Ranking of North Carolina Counties By Birth Rate per 1K in 2018

Updated on June 21, 2025.

Based on the US Census Vintage data estimates, in 2018, the Birth Rate per 1K for North Carolina was 11.63. Among all North Carolina counties, Onslow County had the highest birth rate (19.98), followed by Cumberland County (16.65), and Hoke County (15.41).

The chart below shows the top 10 counties, and the table below shows the ranking of all North Carolina counties.

You can see similar ranking information for related topics, and for other states. You can also see the ranking of all counties in the United States.

See this for other years:
Ranking of North Carolina Counties By Birth Rate per 1K in 2018
Onslow
Cumberland
Hoke
Harnett
Craven
Mecklenburg
Lee
Wayne
Sampson
Durham
Ranking of North Carolina Counties By Birth Rate per 1K in 2018
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Rank County Birth Rate
1 Onslow County 19.98
2 Cumberland County 16.65
3 Hoke County 15.41
4 Harnett County 13.94
5 Craven County 13.5
5 Mecklenburg County 13.5
6 Lee County 13.37
7 Wayne County 13.35
8 Sampson County 13.13
9 Durham County 13.1
10 Robeson County 12.92
11 Vance County 12.9
12 Richmond County 12.47
13 Alamance County 12.22
14 Cabarrus County 12.17
15 Wilson County 12.16
16 Scotland County 12.08
17 Wake County 11.86
18 Moore County 11.81
18 Pasquotank County 11.81
19 Gaston County 11.8
20 Johnston County 11.79
21 Forsyth County 11.76
22 Cleveland County 11.74
23 Guilford County 11.69
24 Edgecombe County 11.64
25 Martin County 11.61
26 Pitt County 11.5
27 Stanly County 11.4
28 Nash County 11.38
29 Lenoir County 11.23
30 Duplin County 11.16
31 Halifax County 11.02
31 Rowan County 11.02
32 Washington County 10.87
33 Swain County 10.8
34 Person County 10.79
35 Randolph County 10.71
36 Columbus County 10.67
36 Union County 10.67
37 Iredell County 10.56
38 Jones County 10.47
38 Yadkin County 10.47
39 Catawba County 10.41
39 Pender County 10.41
40 Surry County 10.36
41 Franklin County 10.34
42 Davidson County 10.3
43 Granville County 10.17
43 Yancey County 10.17
44 McDowell County 10.16
45 Montgomery County 10.15
46 Wilkes County 10.12
47 Greene County 10
48 Lincoln County 9.97
49 Alexander County 9.92
50 Anson County 9.89
51 New Hanover County 9.88
52 Rutherford County 9.86
53 Beaufort County 9.83
54 Caldwell County 9.79
55 Graham County 9.75
56 Bertie County 9.71
57 Bladen County 9.64
58 Burke County 9.59
59 Hertford County 9.58
60 Haywood County 9.57
61 Rockingham County 9.55
62 Alleghany County 9.47
62 Mitchell County 9.47
63 Buncombe County 9.44
64 Chatham County 9.39
65 Northampton County 9.33
66 Currituck County 9.32
67 Perquimans County 9.3
68 Dare County 9.21
69 Henderson County 9.18
70 Macon County 9.16
71 Davie County 9.15
72 Caswell County 9.14
73 Jackson County 8.94
74 Chowan County 8.85
75 Madison County 8.74
76 Warren County 8.68
77 Stokes County 8.64
78 Gates County 8.6
79 Tyrrell County 8.45
80 Transylvania County 8.38
81 Avery County 8.28
82 Cherokee County 8.22
83 Polk County 8.05
84 Orange County 8.02
85 Camden County 7.95
86 Ashe County 7.64
87 Clay County 7.57
88 Carteret County 7.35
89 Hyde County 7.23
90 Brunswick County 7.22
91 Watauga County 7
92 Pamlico County 6.02