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 (2024 ACS). This list covers the 120 counties in Kentucky that qualify, ranked against each other statewide. The median across all 120 is 55.5.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

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

01Trimble County, KYKY8,7014.6−94%

02Ballard County, KYKY7,59414.0−81%

03Estill County, KYKY13,96225.4−47%

04Simpson County, KYKY20,78826.3−43%

05McCracken County, KYKY67,55327.0−60%

06Clark County, KYKY37,88827.1−63%

07Robertson County, KYKY2,32529.5−83%

08Nicholas County, KYKY7,94929.6−73%

09Jackson County, KYKY13,32530.0−39%

10Webster County, KYKY12,92930.3−52%

11Woodford County, KYKY27,88331.5−35%

12Adair County, KYKY19,42331.7−51%

13Monroe County, KYKY11,19132.3−34%

14Carlisle County, KYKY4,74732.9−36%

15Leslie County, KYKY9,62734.5+14%

16Knott County, KYKY13,32135.0−34%

17McCreary County, KYKY17,12435.2−41%

18Harlan County, KYKY24,72535.9−45%

19Hickman County, KYKY4,37236.1−7%

20Jessamine County, KYKY57,14736.2−27%

21Bourbon County, KYKY20,24337.6−36%

22Pike County, KYKY54,72138.0−25%

23Harrison County, KYKY19,62738.5−11%

24Wolfe County, KYKY6,29838.9+108%

25Garrard County, KYKY18,20739.1+2%

26Lyon County, KYKY9,12339.1−15%

27Edmonson County, KYKY12,74939.3−30%

28Greenup County, KYKY35,21339.7−4%

29Washington County, KYKY12,36840.0−52%

30Fleming County, KYKY15,78740.3−7%

31Larue County, KYKY15,18440.5−28%

32Hart County, KYKY20,11743.1−43%

33Breathitt County, KYKY12,55843.3+5%

34Hancock County, KYKY9,05044.7−30%

35Fulton County, KYKY6,21844.8−23%

36Warren County, KYKY149,37545.2−24%

37Madison County, KYKY101,69646.3−10%

38Oldham County, KYKY70,98647.7+2%

39Metcalfe County, KYKY10,58347.8−34%

40Hardin County, KYKY113,48247.9−21%

41Mason County, KYKY16,93648.0−10%

42Bullitt County, KYKY86,45448.6−5%

43Logan County, KYKY28,66948.6−20%

44Calloway County, KYKY39,42148.9+24%

45Nelson County, KYKY49,03649.2−29%

46Marshall County, KYKY31,65949.7+10%

47Clay County, KYKY19,46550.1+19%

48Anderson County, KYKY25,22550.3+4%

49Henry County, KYKY16,44750.4−10%

50Hopkins County, KYKY45,12750.5+19%

51Muhlenberg County, KYKY30,63450.9−13%

52Jefferson County, KYKY795,22251.0−14%

53Boone County, KYKY145,31651.6−7%

54Union County, KYKY12,83951.9−13%

55Barren County, KYKY45,64151.9−28%

56Floyd County, KYKY34,40152.2+29%

57Rowan County, KYKY24,47652.2−26%

58Gallatin County, KYKY8,84053.1+2%

59Bath County, KYKY13,17653.6−29%

60Campbell County, KYKY95,44155.4−11%

61Lincoln County, KYKY25,35355.5+12%

62Carter County, KYKY26,14956.3+15%

63Fayette County, KYKY329,75156.6+18%

64Shelby County, KYKY51,24356.6−7%

65Henderson County, KYKY44,25556.9−10%

66Russell County, KYKY18,60857.1−1%

67Boyd County, KYKY47,75157.2+17%

68Meade County, KYKY30,69957.3+34%

69Taylor County, KYKY26,76357.5−8%

70Kenton County, KYKY175,77957.6−7%

71Boyle County, KYKY31,63257.8−5%

72Grant County, KYKY26,18157.9−36%

73Lee County, KYKY7,29757.9−9%

74Menifee County, KYKY6,43058.1+93%

75Franklin County, KYKY52,64958.2+31%

76Letcher County, KYKY19,95258.4+28%

77Grayson County, KYKY27,40658.7+7%

78Johnson County, KYKY22,05158.8−7%

79Butler County, KYKY12,52058.8−37%

80Knox County, KYKY29,53258.8+7%

81Marion County, KYKY20,11559.8−21%

82Martin County, KYKY10,69760.7+88%

83Perry County, KYKY26,55561.8+40%

84Bracken County, KYKY8,51161.9−15%

85Green County, KYKY11,64462.2+32%

86Pulaski County, KYKY67,38462.4+20%

87Montgomery County, KYKY28,82265.0+35%

88Trigg County, KYKY14,51265.2+76%

89Lewis County, KYKY12,90165.3−9%

90Scott County, KYKY62,26266.0+58%

91Whitley County, KYKY37,29766.1+34%

92Rockcastle County, KYKY16,14866.4+28%

93Bell County, KYKY22,82966.8−5%

94Carroll County, KYKY11,14167.6+34%

95Elliott County, KYKY7,26568.5+29%

96Breckinridge County, KYKY21,50370.1+45%

97Owsley County, KYKY3,93270.3+74%

98Spencer County, KYKY20,99871.2+8%

99Owen County, KYKY11,60172.3−30%

100Clinton County, KYKY9,13972.7+30%

101Lawrence County, KYKY15,76574.0+63%

102Daviess County, KYKY104,89874.1+46%

103Morgan County, KYKY14,41574.8+212%

104Laurel County, KYKY63,74675.0+25%

105Todd County, KYKY12,97275.5−15%

106Mercer County, KYKY23,73375.6+18%

107Allen County, KYKY22,53676.9−9%

108Magoffin County, KYKY11,11077.0+51%

109Ohio County, KYKY23,93479.2+18%

110McLean County, KYKY9,06480.2−1%

111Christian County, KYKY70,11581.4−18%

112Pendleton County, KYKY14,80082.6+6%

113Wayne County, KYKY19,59784.2+64%

114Caldwell County, KYKY12,60985.9+66%

115Casey County, KYKY16,20586.9+102%

116Graves County, KYKY37,05091.4+68%

117Cumberland County, KYKY5,99298.2–

118Powell County, KYKY12,81299.5+22%

119Livingston County, KYKY8,863114.4+87%

120Crittenden County, KYKY8,807159.0+895%

SHOWING 1–120 OF 120

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES