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

Onslow County had the highest birth rate (July to June) of 100 counties in 2022, at 19.18 per 1,000 inhabitants. Watauga County had the lowest, at 5.75 per 1,000 inhabitants. The median was 10.31 per 1,000 inhabitants and the figure for North Carolina was 11.43 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest19.18Onslow County
Lowest5.75Watauga County
Median10.31100 counties
North Carolina11.43History

Top 40 counties, 2022

CSVChart (SVG)

Onslow CountyOnslow County: 19.18 per 1,000 inhabitants19.18Hoke CountyHoke County: 17.58 per 1,000 inhabitants17.58Robeson CountyRobeson County: 16.32 per 1,000 inhabitants16.32Cumberland CountyCumberland County: 15.71 per 1,000 inhabitants15.71Duplin CountyDuplin County: 14.89 per 1,000 inhabitants14.89Harnett CountyHarnett County: 13.65 per 1,000 inhabitants13.65Wayne CountyWayne County: 13.59 per 1,000 inhabitants13.59Sampson CountySampson County: 13.51 per 1,000 inhabitants13.51Mecklenburg CountyMecklenburg County: 13.41 per 1,000 inhabitants13.41Edgecombe CountyEdgecombe County: 13.03 per 1,000 inhabitants13.03Vance CountyVance County: 12.83 per 1,000 inhabitants12.83Durham CountyDurham County: 12.81 per 1,000 inhabitants12.81Swain CountySwain County: 12.8 per 1,000 inhabitants12.8Lee CountyLee County: 12.5 per 1,000 inhabitants12.5Richmond CountyRichmond County: 12.42 per 1,000 inhabitants12.42Craven CountyCraven County: 12.37 per 1,000 inhabitants12.37Johnston CountyJohnston County: 12.31 per 1,000 inhabitants12.31Anson CountyAnson County: 12.22 per 1,000 inhabitants12.22Scotland CountyScotland County: 12.16 per 1,000 inhabitants12.16Bladen CountyBladen County: 12.16 per 1,000 inhabitants12.16Columbus CountyColumbus County: 12.03 per 1,000 inhabitants12.03Pitt CountyPitt County: 12.01 per 1,000 inhabitants12.01Jones CountyJones County: 11.92 per 1,000 inhabitants11.92Lenoir CountyLenoir County: 11.77 per 1,000 inhabitants11.77Gaston CountyGaston County: 11.69 per 1,000 inhabitants11.69Franklin CountyFranklin County: 11.63 per 1,000 inhabitants11.63Forsyth CountyForsyth County: 11.63 per 1,000 inhabitants11.63Moore CountyMoore County: 11.54 per 1,000 inhabitants11.54Cleveland CountyCleveland County: 11.51 per 1,000 inhabitants11.51Nash CountyNash County: 11.51 per 1,000 inhabitants11.51Alamance CountyAlamance County: 11.34 per 1,000 inhabitants11.34Wake CountyWake County: 11.33 per 1,000 inhabitants11.33Cabarrus CountyCabarrus County: 11.29 per 1,000 inhabitants11.29Halifax CountyHalifax County: 11.29 per 1,000 inhabitants11.29Stanly CountyStanly County: 11.24 per 1,000 inhabitants11.24Currituck CountyCurrituck County: 11.14 per 1,000 inhabitants11.14Wilson CountyWilson County: 11.11 per 1,000 inhabitants11.11Rowan CountyRowan County: 10.88 per 1,000 inhabitants10.88Granville CountyGranville County: 10.86 per 1,000 inhabitants10.86Person CountyPerson County: 10.84 per 1,000 inhabitants10.84
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2022
per 1,000 inhabitants
Change on 2021
1Onslow County Estimated19.18+0.87 pts
2Hoke County Estimated17.58+1.04 pts
3Robeson County Estimated16.32+1.08 pts
4Cumberland County Estimated15.71+0.66 pts
5Duplin County Estimated14.89+0.95 pts
6Harnett County Estimated13.65+0.05 pts
7Wayne County Estimated13.59+0.31 pts
8Sampson County Estimated13.51+0.85 pts
9Mecklenburg County Estimated13.41+0.4 pts
10Edgecombe County Estimated13.03+1.73 pts
11Vance County Estimated12.83+0.5 pts
12Durham County Estimated12.81+0.19 pts
13Swain County Estimated12.8+2.32 pts
14Lee County Estimated12.5+0.71 pts
15Richmond County Estimated12.42-0.96 pts
16Craven County Estimated12.37+0.85 pts
