RANKING · 2024 ACS · 100 SHOWN OF 100

Lowest fertility rate, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 54.6.

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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

01Hyde County, NCNC4,5540.0−100%

02Watauga County, NCNC54,78615.4−53%

03Haywood County, NCNC63,36923.9−54%

04Graham County, NCNC8,19025.0−57%

05Macon County, NCNC39,23225.2−63%

06Jackson County, NCNC45,03925.9−52%

07Orange County, NCNC152,49826.8−10%

08Martin County, NCNC21,60128.8−55%

09Polk County, NCNC20,53330.2+67%

10Montgomery County, NCNC26,40332.5−47%

11Beaufort County, NCNC44,67033.3−47%

12Buncombe County, NCNC277,41734.5−42%

13Nash County, NCNC99,36534.8−34%

14Jones County, NCNC9,57536.1−23%

15Dare County, NCNC38,24536.3+27%

16Vance County, NCNC42,63836.3−9%

17Perquimans County, NCNC13,49036.6−11%

18Davie County, NCNC45,85537.8−7%

19Durham County, NCNC347,24038.2−47%

20Bertie County, NCNC17,08638.3−47%

21Wilson County, NCNC81,15038.7−30%

22New Hanover County, NCNC245,95938.9−25%

23Lee County, NCNC70,25840.6−38%

24Stokes County, NCNC46,12640.6−26%

25Pitt County, NCNC182,93641.3−5%

26Avery County, NCNC18,11042.4−49%

27Guilford County, NCNC562,23442.9−16%

28Caswell County, NCNC22,56343.5−12%

29Cabarrus County, NCNC249,72543.7−21%

30Alexander County, NCNC36,95844.6−32%

31Robeson County, NCNC119,94146.8−39%

32Forsyth County, NCNC401,71847.6−8%

33Warren County, NCNC18,89847.8−54%

34Madison County, NCNC22,55347.9+46%

35Pasquotank County, NCNC42,20148.6−21%

36Columbus County, NCNC50,48748.9−22%

37Mecklenburg County, NCNC1,233,38349.3−12%

38Catawba County, NCNC170,17249.7+4%

39Yadkin County, NCNC38,32549.8−28%

40Person County, NCNC40,63650.3−17%

41Wake County, NCNC1,257,23550.4−12%

42Union County, NCNC267,67450.8−9%

43Carteret County, NCNC70,46951.1+4%

44Chowan County, NCNC14,08251.5+54%

45Greene County, NCNC20,70051.7−59%

46Alamance County, NCNC186,17751.8−5%

47Halifax County, NCNC46,53452.2−36%

48McDowell County, NCNC45,19853.8−29%

49Rutherford County, NCNC65,74553.8+1%

50Stanly County, NCNC68,83054.3−4%

51Davidson County, NCNC180,18254.6+21%

52Swain County, NCNC14,02454.9−28%

53Caldwell County, NCNC81,10555.5+8%

54Chatham County, NCNC85,11155.9+3%

55Granville County, NCNC61,42155.9+19%

56Anson County, NCNC21,75856.3−7%

57Gaston County, NCNC246,55856.4−2%

58Transylvania County, NCNC34,21156.5+8%

59Harnett County, NCNC150,13756.6+22%

60Duplin County, NCNC51,57158.3−18%

61Moore County, NCNC110,61958.7+9%

62Pender County, NCNC72,11159.2+9%

63Johnston County, NCNC256,44859.3−1%

64Pamlico County, NCNC12,75859.8−5%

65Gates County, NCNC10,23459.9+84%

66Burke County, NCNC88,65559.9+25%

67Surry County, NCNC72,28760.1+15%

68Cherokee County, NCNC30,83061.3−29%

69Cumberland County, NCNC338,47361.5−15%

70Scotland County, NCNC33,32261.90%

71Bladen County, NCNC30,00761.9−10%

72Sampson County, NCNC61,50462.5+33%

73Wayne County, NCNC122,27862.7−11%

74Craven County, NCNC105,02562.9−1%

75Randolph County, NCNC149,51663.1+5%

76Cleveland County, NCNC103,32563.5+28%

77Henderson County, NCNC122,37564.2−9%

78Ashe County, NCNC27,51464.8+44%

79Wilkes County, NCNC66,23365.2+27%

80Rowan County, NCNC155,09665.2+27%

81Richmond County, NCNC42,04165.8+23%

82Yancey County, NCNC19,08466.3+22%

83Mitchell County, NCNC15,06267.1+132%

84Currituck County, NCNC33,15867.2+7%

85Brunswick County, NCNC174,70267.6+29%

86Rockingham County, NCNC94,19567.7+57%

87Hertford County, NCNC19,01567.9+27%

88Iredell County, NCNC211,79868.1+29%

89Hoke County, NCNC56,93971.5+10%

90Lincoln County, NCNC98,65473.2+99%

91Clay County, NCNC12,23975.9+11%

92Alleghany County, NCNC11,47976.0+113%

93Edgecombe County, NCNC49,12177.0+9%

94Franklin County, NCNC82,03778.1+78%

95Washington County, NCNC10,63885.3+16%

96Lenoir County, NCNC55,83792.5+66%

97Onslow County, NCNC217,17592.6−3%

98Camden County, NCNC11,31594.6+262%

99Northampton County, NCNC16,49198.8+129%

100Tyrrell County, NCNC3,537132.4+43%

SHOWING 1–100 OF 100

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