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Fertility & birth rates in China and United States

Updated on by Georank team

China has an annual birth rate of 6.39 births per 1,000 people, compared to 10.7 for the United States. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1 in China and 1.62 in the United States — 61.8% difference.

1960 vs 2023, the fertility rate has decreased by 77.6% in China and by 55.8% in the United States — in 1960, it was 4.45 and 3.65, respectively.

  • China is ranked 191/196 by birth rate compared to 140/196 for the United States.
  • The mean age at childbearing (for all the births, not just the first) is 29.4 in China — it's 30.2 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.23 in China vs 13.1 in the United States.
  • In China, 22.3% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in China vs United States by year

China
United States
1x
Year Fertility rate
China United States
2023 1 1.62
2022 1.03 1.66
2021 1.12 1.66
2020 1.24 1.64
2019 1.5 1.71
2018 1.54 1.73
2017 1.8 1.77
2016 1.77 1.82
2015 1.67 1.84
2014 1.77 1.86
2013 1.71 1.86
2012 1.8 1.88
2011 1.67 1.89
2010 1.69 1.93
2009 1.71 2
2008 1.7 2.07
2007 1.67 2.12
2006 1.64 2.11
2005 1.62 2.06
2004 1.61 2.05
2003 1.57 2.05
2002 1.57 2.02
2001 1.56 2.03
2000 1.63 2.06
1999 1.53 2.01
1998 1.52 2
1997 1.53 1.97
1996 1.55 1.98
1995 1.59 1.98
1994 1.63 2
1993 1.69 2.02
1992 1.78 2.05
1991 1.93 2.06
1990 2.51 2.08
1989 2.52 2.01
1988 2.54 1.93
1987 2.76 1.87
1986 2.72 1.84
1985 2.63 1.84
1984 2.61 1.81
1983 2.56 1.8
1982 2.97 1.83
1981 2.79 1.81
1980 2.74 1.84
1979 2.75 1.81
1978 2.72 1.76
1977 2.84 1.79
1976 3.24 1.74
1975 3.57 1.77
1974 4.17 1.84
1973 4.73 1.88
1972 5.11 2.01
1971 5.52 2.27
1970 6.09 2.48
1969 6.18 2.46
1968 6.51 2.46
1967 5.81 2.56
1966 6.31 2.72
1965 6.61 2.91
1964 6.67 3.19
1963 7.51 3.32
1962 6.09 3.46
1961 3.86 3.62
1960 4.45 3.65

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/united-states | CC BY

According to the latest available data on birth rates, the fertility rate in China was 1 children per woman in 2023, compared to 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

Check China vs the United States population clock for a dynamic visualization of the changing population.

Natural population change by year

China
United States
1x
Year Natural population change
China United States
2023 -2,087,851 502,372
2022 -847,305 399,926
2021 480,203 199,137
2020 2,046,095 208,862
2019 4,673,713 887,476
2018 5,302,433 955,022
2017 7,790,880 1,028,037
2016 9,062,269 1,197,627
2015 6,788,911 1,270,126
2014 9,205,180 1,357,281
2013 8,043,116 1,322,711
2012 10,075,174 1,411,822
2011 8,245,065 1,441,697
2010 6,407,607 1,548,182
2009 6,483,236 1,717,920
2008 6,729,247 1,794,154
2007 6,813,465 1,897,757
2006 6,922,185 1,849,955
2005 7,678,911 1,684,445
2004 7,607,960 1,698,271
2003 7,743,284 1,653,615
2002 8,258,580 1,581,938
2001 8,839,358 1,595,826
2000 9,570,849 1,664,758
1999 10,247,372 1,564,050
1998 11,351,286 1,573,857
1997 12,374,554 1,501,014
1996 12,686,872 1,510,137
1995 12,711,220 1,546,031
1994 13,360,470 1,633,302
1993 13,493,138 1,717,685
1992 13,548,601 1,875,328
1991 14,937,124 1,926,543
1990 16,335,313 2,026,068
1989 16,824,495 1,875,826
1988 17,328,640 1,735,943
1987 18,005,821 1,720,252
1986 16,609,920 1,656,917
1985 14,987,830 1,689,258
1984 13,561,671 1,627,192
1983 13,599,789 1,636,544
1982 15,815,318 1,714,317
1981 14,461,027 1,652,153
1980 11,647,260 1,608,450
1979 11,250,148 1,597,894
1978 11,473,980 1,402,283
1977 11,378,068 1,431,556
1976 11,782,472 1,264,604
1975 14,378,237 1,252,644
1974 15,738,118 1,218,968
1973 18,423,727 1,165,499
1972 19,102,585 1,301,355
1971 19,622,980 1,640,519
1970 21,137,076 1,824,965
1969 20,760,332 1,702,487
1968 21,206,083 1,565,507
1967 19,263,662 1,669,181
1966 19,282,187 1,749,387
1965 20,296,950 1,943,030
1964 19,302,532 2,245,099
1963 22,742,225 2,289,826
1962 17,969,132 2,406,337
1961 2,496,047 2,571,681
1960 -3,048,510 2,565,530

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06); U.S. Census Bureau (1960–2023, retrieved 2026-02-08).

