RANKING · 2024 ACS · 67 SHOWN OF 67

Lowest fertility rate, Alabama counties

Alabama counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 67 counties in Alabama 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

01Greene County, ALAL7,0670.0–

02Butler County, ALAL18,10015.2–

03Fayette County, ALAL15,87217.6–

04Perry County, ALAL7,42522.0–

05Wilcox County, ALAL9,66625.8–

06Sumter County, ALAL11,58827.5–

07Monroe County, ALAL18,96527.6–

08Bullock County, ALAL9,78032.5–

09Hale County, ALAL15,19432.6–

10Lee County, ALAL189,88132.8–

11Crenshaw County, ALAL13,17533.3–

12Geneva County, ALAL27,55433.5–

13Pike County, ALAL33,68834.8–

14Chilton County, ALAL47,70834.9–

15Pickens County, ALAL18,22137.0–

16Walker County, ALAL65,14038.3–

17Escambia County, ALAL36,66538.4–

18Jackson County, ALAL54,28139.9–

19Colbert County, ALAL59,47440.4–

20Houston County, ALAL110,31840.6–

21Morgan County, ALAL126,48341.0–

22Shelby County, ALAL238,55241.6–

23Baldwin County, ALAL267,76142.4–

24Calhoun County, ALAL115,83444.0–

25Madison County, ALAL433,51644.3–

26DeKalb County, ALAL74,08544.6–

27Limestone County, ALAL122,92845.7–

28Blount County, ALAL60,15646.3–

29Tuscaloosa County, ALAL241,36847.7–

30Covington County, ALAL37,94747.8–

31Jefferson County, ALAL665,74248.4–

32Coosa County, ALAL10,16148.4–

33Clarke County, ALAL22,01449.7–

34Lauderdale County, ALAL97,13551.3–

35Elmore County, ALAL91,57752.3–

36Clay County, ALAL14,20753.8–

37Macon County, ALAL18,13254.4–

38Autauga County, ALAL61,92054.5–

39Montgomery County, ALAL225,89155.1–

40Conecuh County, ALAL10,89955.2–

41Etowah County, ALAL103,88655.5–

42Bibb County, ALAL22,26255.9–

43Marshall County, ALAL103,53756.2–

44Barbour County, ALAL24,60759.4–

45Russell County, ALAL58,89860.5–

46Marion County, ALAL29,09760.9–

47Talladega County, ALAL81,60361.0–

48Mobile County, ALAL411,65861.3–

49Winston County, ALAL23,82961.3–

50Cleburne County, ALAL15,97061.9–

51Washington County, ALAL14,82263.4–

52Lowndes County, ALAL9,35963.5–

53Cullman County, ALAL94,00963.7–

54Marengo County, ALAL18,31163.9–

55Dale County, ALAL49,91268.1–

56Dallas County, ALAL35,14068.7–

57Randolph County, ALAL23,16368.8–

58Cherokee County, ALAL26,41369.9–

59Franklin County, ALAL32,44971.0–

60St. Clair County, ALAL98,20673.6–

61Henry County, ALAL18,39475.0–

62Chambers County, ALAL34,25380.0–

63Lawrence County, ALAL33,84380.7–

64Choctaw County, ALAL11,90481.0–

65Coffee County, ALAL56,95382.2–

66Tallapoosa County, ALAL40,95388.1–

67Lamar County, ALAL13,58791.7–

SHOWING 1–67 OF 67

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