CACA131,64729.6−50%

212Washington County, VTVT59,65229.6−24%

213Hall County, TXTX2,73729.6−47%

214Nicholas County, KYKY7,94929.6−73%

215Boulder County, COCO328,56029.7−36%

216Iowa County, IAIA16,50429.9−56%

217Shenandoah County, VAVA45,83929.9−34%

218Jackson County, KYKY13,32530.0−39%

219Juneau, AKAK31,60930.1−61%

220Baldwin County, GAGA44,02930.1−41%

221Clay County, WVWV7,53830.1−25%

222Warren County, MOMO39,01630.1−50%

223Pierce County, WIWI43,51930.2−43%

224Polk County, NCNC20,53330.2+67%

225Webster County, KYKY12,92930.3−52%

226Lake and Peninsula, AKAK1,35730.3−53%

227Whitman County, WAWA48,51230.3−11%

228Vermillion County, ININ15,48830.4−51%

229Jack County, TXTX9,56330.4−1%

230Lafayette County, MSMS59,59730.4+7%

231Centre County, PAPA157,39330.5−11%

232Pickett County, TNTN5,21930.6−64%

233Washington County, TNTN141,19930.7−40%

234Polk County, TNTN18,59230.8−34%

235Madison County, IDID55,17230.8−54%

236Gillespie County, TXTX28,52730.9−55%

237Douglas County, OROR111,95130.9−41%

238Marquette County, MIMI68,06431.0−26%

239Barbour County, WVWV15,41431.2−9%

240Lincoln County, KSKS2,86131.3−54%

241Montgomery County, MSMS9,35431.5−72%

242Woodford County, KYKY27,88331.5−35%

243Halifax County, VAVA33,44731.5−40%

244Charlotte County, VAVA11,40131.5−58%

245Lamoille County, VTVT26,29431.6−53%

246Crawford County, ILIL18,64831.6−59%

247Radford, VAVA17,24331.6+104%

248Spencer County, ININ20,06131.6−50%

249Kinney County, TXTX3,12831.6−57%

250White Pine County, NVNV8,66131.7+31%

251Adair County, KYKY19,42331.7−51%

252Early County, GAGA10,45531.7+2%

253Lampasas County, TXTX23,65731.7−57%

254Cabell County, WVWV91,18331.8−29%

255Garfield County, UTUT5,25631.8−61%

256Monroe County, GAGA32,02331.8−29%

257Pecos County, TXTX14,56031.8−44%

258Josephine County, OROR87,86731.9−42%

259Carson County, TXTX5,80531.9−33%

260Woods County, OKOK8,44332.0−14%

261Southeast Fairbanks Census Area, AKAK7,27032.0−53%

262Grundy County, TNTN14,11632.0−52%

263Whatcom County, WAWA236,39232.0−30%

264Lincoln County, COCO5,64532.1−18%

265Queen Anne's County, MDMD54,44832.1−27%

266New York County, NYNY1,664,86232.1−20%

267Harney County, OROR7,38032.1−13%

268Graham County, KSKS2,37132.2−53%

269Payne County, OKOK83,88932.2−33%

270Henry County, TNTN32,89632.3−41%

271Douglas County, KSKS120,92032.3−22%

272Monroe County, KYKY11,19132.3−34%

273Bayfield County, WIWI16,78732.3−34%

274Braxton County, WVWV11,88532.4−5%

275Bradford County, FLFL28,30732.4−65%

276Arlington County, VAVA243,93132.4−30%

277Bullock County, ALAL9,78032.5−51%

278Montgomery County, NCNC26,40332.5−47%

279Gloucester County, VAVA40,09732.5−4%

280Montgomery County, KSKS30,17732.6−45%

281Decatur County, GAGA29,43232.6+2%

282Hale County, ALAL15,19432.6+13%

283Elbert County, GAGA20,07232.6−57%

284Heard County, GAGA12,14932.6−49%

285St. John the Baptist Parish, LALA39,87532.7−46%

286Sargent County, NDND3,71132.7−3%

