Tennessee Birth Rate: 13.4 per 1,000 (2021), Above National Average

In 2021, Tennessee's birth rate was 13.4 births per 1,000 population—slightly above the U.S. national average of 12.3.

• Rate has been declining gradually (mirroring national trend).
• Higher than average reflects: younger median age, higher fertility in some rural/religious communities, lower contraceptive access in areas.
• County variation: urban counties (Davidson, Shelby, Knox) lower; rural counties higher.

Source: CDC National Center for Health Statistics / Tennessee Department of Health.