Which county has the lowest births per 1,000 women (15-50)?

Greene County, Alabama ranks #1 with 0.0 (2024 American Community Survey).

What are the top 5 counties by births per 1,000 women (15-50)?

Greene County, Alabama, Yakutat, Alaska, Divide County, North Dakota, Banner County, Nebraska, Lincoln County, Nevada.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).

RANKING · 2024 ACS · 143 SHOWN OF 3,143

Lowest fertility rate, US counties

US counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

Flip the list · Highest fertility rate, US counties →

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

3001Washington County, COCO4,732106.1–

3002Barton County, MOMO11,795106.3–

3003Mason County, WVWV24,707106.7–

3004Lane County, KSKS1,508106.7–

3005Hyde County, SDSD1,191107.0–

3006Carroll County, MSMS9,226107.0–

3007Sublette County, WYWY8,929107.1–

3008Perry County, TNTN9,126107.2–

3009Fayette County, TXTX25,459107.3–

3010Clay County, NENE6,170107.5–

3011Union County, FLFL16,250107.6–

3012Cottle County, TXTX1,224108.0–

3013Kusilvak Census Area, AKAK7,932108.3–

3014Smith County, KSKS3,566108.3–

3015Powder River County, MTMT1,781108.5–

3016Trinity County, TXTX14,384108.5–

3017Audubon County, IAIA5,509108.7–

3018Kit Carson County, COCO7,069108.8–

3019Wahkiakum County, WAWA4,873108.8–

3020Wayne County, IAIA6,738109.1–

3021Lynn County, TXTX6,017109.6–

3022Park County, WYWY31,171109.7–

3023Washington County, MOMO23,810109.7–

3024Clinch County, GAGA6,847109.7–

3025Judith Basin County, MTMT2,162110.1–

3026Glasscock County, TXTX1,128110.2–

3027Karnes County, TXTX15,018110.3–

3028Stafford County, KSKS4,005110.5–

3029Adams County, ININ36,650110.6–

3030Day County, SDSD5,484110.8–

3031Wibaux County, MTMT885111.1–

3032Rock County, NENE1,259111.1–

3033Gilpin County, COCO6,073111.1–

3034Madison County, GAGA32,919111.1–

3035Edmunds County, SDSD4,022111.3–

3036Rice County, KSKS9,266112.3–

3037Moody County, SDSD6,632112.3–

3038Modoc County, CACA8,426112.4–

3039Ness County, KSKS2,617112.5–

3040Wallace County, KSKS1,441112.7–

3041Beckham County, OKOK22,159113.0–

3042Kimball County, NENE3,391113.1–

3043Golden Valley County, MTMT844113.5–

3044Coleman County, TXTX7,915113.7–

3045Storey County, NVNV4,260114.1–

3046Newton County, TXTX11,954114.3–

3047Livingston County, KYKY8,863114.4–

3048Carroll County, MOMO8,417114.7–

3049Atkinson County, GAGA8,454115.2–

3050Clark County, SDSD4,031115.8–

3051Swift County, MNMN9,763116.7–

3052East Carroll Parish, LALA6,760117.0–

3053Douglas County, SDSD2,888117.1–

3054Jim Hogg County, TXTX4,555117.2–

3055Hand County, SDSD3,121117.4–

3056Harper County, KSKS5,370117.8–

3057Calhoun County, TXTX19,599118.1–

3058Wayne County, UTUT2,587118.4–

3059Aransas County, TXTX26,146118.5–

3060Humboldt County, NVNV17,267118.6–

3061Shackelford County, TXTX3,197118.9–

3062Douglas County, ILIL19,880119.0–

3063Griggs County, NDND2,239119.4–

3064Hettinger County, NDND2,492119.4–

3065Mercer County, MOMO3,404120.2–

3066Musselshell County, MTMT5,582120.2–

