Counties in North Carolina by birth rate (July to June), 2025

Onslow County had the highest birth rate (July to June) of 100 counties in 2025, at 17.22 per 1,000 inhabitants. Watauga County had the lowest, at 6.13 per 1,000 inhabitants. The median was 10.26 per 1,000 inhabitants and the figure for North Carolina was 11.06 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest17.22Onslow County
Lowest6.13Watauga County
Median10.26100 counties
North Carolina11.06History

Top 40 counties, 2025

CSVChart (SVG)

Onslow CountyOnslow County: 17.22 per 1,000 inhabitants17.22Robeson CountyRobeson County: 15.78 per 1,000 inhabitants15.78Cumberland CountyCumberland County: 15.29 per 1,000 inhabitants15.29Hoke CountyHoke County: 14.72 per 1,000 inhabitants14.72Wayne CountyWayne County: 13.94 per 1,000 inhabitants13.94Sampson CountySampson County: 13.9 per 1,000 inhabitants13.9Duplin CountyDuplin County: 13.82 per 1,000 inhabitants13.82Cherokee CountyCherokee County: 13.39 per 1,000 inhabitants13.39Harnett CountyHarnett County: 13.1 per 1,000 inhabitants13.1Graham CountyGraham County: 12.99 per 1,000 inhabitants12.99Bladen CountyBladen County: 12.97 per 1,000 inhabitants12.97Richmond CountyRichmond County: 12.81 per 1,000 inhabitants12.81Anson CountyAnson County: 12.75 per 1,000 inhabitants12.75Vance CountyVance County: 12.65 per 1,000 inhabitants12.65Mecklenburg CountyMecklenburg County: 12.62 per 1,000 inhabitants12.62Durham CountyDurham County: 12.18 per 1,000 inhabitants12.18Gaston CountyGaston County: 12.09 per 1,000 inhabitants12.09Craven CountyCraven County: 12.06 per 1,000 inhabitants12.06Columbus CountyColumbus County: 11.85 per 1,000 inhabitants11.85Clay CountyClay County: 11.73 per 1,000 inhabitants11.73Lenoir CountyLenoir County: 11.72 per 1,000 inhabitants11.72Edgecombe CountyEdgecombe County: 11.67 per 1,000 inhabitants11.67Cleveland CountyCleveland County: 11.66 per 1,000 inhabitants11.66Franklin CountyFranklin County: 11.57 per 1,000 inhabitants11.57Lee CountyLee County: 11.48 per 1,000 inhabitants11.48Wilson CountyWilson County: 11.43 per 1,000 inhabitants11.43Jones CountyJones County: 11.43 per 1,000 inhabitants11.43Johnston CountyJohnston County: 11.38 per 1,000 inhabitants11.38Stanly CountyStanly County: 11.29 per 1,000 inhabitants11.29Forsyth CountyForsyth County: 11.27 per 1,000 inhabitants11.27Moore CountyMoore County: 11.13 per 1,000 inhabitants11.13Surry CountySurry County: 11.11 per 1,000 inhabitants11.11Pitt CountyPitt County: 11.1 per 1,000 inhabitants11.1Person CountyPerson County: 11.05 per 1,000 inhabitants11.05Randolph CountyRandolph County: 10.98 per 1,000 inhabitants10.98Cabarrus CountyCabarrus County: 10.92 per 1,000 inhabitants10.92Guilford CountyGuilford County: 10.86 per 1,000 inhabitants10.86Tyrrell CountyTyrrell County: 10.8 per 1,000 inhabitants10.8Scotland CountyScotland County: 10.73 per 1,000 inhabitants10.73Wake CountyWake County: 10.59 per 1,000 inhabitants10.59
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2025
per 1,000 inhabitants
Change on 2024
1Onslow County Estimated17.22-0.07 pts
2Robeson County Estimated15.78-0.06 pts
3Cumberland County Estimated15.29+0.1 pts
4Hoke County Estimated14.72-0.17 pts
5Wayne County Estimated13.940 pts
6Sampson County Estimated13.9-0.17 pts
7Duplin County Estimated13.82-0.14 pts
8Cherokee County Estimated13.39+2.74 pts
9Harnett County Estimated13.1-0.27 pts
10Graham County Estimated12.99+1.62 pts
11Bladen County Estimated12.97-0.06 pts
12Richmond County Estimated12.81+0.06 pts
13Anson County Estimated12.75+0.24 pts
14Vance County Estimated12.65-0.11 pts
15Mecklenburg County Estimated12.62-0.18 pts
16Durham County Estimated12.18+0.01 pts
17Gaston County Estimated12.09-0.03 pts
18Craven County Estimated12.06+0.08 pts
19Columbus County Estimated11.85+0.19 pts
20Clay County Estimated11.73+1.9 pts
21Lenoir County Estimated11.72+0.05 pts
22Edgecombe County Estimated11.67+0.12 pts
23Cleveland County Estimated11.66-0 pts
24Franklin County Estimated11.57-0.3 pts
25Lee County Estimated11.48-0.22 pts
26Wilson County Estimated11.43-0.04 pts
27Jones County Estimated11.43+0.13 pts
28Johnston County Estimated11.38-0.29 pts
29Stanly County Estimated11.29-0.13 pts