287Ohio County, WVWV40,49632.8−36%

288Broadwater County, MTMT8,49332.8+19%

289Coffey County, KSKS8,46732.8−64%

290McKean County, PAPA38,98432.8−60%

291Burnet County, TXTX57,01532.8−36%

292Lee County, ALAL189,88132.8−35%

293Cape Girardeau County, MOMO83,99932.8−30%

294Carlisle County, KYKY4,74732.9−36%

295Roscommon County, MIMI23,91432.9−43%

296Chicot County, ARAR9,10732.9−70%

297Reynolds County, MOMO5,99233.0−17%

298Ketchikan Gateway, AKAK13,54933.0−31%

299San Juan County, UTUT14,54233.0−60%

300Nottoway County, VAVA15,79633.0−50%

301Chittenden County, VTVT169,11533.0−20%

302Garland County, ARAR99,69533.1−42%

303Bond County, ILIL16,95933.1−36%

304Buffalo County, WIWI13,31833.1−47%

305Falls Church, VAVA15,15933.1−43%

306Crawford County, GAGA12,20633.1−31%

307Daniels County, MTMT1,61233.2+251%

308Smyth County, VAVA28,88233.2+19%

309Grafton County, NHNH93,22533.2−46%

310Beaufort County, NCNC44,67033.3−47%

311Crenshaw County, ALAL13,17533.3−9%

312Shelby County, ILIL20,57633.3−14%

313Wayne County, TNTN16,41633.4−52%

314Fayette County, OHOH28,55233.4−49%

315Geneva County, ALAL27,55433.5−44%

316Multnomah County, OROR795,39133.6−38%

317Renville County, NDND2,33133.6−78%

318East Feliciana Parish, LALA18,91133.6−21%

319Deuel County, SDSD4,40833.7−51%

320Grant County, NMNM27,25233.7−41%

321Thomas County, GAGA46,36833.7−43%

322Pershing County, NVNV6,42133.8−60%

323Missoula County, MTMT123,51333.8−7%

324Sutton County, TXTX3,20333.8−49%

325Portage County, WIWI71,94333.8−31%

326Kittitas County, WAWA48,80333.8−2%

327Johnson County, ILIL13,36333.8−21%

328Monroe County, ILIL34,84033.8−36%

329Mississippi County, MOMO12,00333.9−72%

330Grand Isle County, VTVT7,51133.9−38%

331Ingham County, MIMI289,70934.0−28%

332Morgan County, ILIL32,51534.0+3%

333Clay County, IAIA16,20234.1−45%

334Clay County, TNTN7,82134.1−14%

335Wabash County, ININ30,71334.2−42%

336Wilcox County, GAGA8,79734.2−15%

337Republic County, KSKS4,64034.2−23%

338Loudon County, TNTN63,76434.2−21%

339Mercer County, WVWV57,50334.2−35%

340Jefferson County, ARAR62,98734.2−52%

341Custer County, SDSD9,43134.3+17%

342Sanders County, MTMT14,06234.3−8%

343Fairfield County, SCSC20,34034.4−8%

344Runnels County, TXTX9,69334.4−49%

345Lawrence County, SDSD29,45934.4−17%

346Winn Parish, LALA14,96134.5+29%

347Buncombe County, NCNC277,41734.5−42%

348Franklin County, FLFL13,02934.5−76%

349Coconino County, AZAZ144,36834.5−35%

350Leslie County, KYKY9,62734.5+14%

351Berkshire County, MAMA128,22434.5−14%

352Harlan County, NENE3,00034.6+7%

353Gulf County, FLFL15,94334.6−12%

354Pitkin County, COCO16,62534.6−45%

355Choctaw County, OKOK14,05934.6−45%

356Johnston County, OKOK10,44834.7−20%

357Scott County, ILIL4,86634.7+33%

358Webster Parish, LALA34,94834.7−54%

359Lawrence County, MSMS11,81934.7−64%

360Albany County, WYWY38,55834.7−19%

361Nash County, NCNC99,36534.8−34%

362Wheeler County, NENE78934.8–

