RANKING · 2024 ACS · 14 SHOWN OF 14

Lowest fertility rate, Massachusetts counties

Massachusetts 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 14 counties in Massachusetts 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

01Hampshire County, MAMA164,06518.8–

02Berkshire County, MAMA128,22434.5–

03Suffolk County, MAMA791,89136.7–

04Norfolk County, MAMA739,74939.2–

05Barnstable County, MAMA233,53942.9–

06Nantucket County, MAMA14,75844.2–

07Middlesex County, MAMA1,669,97945.8–

08Plymouth County, MAMA546,82946.7–

09Hampden County, MAMA464,33847.0–

10Essex County, MAMA826,65348.9–

11Franklin County, MAMA70,69849.9–

12Worcester County, MAMA888,50250.6–

13Bristol County, MAMA593,64050.8–

14Dukes County, MAMA21,21981.3–

SHOWING 1–14 OF 14

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