30Forsyth County Estimated11.27+0.07 pts
31Moore County Estimated11.13-0.13 pts
32Surry County Estimated11.11+0.22 pts
33Pitt County Estimated11.1-0.12 pts
34Person County Estimated11.05+0.06 pts
35Randolph County Estimated10.98+0.09 pts
36Cabarrus County Estimated10.92-0.1 pts
37Guilford County Estimated10.86+0.19 pts
38Tyrrell County Estimated10.8-0.33 pts
39Scotland County Estimated10.73+0.07 pts
40Wake County Estimated10.59-0.16 pts
41Chowan County Estimated10.53+0.14 pts
42Nash County Estimated10.53-0.06 pts
43Washington County Estimated10.52+0.13 pts
44Montgomery County Estimated10.46+0.19 pts
45Pender County Estimated10.4+0.08 pts
46Alamance County Estimated10.4-0.04 pts
47Yadkin County Estimated10.32+0.04 pts
48Rowan County Estimated10.3-0.06 pts
49Davidson County Estimated10.27-0.03 pts
50Wilkes County Estimated10.27+0.07 pts
51Pasquotank County Estimated10.26-0.15 pts
52Halifax County Estimated10.24+0.1 pts
53Union County Estimated10.140 pts
54Catawba County Estimated10.14-0.05 pts
55Greene County Estimated10.05+0.07 pts
56Rockingham County Estimated9.94-0 pts
57Iredell County Estimated9.92-0.14 pts
58Rutherford County Estimated9.9+0.25 pts
59Martin County Estimated9.87+0.16 pts
60Lincoln County Estimated9.87-0 pts
61Beaufort County Estimated9.84+0.09 pts
62Hertford County Estimated9.81-0.06 pts
63Alexander County Estimated9.8+0.11 pts
64Caldwell County Estimated9.77+0.1 pts
65Swain County Estimated9.62+0.33 pts
66Granville County Estimated9.61+0.08 pts
67Burke County Estimated9.6+0.06 pts
68Caswell County Estimated9.55+0.34 pts
69Bertie County Estimated9.4-0.02 pts
70Yancey County Estimated9.38+0.01 pts
71Alleghany County Estimated9.35+0.2 pts
72New Hanover County Estimated9.07+0.07 pts
73Madison County Estimated8.97-0.01 pts
74Northampton County Estimated8.97+0.18 pts
75Buncombe County Estimated8.91+0.19 pts
76McDowell County Estimated8.88+0.04 pts
77Currituck County Estimated8.78-0.31 pts
78Haywood County Estimated8.75+0.21 pts
79Warren County Estimated8.69+0.02 pts
80Macon County Estimated8.64+0.2 pts
81Chatham County Estimated8.58-0.1 pts
82Pamlico County Estimated8.57+0.37 pts
83Mitchell County Estimated8.54-0.08 pts
84Henderson County Estimated8.52+0.14 pts
85Camden County Estimated8.51-0.06 pts
86Avery County Estimated8.51+0.2 pts
87Davie County Estimated8.39-0.07 pts
88Hyde County Estimated8.31+0.3 pts
89Stokes County Estimated8.09+0.14 pts
90Orange County Estimated7.87+0.09 pts
91Dare County Estimated7.72+0.15 pts
92Gates County Estimated7.7+0.05 pts
93Jackson County Estimated7.53+0.24 pts
94Perquimans County Estimated7.42+0.04 pts
95Ashe County Estimated7.29-0.02 pts
96Brunswick County Estimated7.18-0.2 pts
97Transylvania County Estimated7.10 pts
98Carteret County Estimated6.98-0.03 pts
99Polk County Estimated6.26+0.07 pts
100Watauga County Estimated6.13+0.16 pts

Other periods

About this ranking

Estimated live births from July 1 of the previous year through June 30 of the reported year per 1,000 residents, using the average of the population estimates at the two July 1 endpoints.

Published Census population estimates rate. The year identifies the end of the July-to-June period. These estimates can be revised and differ from calendar-year birth rates.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Population Estimates Program: birth rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. https://www2.census.gov/programs-surveys/popest/datasets/2020-2025/. Retrieved 2026-10-08.

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Rank Counties in North Carolina by birth rate (July to June) using official data, and cite the source.
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Questions

Which county has the highest birth rate (July to June)?

Onslow County, with 17.22 per 1,000 inhabitants in 2025, according to the U.S. Census Bureau.

Which county has the lowest birth rate (July to June)?

Watauga County, with 6.13 per 1,000 inhabitants in 2025.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Population Estimates Program: birth rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. Retrieved 2026-10-08.

Crude birth rate, July to June: other rankings

Counties in North Carolina: more rankings