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 (2023 ACS). This list covers the 95 counties in Tennessee 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

01Van Buren County, TNTN6,87420.6–

02Pickett County, TNTN5,21930.6–

03Washington County, TNTN141,19930.7–

04Polk County, TNTN18,59230.8–

05Grundy County, TNTN14,11632.0–

06Henry County, TNTN32,89632.3–

07Wayne County, TNTN16,41633.4–

08Clay County, TNTN7,82134.1–

09Loudon County, TNTN63,76434.2–

10Dyer County, TNTN36,32038.0–

11Gibson County, TNTN51,77938.0–

12Crockett County, TNTN14,00638.6–

13Moore County, TNTN6,92038.7–

14Monroe County, TNTN49,73038.8–

15Obion County, TNTN30,06738.8–

16Sevier County, TNTN101,34240.9–

17White County, TNTN29,61240.9–

18Knox County, TNTN511,45341.5–

19Unicoi County, TNTN17,85642.1–

20Giles County, TNTN31,43342.7–

21Anderson County, TNTN82,06643.2–

22Hardin County, TNTN27,98343.8–

23Weakley County, TNTN33,26144.1–

24Humphreys County, TNTN19,64644.3–

25Union County, TNTN21,45044.4–

26Tipton County, TNTN62,28746.2–

27Williamson County, TNTN272,06146.7–

28Grainger County, TNTN25,73946.9–

29Stewart County, TNTN14,43947.1–

30Chester County, TNTN17,99447.2–

31Sullivan County, TNTN163,75947.3–

32Maury County, TNTN118,13147.8–

33Hawkins County, TNTN59,55947.9–

34Haywood County, TNTN17,04247.9–

35Carter County, TNTN57,36148.2–

36Shelby County, TNTN910,22648.3–

37Wilson County, TNTN175,03348.7–

38Carroll County, TNTN29,20049.1–

39Sumner County, TNTN215,53849.2–

40Marshall County, TNTN38,07150.6–

41Meigs County, TNTN14,18650.9–

42Madison County, TNTN100,79051.0–

43Blount County, TNTN143,82051.0–

44Bradley County, TNTN115,46551.1–

45Rhea County, TNTN34,84451.7–

46Coffee County, TNTN62,41951.9–

47Warren County, TNTN43,71752.3–

48Greene County, TNTN73,83152.4–

49Jefferson County, TNTN60,02453.3–

50Cannon County, TNTN15,29653.4–

51Davidson County, TNTN745,90454.1–

52Hamilton County, TNTN390,83354.2–

53Dickson County, TNTN58,66254.4–

54Montgomery County, TNTN249,93555.9–

55Putnam County, TNTN86,61256.0–

56Fayette County, TNTN45,07157.0–

57Hamblen County, TNTN68,84357.2–

58Benton County, TNTN16,18357.5–

59Lauderdale County, TNTN24,61759.1–

60Cheatham County, TNTN42,77859.3–

61Rutherford County, TNTN386,35260.2–

62Scott County, TNTN22,67160.6–

63Cocke County, TNTN37,88960.9–

64Franklin County, TNTN45,57960.9–

65Johnson County, TNTN18,71861.5–

66Hancock County, TNTN7,07562.3–

67Hardeman County, TNTN25,27463.7–

68Jackson County, TNTN12,46665.3–

69Lawrence County, TNTN46,91467.1–

70Smith County, TNTN20,98167.6–

71Hickman County, TNTN26,21967.7–

72Roane County, TNTN57,39568.2–

73Bedford County, TNTN55,27368.3–

74Campbell County, TNTN40,29068.3–

75Henderson County, TNTN28,51869.4–

76Lincoln County, TNTN36,85369.5–

77Overton County, TNTN23,78771.4–

78Macon County, TNTN27,66371.8–

79Houston County, TNTN8,47972.2–

80Lewis County, TNTN13,48772.3–

81McMinn County, TNTN57,40474.1–

82Cumberland County, TNTN66,30074.3–

83Claiborne County, TNTN33,22974.4–

84Robertson County, TNTN80,17577.5–

85Lake County, TNTN6,24977.6–

86McNairy County, TNTN26,23678.7–

87Fentress County, TNTN20,32280.3–

88Decatur County, TNTN11,82081.0–

89Trousdale County, TNTN12,62384.0–

90DeKalb County, TNTN21,87385.8–

91Bledsoe County, TNTN15,92088.5–

92Sequatchie County, TNTN17,86189.3–

93Morgan County, TNTN22,16089.3–

94Marion County, TNTN29,80495.0–

95Perry County, TNTN9,126107.2–

SHOWING 1–95 OF 95

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