About half of rural counties now experiencing more deaths than births
Declining birth rates, increasing mortality rates among working-age adults, and an aging population have led to the emergence of natural decrease (more deaths than births) in hundreds of U.S. counties—most of them rural counties. During 2010-16, 325 rural counties experienced sustained natural decrease for the first time, adding to 645 rural counties with natural decrease during 2000-09. Areas that recently began experiencing natural decrease (the dark blue areas) are found in New England, northern Michigan, and high-poverty areas in the southern Coastal Plains. Such counties also are found in and around the margins of Appalachia, expanding a large region of natural decrease extending from Maine through northern Alabama. Between 2000 and 2016, over a thousand rural counties still experienced population growth from natural increase (more births than deaths). This chart appears in the September 2017 Amber Waves data feature, "Rural Areas Show Overall Population Decline and Shifting Regional Patterns of Population Change."