363Cochise County, AZAZ126,33234.8−51%

364Pike County, ALAL33,68834.8−30%

365Chilton County, ALAL47,70834.9−42%

366Knott County, KYKY13,32135.0−34%

367Washita County, OKOK10,88435.0−36%

368Champaign County, ILIL209,97235.0−23%

369Tippah County, MSMS21,38935.1−48%

370McCreary County, KYKY17,12435.2−41%

371Aleutians West Census Area, AKAK5,24035.2−12%

372Blaine County, IDID25,51735.2−42%

373Lincoln Parish, LALA48,36035.3+3%

374Lawrence County, MOMO39,40135.4−50%

375Oconee County, GAGA44,89335.4−30%

376San Juan County, WAWA18,57735.4−29%

377Burnett County, WIWI17,22335.5−47%

378Lincoln County, MTMT22,32835.5−44%

379Llano County, TXTX23,35335.7−52%

380Mason County, MIMI29,04035.7−54%

381Candler County, GAGA11,27535.7−65%

382Harlan County, KYKY24,72535.9−45%

383Mitchell County, KSKS5,59035.9+55%

384Las Animas County, COCO14,39136.0−16%

385Ouray County, COCO5,26536.0+189%

386Flagler County, FLFL140,36036.0−31%

387Lavaca County, TXTX20,65136.0−34%

388Cumberland County, VAVA10,35236.0−24%

389Hickman County, KYKY4,37236.1−7%

390Troup County, GAGA72,84436.1−54%

391Jones County, NCNC9,57536.1−23%

392Platte County, WYWY8,63436.1+19%

393Itasca County, MNMN45,40436.2−27%

394Oktibbeha County, MSMS51,89636.2−27%

395Jessamine County, KYKY57,14736.2−27%

396Dare County, NCNC38,24536.3+27%

397Waseca County, MNMN18,68836.3−15%

398Vance County, NCNC42,63836.3−9%

399Pierce County, GAGA20,76436.4+4%

400Upshur County, WVWV23,75836.4−13%

401Wayne County, MSMS19,80736.4−59%

402Bowman County, NDND2,76236.4−19%

403Hardin County, IAIA16,45536.4−50%

404Red River Parish, LALA7,16536.5−27%

405York County, MEME222,43436.5−34%

406Floyd County, VAVA15,78936.5+1%

407Brown County, ININ15,77736.5−24%

408Madison County, TXTX14,22636.6−62%

409Perquimans County, NCNC13,49036.6−11%

410Haralson County, GAGA33,06636.6+1%

411Fisher County, TXTX3,69236.6−55%

412Suffolk County, MAMA791,89136.7−21%

413Baker County, FLFL29,73736.7−40%

414Screven County, GAGA14,40836.7−3%

415Marshall County, OKOK16,25536.8−46%

416Otero County, NMNM70,36836.8−48%

417Latah County, IDID41,84236.8−26%

418Winona County, MNMN50,52336.8−34%

419Murray County, MNMN7,94236.9−20%

420Lafayette County, MOMO33,53136.9−50%

421Sagadahoc County, MEME37,97936.9−17%

422Neosho County, KSKS15,63736.9−1%

423Jefferson County, MTMT13,32936.9−4%

424Nance County, NENE3,29037.0−73%

425Dane County, WIWI590,37537.0−24%

426Pickens County, ALAL18,22137.0−42%

427Barry County, MOMO36,20037.1+2%

428South Central Connecticut Planning Region, CTCT578,74137.1–

429Bradley County, ARAR9,82837.1−62%

430Portage County, OHOH163,40437.1−10%

431Amherst County, VAVA31,96237.1−6%

432Oscoda County, MIMI8,72337.2+12%

433Johnson County, WYWY8,90837.2−43%

434Belmont County, OHOH64,43437.2−24%

435Poweshiek County, IAIA18,36837.2−3%

436Mills County, IAIA14,79337.2−34%

437Grant County, OKOK4,06737.2+22%

438Johnson County, IAIA160,04437.2−24%

439Meigs County, OHOH21,58737.3+0%

