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

Onslow County had the highest birth rate (July to June) of 100 counties in 2021, at 18.31 per 1,000 inhabitants. Watauga County had the lowest, at 5.9 per 1,000 inhabitants. The median was 10 per 1,000 inhabitants and the figure for North Carolina was 11.11 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest18.31Onslow County
Median10100 counties
North Carolina11.11History

Top 40 counties, 2021

CSVChart (SVG)

Onslow CountyOnslow County: 18.31 per 1,000 inhabitants18.31Hoke CountyHoke County: 16.54 per 1,000 inhabitants16.54Robeson CountyRobeson County: 15.24 per 1,000 inhabitants15.24Cumberland CountyCumberland County: 15.05 per 1,000 inhabitants15.05Duplin CountyDuplin County: 13.95 per 1,000 inhabitants13.95Harnett CountyHarnett County: 13.59 per 1,000 inhabitants13.59Richmond CountyRichmond County: 13.38 per 1,000 inhabitants13.38Wayne CountyWayne County: 13.28 per 1,000 inhabitants13.28Mecklenburg CountyMecklenburg County: 13.01 per 1,000 inhabitants13.01Anson CountyAnson County: 12.94 per 1,000 inhabitants12.94Sampson CountySampson County: 12.66 per 1,000 inhabitants12.66Durham CountyDurham County: 12.62 per 1,000 inhabitants12.62Vance CountyVance County: 12.33 per 1,000 inhabitants12.33Pasquotank CountyPasquotank County: 12.07 per 1,000 inhabitants12.07Moore CountyMoore County: 12.07 per 1,000 inhabitants12.07Columbus CountyColumbus County: 11.94 per 1,000 inhabitants11.94Lee CountyLee County: 11.79 per 1,000 inhabitants11.79Person CountyPerson County: 11.74 per 1,000 inhabitants11.74Bladen CountyBladen County: 11.66 per 1,000 inhabitants11.66Johnston CountyJohnston County: 11.62 per 1,000 inhabitants11.62Lenoir CountyLenoir County: 11.53 per 1,000 inhabitants11.53Craven CountyCraven County: 11.52 per 1,000 inhabitants11.52Cabarrus CountyCabarrus County: 11.39 per 1,000 inhabitants11.39Scotland CountyScotland County: 11.33 per 1,000 inhabitants11.33Pitt CountyPitt County: 11.31 per 1,000 inhabitants11.31Edgecombe CountyEdgecombe County: 11.3 per 1,000 inhabitants11.3Forsyth CountyForsyth County: 11.26 per 1,000 inhabitants11.26Wake CountyWake County: 11.16 per 1,000 inhabitants11.16Gaston CountyGaston County: 11.08 per 1,000 inhabitants11.08Franklin CountyFranklin County: 11 per 1,000 inhabitants11Halifax CountyHalifax County: 10.97 per 1,000 inhabitants10.97Alamance CountyAlamance County: 10.81 per 1,000 inhabitants10.81Cleveland CountyCleveland County: 10.74 per 1,000 inhabitants10.74Wilson CountyWilson County: 10.7 per 1,000 inhabitants10.7Nash CountyNash County: 10.69 per 1,000 inhabitants10.69Randolph CountyRandolph County: 10.55 per 1,000 inhabitants10.55Guilford CountyGuilford County: 10.55 per 1,000 inhabitants10.55Rowan CountyRowan County: 10.52 per 1,000 inhabitants10.52Currituck CountyCurrituck County: 10.5 per 1,000 inhabitants10.5Swain CountySwain County: 10.48 per 1,000 inhabitants10.48
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2021
per 1,000 inhabitants
1Onslow County Estimated18.31
2Hoke County Estimated16.54
3Robeson County Estimated15.24
4Cumberland County Estimated15.05
5Duplin County Estimated13.95
6Harnett County Estimated13.59
7Richmond County Estimated13.38
8Wayne County Estimated13.28
9Mecklenburg County Estimated13.01
10Anson County Estimated12.94
11Sampson County Estimated12.66
12Durham County Estimated12.62
13Vance County Estimated12.33
14Pasquotank County Estimated12.07
15Moore County Estimated12.07
16Columbus County Estimated11.94
17Lee County Estimated11.79
18Person County Estimated11.74
19Bladen County Estimated11.66
20Johnston County Estimated11.62
21Lenoir County Estimated11.53
22Craven County Estimated11.52
23Cabarrus County Estimated11.39
24Scotland County Estimated11.33
25Pitt County Estimated11.31
26Edgecombe County Estimated11.3
27Forsyth County Estimated11.26
28Wake County Estimated11.16
29Gaston County Estimated11.08
30Franklin County Estimated11
31Halifax County Estimated10.97
32Alamance County Estimated10.81
33Cleveland County Estimated10.74
34Wilson County Estimated10.7
35Nash County Estimated10.69
36Randolph County Estimated10.55
37Guilford County Estimated10.55
38Rowan County Estimated10.52
39Currituck County Estimated10.5
40Swain County Estimated10.48
41Greene County Estimated10.41
42Martin County Estimated10.34
43Stanly County Estimated10.33
44Wilkes County Estimated10.28
45Beaufort County Estimated10.25
46Northampton County Estimated10.19
47Lincoln County Estimated10.16
48Rutherford County Estimated10.05
49Montgomery County Estimated10.01
50Catawba County Estimated10.01
51Surry County Estimated9.98
52Iredell County Estimated9.98
53Davidson County Estimated9.96
54Pender County Estimated9.95
55Granville County Estimated9.88
56Union County Estimated9.84
57Chowan County Estimated9.83
58Alexander County Estimated9.71
59Mitchell County Estimated9.71
60Gates County Estimated9.59
61Alleghany County Estimated9.56
62Rockingham County Estimated9.48
63Graham County Estimated9.47
64Burke County Estimated9.3
65New Hanover County Estimated9.23
66Hertford County Estimated9.22
67Davie County Estimated9.15
68Tyrrell County Estimated9.07
69Caldwell County Estimated9.02
70Yadkin County Estimated9.02
71Hyde County Estimated8.77
72Buncombe County Estimated8.75
73Dare County Estimated8.73
74Yancey County Estimated8.7
75Washington County Estimated8.69
76Stokes County Estimated8.68
77Warren County Estimated8.65
78Madison County Estimated8.6
79Henderson County Estimated8.38
80Chatham County Estimated8.34
81Cherokee County Estimated8.34
82Perquimans County Estimated8.26
83Caswell County Estimated8.23
84McDowell County Estimated8.22
85Macon County Estimated8.21
86Haywood County Estimated8.05
87Ashe County Estimated7.99
88Clay County Estimated7.82
89Jones County Estimated7.73
90Bertie County Estimated7.72
91Brunswick County Estimated7.66
92Jackson County Estimated7.65
93Avery County Estimated7.6
94Orange County Estimated7.57
95Camden County Estimated7.44
96Transylvania County Estimated7.25
97Carteret County Estimated7.05
98Polk County Estimated7.01
99Pamlico County Estimated6.57
100Watauga County Estimated5.9

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 18.31 per 1,000 inhabitants in 2021, according to the U.S. Census Bureau.

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

Watauga County, with 5.9 per 1,000 inhabitants in 2021.

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