3067Lyman County, SDSD3,694120.7–

3068Curry County, NMNM46,655122.0–

3069Garfield County, MTMT1,148122.4–

3070Calaveras County, CACA46,605122.6–

3071Harmon County, OKOK2,327123.1–

3072Hampton County, SCSC18,174123.2–

3073Beaver County, UTUT7,301123.4–

3074Keith County, NENE8,100123.7–

3075McKenzie County, NDND15,192123.7–

3076Benson County, NDND5,759123.8–

3077McHenry County, NDND5,130124.5–

3078Prairie County, MTMT1,112125.0–

3079Boyd County, NENE1,674126.1–

3080Rush County, KSKS2,845126.3–

3081Jackson County, TXTX15,393127.1–

3082Treutlen County, GAGA6,466127.8–

3083Clark County, IDID783128.0–

3084Copper River Census Area, AKAK2,666128.1–

3085Pondera County, MTMT6,072128.1–

3086Greer County, OKOK5,373129.2–

3087Treasure County, MTMT728129.3–

3088Phillips County, KSKS4,728129.6–

3089Mellette County, SDSD2,137129.6–

3090Briscoe County, TXTX1,474129.9–

3091Dawson County, TXTX11,776130.1–

3092Kemper County, MSMS8,600130.7–

3093Fannin County, GAGA26,111131.3–

3094Pike County, MSMS38,712131.5–

3095Tyrrell County, NCNC3,537132.4–

3096Hayes County, NENE821133.3–

3097Cameron Parish, LALA4,718133.9–

3098Hale County, TXTX31,819135.4–

3099Howard County, NENE6,538135.9–

3100Furnas County, NENE4,524136.0–

3101Hot Springs County, WYWY4,600136.1–

3102McCook County, SDSD5,964136.2–

3103Hitchcock County, NENE2,467137.0–

3104Meade County, KSKS3,852137.3–

3105Haskell County, KSKS3,599138.1–

3106Carter County, MTMT1,383138.6–

3107Concordia Parish, LALA17,836140.3–

3108George County, MSMS26,331143.1–

3109Presidio County, TXTX5,433143.9–

3110Boone County, NENE5,355145.5–

3111Taylor County, FLFL21,210146.3–

3112Walworth County, SDSD5,217151.1–

3113Highland County, VAVA2,318152.9–

3114Gooding County, IDID16,446156.6–

3115Pointe Coupee Parish, LALA19,520156.7–

3116Stonewall County, TXTX1,186156.8–

3117Liberty County, MTMT1,957158.2–

3118Doddridge County, WVWV7,634158.7–

3119Crittenden County, KYKY8,807159.0–

3120Petroleum County, MTMT548159.4–

3121Sioux County, NDND3,667161.7–

3122Kidder County, NDND2,393162.2–

3123Meriwether County, GAGA21,516172.2–

3124Echols County, GAGA3,685175.2–

3125Jeff Davis County, TXTX1,711177.8–

3126McMullen County, TXTX544179.3–

3127Kent County, TXTX674181.8–

3128Deuel County, NENE1,862182.7–

3129Edwards County, TXTX1,370187.5–

3130Billings County, NDND1,071190.5–

3131Campbell County, SDSD1,377191.4–

3132Live Oak County, TXTX11,929192.5–

3133Collingsworth County, TXTX2,487194.6–

3134Alpine County, CACA1,043196.9–

3135Niobrara County, WYWY2,341205.8–

3136Clarke County, IAIA9,574210.8–

3137Mineral County, COCO910219.3–

3138Terrell County, TXTX702219.5–

3139McPherson County, SDSD2,347246.8–

3140Madison County, FLFL18,759248.0–

3141Hamilton County, FLFL14,180277.0–

3142Grant County, KSKS7,028280.1–

3143De Baca County, NMNM1,647614.9–

SHOWING 3,001–3,143 OF 3,143

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Download CSV (full list, 3,143 rows)

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