440Greenwood County, SCSC70,37937.3−46%

441Donley County, TXTX3,21337.4+19%

442Nevada County, ARAR7,94237.4−48%

443La Crosse County, WIWI121,33937.4−17%

444St. Charles Parish, LALA50,58637.4−24%

445Yolo County, CACA224,41037.5−22%

446Pendleton County, WVWV5,82637.5−3%

447Bourbon County, KYKY20,24337.6−36%

448Plumas County, CACA18,58337.6−20%

449Walworth County, WIWI106,12737.6−30%

450Calhoun County, FLFL13,28937.6−35%

451Baraga County, MIMI8,16937.7−25%

452Miami County, KSKS36,24037.7−23%

453Lee County, MSMS83,73137.7−34%

454Monongalia County, WVWV107,99137.7+5%

455Edgar County, ILIL16,32337.8−41%

456Rains County, TXTX13,54237.8−20%

457Davie County, NCNC45,85537.8−7%

458Pike County, GAGA20,93237.8+15%

459San Francisco County, CACA826,07937.9−3%

460Dillon County, SCSC27,45837.9−56%

461Kossuth County, IAIA14,32237.9−29%

462Giles County, VAVA16,56437.9−35%

463Pike County, KYKY54,72138.0−25%

464Dyer County, TNTN36,32038.0−61%

465Perkins County, NENE2,84938.0−15%

466Gibson County, TNTN51,77938.0−34%

467Williams County, NDND41,76738.1−45%

468Powhatan County, VAVA32,59138.1+3%

469Codington County, SDSD29,56238.1−41%

470Charlevoix County, MIMI26,03638.1−41%

471Cotton County, OKOK5,43238.2−65%

472Durham County, NCNC347,24038.2−47%

473Lonoke County, ARAR76,66438.2−29%

474Anderson County, TXTX59,80538.2−42%

475Perry County, ILIL20,16038.2−52%

476Mesa County, COCO162,84538.2−38%

477Glades County, FLFL13,27038.2+96%

478Lower Connecticut River Valley Planning Region, CTCT177,31138.2–

479Newport County, RIRI83,05138.3−10%

480Bertie County, NCNC17,08638.3−47%

481Walker County, ALAL65,14038.3+1%

482Livingston Parish, LALA155,03638.3−38%

483Houghton County, MIMI37,84238.4−26%

484Grand County, COCO16,49638.4−29%

485Escambia County, ALAL36,66538.4−75%

486Sarasota County, FLFL479,95838.5−21%

487Lane County, OROR381,58438.5−26%

488Northwest Arctic, AKAK7,09538.5−73%

489Harrison County, KYKY19,62738.5−11%

490Crockett County, TNTN14,00638.6−27%

491Doniphan County, KSKS7,59438.6−29%

492Rockdale County, GAGA98,41638.6−18%

493Hancock County, GAGA8,68238.7−74%

494Wilson County, NCNC81,15038.7−30%

495Torrance County, NMNM16,10038.7−39%

496Moore County, TNTN6,92038.7+30%

497Iosco County, MIMI25,26638.7−21%

498Monroe County, TNTN49,73038.8−7%

499Obion County, TNTN30,06738.8−11%

500Saline County, NENE14,99638.8+70%

SHOWING 1–500 OF 3,143

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Download CSV (full list, 3,143 rows)

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

Frequently asked

Which county has the lowest births per 1,000 women (15-50)?

Greene County, Alabama ranks #1 with 0.0 (2024 American Community Survey).

What are the top 5 counties by births per 1,000 women (15-50)?

Greene County, Alabama, Yakutat, Alaska, Divide County, North Dakota, Banner County, Nebraska, Lincoln County, Nevada.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).