Data / Rankings / Crude birth rate, July to June / Counties in North Carolina

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

Onslow County had the highest birth rate (July to June) of 100 counties in 2023, at 17.8 per 1,000 inhabitants. Watauga County had the lowest, at 5.58 per 1,000 inhabitants. The median was 10.32 per 1,000 inhabitants and the figure for North Carolina was 11.24 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest17.8Onslow County
Lowest5.58Watauga County
Median10.32100 counties
North Carolina11.24History

Top 40 counties, 2023

CSVChart (SVG)

Onslow CountyOnslow County: 17.8 per 1,000 inhabitants17.8Robeson CountyRobeson County: 16.42 per 1,000 inhabitants16.42Hoke CountyHoke County: 15.62 per 1,000 inhabitants15.62Cumberland CountyCumberland County: 15.23 per 1,000 inhabitants15.23Duplin CountyDuplin County: 14.44 per 1,000 inhabitants14.44Sampson CountySampson County: 14.03 per 1,000 inhabitants14.03Wayne CountyWayne County: 13.77 per 1,000 inhabitants13.77Bladen CountyBladen County: 13.33 per 1,000 inhabitants13.33Harnett CountyHarnett County: 13.14 per 1,000 inhabitants13.14Mecklenburg CountyMecklenburg County: 13.09 per 1,000 inhabitants13.09Richmond CountyRichmond County: 12.78 per 1,000 inhabitants12.78Vance CountyVance County: 12.63 per 1,000 inhabitants12.63Craven CountyCraven County: 12.37 per 1,000 inhabitants12.37Tyrrell CountyTyrrell County: 12.35 per 1,000 inhabitants12.35Durham CountyDurham County: 12.13 per 1,000 inhabitants12.13Columbus CountyColumbus County: 12.11 per 1,000 inhabitants12.11Gaston CountyGaston County: 12.04 per 1,000 inhabitants12.04Edgecombe CountyEdgecombe County: 12.03 per 1,000 inhabitants12.03Johnston CountyJohnston County: 11.89 per 1,000 inhabitants11.89Lee CountyLee County: 11.87 per 1,000 inhabitants11.87Anson CountyAnson County: 11.86 per 1,000 inhabitants11.86Franklin CountyFranklin County: 11.83 per 1,000 inhabitants11.83Lenoir CountyLenoir County: 11.78 per 1,000 inhabitants11.78Wilson CountyWilson County: 11.62 per 1,000 inhabitants11.62Cabarrus CountyCabarrus County: 11.55 per 1,000 inhabitants11.55Forsyth CountyForsyth County: 11.43 per 1,000 inhabitants11.43Stanly CountyStanly County: 11.36 per 1,000 inhabitants11.36Yadkin CountyYadkin County: 11.35 per 1,000 inhabitants11.35Pasquotank CountyPasquotank County: 11.35 per 1,000 inhabitants11.35Graham CountyGraham County: 11.3 per 1,000 inhabitants11.3Pender CountyPender County: 11.23 per 1,000 inhabitants11.23Scotland CountyScotland County: 11.23 per 1,000 inhabitants11.23Wake CountyWake County: 11.11 per 1,000 inhabitants11.11Cleveland CountyCleveland County: 11.08 per 1,000 inhabitants11.08Pitt CountyPitt County: 11 per 1,000 inhabitants11Randolph CountyRandolph County: 10.89 per 1,000 inhabitants10.89Moore CountyMoore County: 10.87 per 1,000 inhabitants10.87Guilford CountyGuilford County: 10.73 per 1,000 inhabitants10.73Martin CountyMartin County: 10.7 per 1,000 inhabitants10.7Nash CountyNash County: 10.69 per 1,000 inhabitants10.69
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2023
per 1,000 inhabitants		Change on 2022
1Onslow County Estimated17.8-1.38 pts
2Robeson County Estimated16.42+0.09 pts
3Hoke County Estimated15.62-1.96 pts
4Cumberland County Estimated15.23-0.48 pts
5Duplin County Estimated14.44-0.45 pts
6Sampson County Estimated14.03+0.52 pts
7Wayne County Estimated13.77+0.18 pts
8Bladen County Estimated13.33+1.18 pts
9Harnett County Estimated13.14-0.51 pts
10Mecklenburg County Estimated13.09-0.32 pts
11Richmond County Estimated12.78+0.36 pts
12Vance County Estimated12.63-0.2 pts
13Craven County Estimated12.37+0.01 pts
14Tyrrell County Estimated12.35+1.82 pts
15Durham County Estimated12.13-0.68 pts