17Johnston County Estimated12.31+0.7 pts
18Anson County Estimated12.22-0.73 pts
19Scotland County Estimated12.16+0.83 pts
20Bladen County Estimated12.16+0.49 pts
21Columbus County Estimated12.03+0.09 pts
22Pitt County Estimated12.01+0.7 pts
23Jones County Estimated11.92+4.18 pts
24Lenoir County Estimated11.77+0.24 pts
25Gaston County Estimated11.69+0.61 pts
26Franklin County Estimated11.63+0.63 pts
27Forsyth County Estimated11.63+0.37 pts
28Moore County Estimated11.54-0.53 pts
29Cleveland County Estimated11.51+0.77 pts
30Nash County Estimated11.51+0.81 pts
31Alamance County Estimated11.34+0.53 pts
32Wake County Estimated11.33+0.17 pts
33Cabarrus County Estimated11.29-0.09 pts
34Halifax County Estimated11.29+0.32 pts
35Stanly County Estimated11.24+0.9 pts
36Currituck County Estimated11.14+0.64 pts
37Wilson County Estimated11.11+0.41 pts
38Rowan County Estimated10.88+0.36 pts
39Granville County Estimated10.86+0.98 pts
40Person County Estimated10.84-0.9 pts
41Pasquotank County Estimated10.84-1.23 pts
42Graham County Estimated10.83+1.36 pts
43Guilford County Estimated10.74+0.2 pts
44Iredell County Estimated10.66+0.68 pts
45Tyrrell County Estimated10.54+1.46 pts
46Washington County Estimated10.52+1.83 pts
47Greene County Estimated10.48+0.06 pts
48Davidson County Estimated10.4+0.45 pts
49Wilkes County Estimated10.39+0.11 pts
50Bertie County Estimated10.35+2.63 pts
51Chowan County Estimated10.26+0.43 pts
52Burke County Estimated10.23+0.93 pts
53Surry County Estimated10.19+0.21 pts
54Randolph County Estimated10.19-0.37 pts
55Rockingham County Estimated10.18+0.7 pts
56Yadkin County Estimated10.1+1.09 pts
57Union County Estimated10.1+0.26 pts
58Catawba County Estimated10.06+0.04 pts
59Martin County Estimated10.04-0.31 pts
60Lincoln County Estimated10.02-0.14 pts
61Pender County Estimated9.97+0.02 pts
62Montgomery County Estimated9.9-0.11 pts
63Rutherford County Estimated9.75-0.3 pts
64Stokes County Estimated9.49+0.81 pts
65New Hanover County Estimated9.44+0.21 pts
66Beaufort County Estimated9.43-0.82 pts
67Alexander County Estimated9.38-0.33 pts
68Gates County Estimated9.34-0.25 pts
69Yancey County Estimated9.33+0.63 pts
70Northampton County Estimated9.32-0.87 pts
71Hertford County Estimated9.31+0.09 pts
72Perquimans County Estimated9.18+0.92 pts
73Caldwell County Estimated9.14+0.12 pts
74Davie County Estimated9.02-0.13 pts
75Buncombe County Estimated8.96+0.21 pts
76Warren County Estimated8.9+0.25 pts
77Macon County Estimated8.72+0.51 pts
78Chatham County Estimated8.7+0.35 pts
79Camden County Estimated8.67+1.23 pts
80McDowell County Estimated8.62+0.41 pts
81Alleghany County Estimated8.62-0.94 pts
82Madison County Estimated8.61+0.02 pts
83Henderson County Estimated8.59+0.2 pts
84Haywood County Estimated8.44+0.39 pts
85Orange County Estimated8.01+0.44 pts
86Cherokee County Estimated8-0.33 pts
87Mitchell County Estimated7.86-1.84 pts
88Jackson County Estimated7.84+0.19 pts
89Caswell County Estimated7.78-0.44 pts
90Dare County Estimated7.61-1.11 pts
91Avery County Estimated7.55-0.05 pts
92Transylvania County Estimated7.51+0.26 pts
93Ashe County Estimated7.47-0.51 pts
94Carteret County Estimated7.39+0.34 pts
95Hyde County Estimated7.36-1.41 pts
96Brunswick County Estimated7.31-0.36 pts
97Polk County Estimated6.95-0.06 pts
98Pamlico County Estimated6.91+0.34 pts
99Clay County Estimated6.88-0.94 pts
100Watauga County Estimated5.75-0.16 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 19.18 per 1,000 inhabitants in 2022, according to the U.S. Census Bureau.

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

Watauga County, with 5.75 per 1,000 inhabitants in 2022.

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