RANKING · 2024 ACS · 120 SHOWN OF 120

Lowest fertility rate, Kentucky counties

Kentucky 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 120 counties in Kentucky 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

01Trimble County, KYKY8,7014.6–

02Ballard County, KYKY7,59414.0–

03Estill County, KYKY13,96225.4–

04Simpson County, KYKY20,78826.3–

05McCracken County, KYKY67,55327.0–

06Clark County, KYKY37,88827.1–

07Robertson County, KYKY2,32529.5–

08Nicholas County, KYKY7,94929.6–

09Jackson County, KYKY13,32530.0–

10Webster County, KYKY12,92930.3–

11Woodford County, KYKY27,88331.5–

12Adair County, KYKY19,42331.7–

13Monroe County, KYKY11,19132.3–

14Carlisle County, KYKY4,74732.9–

15Leslie County, KYKY9,62734.5–

16Knott County, KYKY13,32135.0–

17McCreary County, KYKY17,12435.2–

18Harlan County, KYKY24,72535.9–

19Hickman County, KYKY4,37236.1–

20Jessamine County, KYKY57,14736.2–

21Bourbon County, KYKY20,24337.6–

22Pike County, KYKY54,72138.0–

23Harrison County, KYKY19,62738.5–

24Wolfe County, KYKY6,29838.9–

25Garrard County, KYKY18,20739.1–

26Lyon County, KYKY9,12339.1–

27Edmonson County, KYKY12,74939.3–

28Greenup County, KYKY35,21339.7–

29Washington County, KYKY12,36840.0–

30Fleming County, KYKY15,78740.3–

31Larue County, KYKY15,18440.5–

32Hart County, KYKY20,11743.1–

33Breathitt County, KYKY12,55843.3–

34Hancock County, KYKY9,05044.7–

35Fulton County, KYKY6,21844.8–

36Warren County, KYKY149,37545.2–

37Madison County, KYKY101,69646.3–

38Oldham County, KYKY70,98647.7–

39Metcalfe County, KYKY10,58347.8–

40Hardin County, KYKY113,48247.9–

41Mason County, KYKY16,93648.0–

42Bullitt County, KYKY86,45448.6–

43Logan County, KYKY28,66948.6–

44Calloway County, KYKY39,42148.9–

45Nelson County, KYKY49,03649.2–

46Marshall County, KYKY31,65949.7–

47Clay County, KYKY19,46550.1–

48Anderson County, KYKY25,22550.3–

49Henry County, KYKY16,44750.4–

50Hopkins County, KYKY45,12750.5–

51Muhlenberg County, KYKY30,63450.9–

52Jefferson County, KYKY795,22251.0–

53Boone County, KYKY145,31651.6–

54Union County, KYKY12,83951.9–

55Barren County, KYKY45,64151.9–

56Floyd County, KYKY34,40152.2–

57Rowan County, KYKY24,47652.2–

58Gallatin County, KYKY8,84053.1–

59Bath County, KYKY13,17653.6–

60Campbell County, KYKY95,44155.4–

61Lincoln County, KYKY25,35355.5–

62Carter County, KYKY26,14956.3–

63Fayette County, KYKY329,75156.6–

64Shelby County, KYKY51,24356.6–

65Henderson County, KYKY44,25556.9–

66Russell County, KYKY18,60857.1–

67Boyd County, KYKY47,75157.2–

68Meade County, KYKY30,69957.3–

69Taylor County, KYKY26,76357.5–

70Kenton County, KYKY175,77957.6–

71Boyle County, KYKY31,63257.8–

72Grant County, KYKY26,18157.9–

73Lee County, KYKY7,29757.9–

74Menifee County, KYKY6,43058.1–

75Franklin County, KYKY52,64958.2–

76Letcher County, KYKY19,95258.4–

77Grayson County, KYKY27,40658.7–

78Johnson County, KYKY22,05158.8–

79Butler County, KYKY12,52058.8–

80Knox County, KYKY29,53258.8–

81Marion County, KYKY20,11559.8–

82Martin County, KYKY10,69760.7–

83Perry County, KYKY26,55561.8–

84Bracken County, KYKY8,51161.9–

85Green County, KYKY11,64462.2–

86Pulaski County, KYKY67,38462.4–

87Montgomery County, KYKY28,82265.0–

88Trigg County, KYKY14,51265.2–

89Lewis County, KYKY12,90165.3–

90Scott County, KYKY62,26266.0–

91Whitley County, KYKY37,29766.1–

92Rockcastle County, KYKY16,14866.4–

93Bell County, KYKY22,82966.8–

94Carroll County, KYKY11,14167.6–

95Elliott County, KYKY7,26568.5–

96Breckinridge County, KYKY21,50370.1–

97Owsley County, KYKY3,93270.3–

98Spencer County, KYKY20,99871.2–

99Owen County, KYKY11,60172.3–

100Clinton County, KYKY9,13972.7–

101Lawrence County, KYKY15,76574.0–

102Daviess County, KYKY104,89874.1–

103Morgan County, KYKY14,41574.8–

104Laurel County, KYKY63,74675.0–

105Todd County, KYKY12,97275.5–

106Mercer County, KYKY23,73375.6–

107Allen County, KYKY22,53676.9–

108Magoffin County, KYKY11,11077.0–

109Ohio County, KYKY23,93479.2–

110McLean County, KYKY9,06480.2–

111Christian County, KYKY70,11581.4–

112Pendleton County, KYKY14,80082.6–

113Wayne County, KYKY19,59784.2–

114Caldwell County, KYKY12,60985.9–

115Casey County, KYKY16,20586.9–

116Graves County, KYKY37,05091.4–

117Cumberland County, KYKY5,99298.2–

118Powell County, KYKY12,81299.5–

119Livingston County, KYKY8,863114.4–

120Crittenden County, KYKY8,807159.0–

SHOWING 1–120 OF 120

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