16Columbus County Estimated12.11+0.07 pts
17Gaston County Estimated12.04+0.35 pts
18Edgecombe County Estimated12.03-1 pts
19Johnston County Estimated11.89-0.42 pts
20Lee County Estimated11.87-0.63 pts
21Anson County Estimated11.86-0.36 pts
22Franklin County Estimated11.83+0.2 pts
23Lenoir County Estimated11.78+0.01 pts
24Wilson County Estimated11.62+0.51 pts
25Cabarrus County Estimated11.55+0.26 pts
26Forsyth County Estimated11.43-0.2 pts
27Stanly County Estimated11.36+0.12 pts
28Yadkin County Estimated11.35+1.25 pts
29Pasquotank County Estimated11.35+0.51 pts
30Graham County Estimated11.3+0.48 pts
31Pender County Estimated11.23+1.26 pts
32Scotland County Estimated11.23-0.93 pts
33Wake County Estimated11.11-0.22 pts
34Cleveland County Estimated11.08-0.43 pts
35Pitt County Estimated11-1 pts
36Randolph County Estimated10.89+0.7 pts
37Moore County Estimated10.87-0.67 pts
38Guilford County Estimated10.73-0.01 pts
39Martin County Estimated10.7+0.67 pts
40Nash County Estimated10.69-0.82 pts
41Rowan County Estimated10.64-0.24 pts
42Surry County Estimated10.64+0.44 pts
43Alamance County Estimated10.59-0.74 pts
44Jones County Estimated10.59-1.32 pts
45Halifax County Estimated10.59-0.7 pts
46Wilkes County Estimated10.56+0.17 pts
47Montgomery County Estimated10.48+0.58 pts
48Warren County Estimated10.42+1.52 pts
49Caldwell County Estimated10.35+1.21 pts
50Davidson County Estimated10.34-0.06 pts
51Union County Estimated10.3+0.2 pts
52Catawba County Estimated10.26+0.2 pts
53Iredell County Estimated10.21-0.45 pts
54Burke County Estimated10.17-0.06 pts
55Currituck County Estimated10.16-0.98 pts
56Beaufort County Estimated9.99+0.56 pts
57Rockingham County Estimated9.99-0.19 pts
58Lincoln County Estimated9.96-0.06 pts
59Swain County Estimated9.95-2.85 pts
60Person County Estimated9.95-0.9 pts
61Granville County Estimated9.86-1 pts
62Alexander County Estimated9.72+0.34 pts
63Hertford County Estimated9.67+0.36 pts
64Rutherford County Estimated9.63-0.13 pts
65Gates County Estimated9.55+0.21 pts
66Chowan County Estimated9.43-0.84 pts
67Alleghany County Estimated9.41+0.79 pts
68Caswell County Estimated9.4+1.62 pts
69Washington County Estimated9.39-1.13 pts
70Northampton County Estimated9.37+0.05 pts
71Davie County Estimated9.37+0.35 pts
72New Hanover County Estimated9.34-0.1 pts
73Madison County Estimated9.15+0.53 pts
74Greene County Estimated9.13-1.35 pts
75Bertie County Estimated9.01-1.34 pts
76Yancey County Estimated8.97-0.36 pts
77Cherokee County Estimated8.8+0.79 pts
78Henderson County Estimated8.73+0.15 pts
79Chatham County Estimated8.7-0 pts
80Buncombe County Estimated8.63-0.34 pts
81Stokes County Estimated8.61-0.89 pts
82Macon County Estimated8.46-0.27 pts
83McDowell County Estimated8.38-0.24 pts
84Haywood County Estimated8.24-0.2 pts
85Avery County Estimated7.97+0.42 pts
86Perquimans County Estimated7.89-1.29 pts
87Orange County Estimated7.84-0.17 pts
88Hyde County Estimated7.77+0.41 pts
89Brunswick County Estimated7.71+0.4 pts
90Ashe County Estimated7.68+0.21 pts
91Dare County Estimated7.64+0.03 pts
92Clay County Estimated7.6+0.72 pts
93Jackson County Estimated7.51-0.33 pts
94Camden County Estimated7.46-1.21 pts
95Pamlico County Estimated7.45+0.55 pts
96Carteret County Estimated7.02-0.37 pts
97Transylvania County Estimated6.99-0.52 pts
98Mitchell County Estimated6.92-0.94 pts
99Polk County Estimated5.8-1.16 pts
100Watauga County Estimated5.58-0.17 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 17.8 per 1,000 inhabitants in 2023, according to the U.S. Census Bureau.

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

Watauga County, with 5.58 per 1,000 inhabitants in 2023.

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