RANKING · 2024 ACS · 95 SHOWN OF 95

Lowest fertility rate, Tennessee counties

Tennessee 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 95 counties in Tennessee that qualify, ranked against each other statewide.

Flip the list · Highest fertility rate, US counties →

TennesseeAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

01Van Buren County, TNTN6,87420.6−3%

02Pickett County, TNTN5,21930.6−64%

03Washington County, TNTN141,19930.7−40%

04Polk County, TNTN18,59230.8−34%

05Grundy County, TNTN14,11632.0−52%

06Henry County, TNTN32,89632.3−41%

07Wayne County, TNTN16,41633.4−52%

08Clay County, TNTN7,82134.1−14%

09Loudon County, TNTN63,76434.2−21%

10Dyer County, TNTN36,32038.0−61%

11Gibson County, TNTN51,77938.0−34%

12Crockett County, TNTN14,00638.6−27%

13Moore County, TNTN6,92038.7+30%

14Monroe County, TNTN49,73038.8−7%

15Obion County, TNTN30,06738.8−11%

16Sevier County, TNTN101,34240.9−25%

17White County, TNTN29,61240.9−6%

18Knox County, TNTN511,45341.5−14%

19Unicoi County, TNTN17,85642.1−11%

20Giles County, TNTN31,43342.7+2%

21Anderson County, TNTN82,06643.2−23%

22Hardin County, TNTN27,98343.8−7%

23Weakley County, TNTN33,26144.1+29%

24Humphreys County, TNTN19,64644.3−30%

25Union County, TNTN21,45044.4+14%

26Tipton County, TNTN62,28746.2−28%

27Williamson County, TNTN272,06146.7−14%

28Grainger County, TNTN25,73946.9−22%

29Stewart County, TNTN14,43947.1+51%

30Chester County, TNTN17,99447.2−36%

31Sullivan County, TNTN163,75947.3+28%

32Maury County, TNTN118,13147.8−39%

33Hawkins County, TNTN59,55947.9−17%

34Haywood County, TNTN17,04247.9+0%

35Carter County, TNTN57,36148.2+14%

36Shelby County, TNTN910,22648.3−50%

37Wilson County, TNTN175,03348.7−5%

38Carroll County, TNTN29,20049.1+21%

39Sumner County, TNTN215,53849.2−2%

40Marshall County, TNTN38,07150.6−28%

41Meigs County, TNTN14,18650.9−56%

42Madison County, TNTN100,79051.0−16%

43Blount County, TNTN143,82051.0+39%

44Bradley County, TNTN115,46551.1−32%

45Rhea County, TNTN34,84451.7−16%

46Coffee County, TNTN62,41951.9−25%

47Warren County, TNTN43,71752.3−12%

48Greene County, TNTN73,83152.4+6%

49Jefferson County, TNTN60,02453.3+20%

50Cannon County, TNTN15,29653.4+116%

51Davidson County, TNTN745,90454.1−5%

52Hamilton County, TNTN390,83354.2−1%

53Dickson County, TNTN58,66254.4−28%

54Montgomery County, TNTN249,93555.9−26%

55Putnam County, TNTN86,61256.0+15%

56Fayette County, TNTN45,07157.0−13%

57Hamblen County, TNTN68,84357.2−10%

58Benton County, TNTN16,18357.5+104%

59Lauderdale County, TNTN24,61759.1+11%

60Cheatham County, TNTN42,77859.3+4%

61Rutherford County, TNTN386,35260.2+24%

62Scott County, TNTN22,67160.6−2%

63Cocke County, TNTN37,88960.9+23%

64Franklin County, TNTN45,57960.9−6%

65Johnson County, TNTN18,71861.5+7%

66Hancock County, TNTN7,07562.3+18%

67Hardeman County, TNTN25,27463.7−8%

68Jackson County, TNTN12,46665.3−26%

69Lawrence County, TNTN46,91467.1+30%

70Smith County, TNTN20,98167.6+83%

71Hickman County, TNTN26,21967.7+37%

72Roane County, TNTN57,39568.2+8%

73Bedford County, TNTN55,27368.3+8%

74Campbell County, TNTN40,29068.3+30%

75Henderson County, TNTN28,51869.4+18%

76Lincoln County, TNTN36,85369.5−3%

77Overton County, TNTN23,78771.4+59%

78Macon County, TNTN27,66371.8+89%

79Houston County, TNTN8,47972.2+104%

80Lewis County, TNTN13,48772.3+120%

81McMinn County, TNTN57,40474.1+55%

82Cumberland County, TNTN66,30074.3+45%

83Claiborne County, TNTN33,22974.4+27%

84Robertson County, TNTN80,17577.5+17%

85Lake County, TNTN6,24977.6−4%

86McNairy County, TNTN26,23678.7+66%

87Fentress County, TNTN20,32280.3+6%

88Decatur County, TNTN11,82081.0+111%

89Trousdale County, TNTN12,62384.0+26%

90DeKalb County, TNTN21,87385.8+76%

91Bledsoe County, TNTN15,92088.5+115%

92Sequatchie County, TNTN17,86189.3−16%

93Morgan County, TNTN22,16089.3+40%

94Marion County, TNTN29,80495.0+47%

95Perry County, TNTN9,126107.2+53%

SHOWING 1–95 OF 95

Download CSV (full list, 95 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES