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 (2023 ACS). This list covers the 100 counties in North Carolina that qualify, ranked against each other statewide.

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North CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Hyde County, NCNC4,5540.0–

02Watauga County, NCNC54,78615.4–

03Haywood County, NCNC63,36923.9–

04Graham County, NCNC8,19025.0–

05Macon County, NCNC39,23225.2–

06Jackson County, NCNC45,03925.9–

07Orange County, NCNC152,49826.8–

08Martin County, NCNC21,60128.8–

09Polk County, NCNC20,53330.2–

10Montgomery County, NCNC26,40332.5–

11Beaufort County, NCNC44,67033.3–

12Buncombe County, NCNC277,41734.5–

13Nash County, NCNC99,36534.8–

14Jones County, NCNC9,57536.1–

15Dare County, NCNC38,24536.3–

16Vance County, NCNC42,63836.3–

17Perquimans County, NCNC13,49036.6–

18Davie County, NCNC45,85537.8–

19Durham County, NCNC347,24038.2–

20Bertie County, NCNC17,08638.3–

21Wilson County, NCNC81,15038.7–

22New Hanover County, NCNC245,95938.9–

23Lee County, NCNC70,25840.6–

24Stokes County, NCNC46,12640.6–

25Pitt County, NCNC182,93641.3–

26Avery County, NCNC18,11042.4–

27Guilford County, NCNC562,23442.9–

28Caswell County, NCNC22,56343.5–

29Cabarrus County, NCNC249,72543.7–

30Alexander County, NCNC36,95844.6–

31Robeson County, NCNC119,94146.8–

32Forsyth County, NCNC401,71847.6–

33Warren County, NCNC18,89847.8–

34Madison County, NCNC22,55347.9–

35Pasquotank County, NCNC42,20148.6–

36Columbus County, NCNC50,48748.9–

37Mecklenburg County, NCNC1,233,38349.3–

38Catawba County, NCNC170,17249.7–

39Yadkin County, NCNC38,32549.8–

40Person County, NCNC40,63650.3–

41Wake County, NCNC1,257,23550.4–

42Union County, NCNC267,67450.8–

43Carteret County, NCNC70,46951.1–

44Chowan County, NCNC14,08251.5–

45Greene County, NCNC20,70051.7–

46Alamance County, NCNC186,17751.8–

47Halifax County, NCNC46,53452.2–

48McDowell County, NCNC45,19853.8–

49Rutherford County, NCNC65,74553.8–

50Stanly County, NCNC68,83054.3–

51Davidson County, NCNC180,18254.6–

52Swain County, NCNC14,02454.9–

53Caldwell County, NCNC81,10555.5–

54Chatham County, NCNC85,11155.9–

55Granville County, NCNC61,42155.9–

56Anson County, NCNC21,75856.3–

57Gaston County, NCNC246,55856.4–

58Transylvania County, NCNC34,21156.5–

59Harnett County, NCNC150,13756.6–

60Duplin County, NCNC51,57158.3–

61Moore County, NCNC110,61958.7–

62Pender County, NCNC72,11159.2–

63Johnston County, NCNC256,44859.3–

64Pamlico County, NCNC12,75859.8–

65Gates County, NCNC10,23459.9–

66Burke County, NCNC88,65559.9–

67Surry County, NCNC72,28760.1–

68Cherokee County, NCNC30,83061.3–

69Cumberland County, NCNC338,47361.5–

70Scotland County, NCNC33,32261.9–

71Bladen County, NCNC30,00761.9–

72Sampson County, NCNC61,50462.5–

73Wayne County, NCNC122,27862.7–

74Craven County, NCNC105,02562.9–

75Randolph County, NCNC149,51663.1–

76Cleveland County, NCNC103,32563.5–

77Henderson County, NCNC122,37564.2–

78Ashe County, NCNC27,51464.8–

79Wilkes County, NCNC66,23365.2–

80Rowan County, NCNC155,09665.2–

81Richmond County, NCNC42,04165.8–

82Yancey County, NCNC19,08466.3–

83Mitchell County, NCNC15,06267.1–

84Currituck County, NCNC33,15867.2–

85Brunswick County, NCNC174,70267.6–

86Rockingham County, NCNC94,19567.7–

87Hertford County, NCNC19,01567.9–

88Iredell County, NCNC211,79868.1–

89Hoke County, NCNC56,93971.5–

90Lincoln County, NCNC98,65473.2–

91Clay County, NCNC12,23975.9–

92Alleghany County, NCNC11,47976.0–

93Edgecombe County, NCNC49,12177.0–

94Franklin County, NCNC82,03778.1–

95Washington County, NCNC10,63885.3–

96Lenoir County, NCNC55,83792.5–

97Onslow County, NCNC217,17592.6–

98Camden County, NCNC11,31594.6–

99Northampton County, NCNC16,49198.8–

100Tyrrell County, NCNC3,537132.4–

SHOWING 1–100 OF 100

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