GeoRank.org/birth-rate/china/united-states | CC BY

The chart above illustrates the comparison of the absolute yearly changes in population resulting from births and deaths.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was -0.15% in China and +0.15% in the United States.

For the past 10 years, the annual natural population change has been +0.31% in China and +0.25% in the United States.

Birth rate in China vs United States by year

China
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
China United States
2023 6.39 10.7
2022 6.77 11
2021 7.52 11
2020 8.52 10.9
2019 10.4 11.4
2018 10.9 11.6
2017 12.6 11.8
2016 13.6 12.2
2015 12 12.4
2014 13.8 12.5
2013 13 12.4
2012 14.6 12.6
2011 13.3 12.7
2010 11.9 13
2009 12 13.5
2008 12.1 14
2007 12.1 14.3
2006 12.1 14.3
2005 12.4 14
2004 12.3 14
2003 12.4 14.1
2002 12.9 14
2001 13.4 14.1
2000 14 14.4
1999 14.6 14.2
1998 15.6 14.3
1997 16.6 14.2
1996 17 14.4
1995 17.1 14.6
1994 17.7 15
1993 18.1 15.4
1992 18.3 15.8
1991 19.7 16.2
1990 21.1 16.7
1989 21.6 16.4
1988 22.4 16
1987 23.3 15.7
1986 22.4 15.6
1985 21 15.8
1984 19.9 15.6
1983 20.2 15.6
1982 22.3 15.9
1981 20.9 15.8
1980 18.2 15.9
1979 17.8 15.6
1978 18.3 15
1977 18.9 15.1
1976 19.9 14.6
1975 23 14.6
1974 24.8 14.8
1973 27.9 14.8
1972 29.8 15.6
1971 30.7 17.2
1970 33.4 18.4
1969 34.1 17.9
1968 35.6 17.6
1967 34 17.8
1966 35.1 18.4
1965 37.9 19.4
1964 39.1 21.1
1963 43.4 21.7
1962 37 22.4
1961 18 23.3
1960 20.9 23.7

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/united-states | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.39 in China and 10.7 in the United States, compared with 20.9 and 23.7, respectively, in 1960.

Birth rate data compared

China United States
Fertility rate 1 1.62
Fertility rate rank 192/196 125/196
Birth rate 6.39 10.7
Birth rate rank 191/196 140/196
Population change due to births and deaths -2,087,851 +502,372
Natural population change rank 196/196 37/196
Natural population change rate -0.15% +0.15%
Population growth -0.12% +0.49%
Population growth rank 173/197 134/197
Age at first childbirth n/a 27.3 years
Average age at childbearing 29.4 years 30.2 years
Annual births per 1,000 women ages 15-19 5.17 11.3
Annual births per 1,000 women ages 20-29 56.6 72.5
Annual births per 1,000 women ages 30+ 8.76 17.4
Female of reproductive age (15-49), share of population 22.3% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 80.5% 66.1%
Share of births attended by skilled health staff 99.9% 99.1%
Maternal mortality per live birth 0.02% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 0.28% 0.34%
Infant mortality rate (before reaching 1 year of age) 0.45% 0.55%
Mortality rate before reaching 5 years of age 0.62% 0.65%
Life expectancy 79 years 79.8 years

Children 0-14 years as share of population

China
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
China United States
2100 7.83% 14.4%
2099 7.84% 14.4%
2098 7.87% 14.4%
2097 7.91% 14.4%
2096 7.96% 14.4%
2095 8.03% 14.5%
2094 8.1% 14.5%
2093 8.18% 14.5%
2092 8.26% 14.5%
2091 8.34% 14.6%
2090 8.41% 14.6%
2089 8.47% 14.7%
2088 8.52% 14.7%
2087 8.55% 14.7%
2086 8.57% 14.8%
2085 8.57% 14.8%
2084 8.56% 14.8%
2083 8.53% 14.9%
2082 8.48% 14.9%
2081 8.41% 14.9%
2080 8.34% 14.9%
2079 8.25% 14.9%
2078 8.15% 14.9%
2077 8.06% 14.9%
2076 7.96% 14.9%
2075 7.86% 14.9%
2074 7.77% 14.9%
2073 7.7% 14.9%
2072 7.64% 14.9%
2071 7.6% 14.9%
2070 7.58% 14.9%
2069 7.59% 14.9%
2068 7.63% 14.9%
2067 7.7% 14.9%
2066 7.8% 14.9%
2065 7.93% 15%
2064 8.08% 15%
2063 8.25% 15%
2062 8.44% 15.1%
2061 8.64% 15.1%
2060 8.84% 15.2%
2059 9.03% 15.3%
2058 9.22% 15.4%
2057 9.39% 15.5%
2056 9.54% 15.5%
2055 9.67% 15.6%
2054 9.78% 15.7%
2053 9.86% 15.8%
2052 9.92% 15.8%
2051 9.94% 15.9%
2050 9.94% 15.9%
2049 9.92% 16%
2048 9.88% 16%
2047 9.82% 16%
2046 9.75% 16%
2045 9.67% 16%
2044 9.59% 16%
2043 9.52% 16%
2042 9.46% 16%
2041 9.4% 15.9%
2040 9.35% 15.9%
2039 9.32% 15.9%
2038 9.3% 15.9%
2037 9.32% 15.9%
2036 9.42% 15.9%
2035 9.63% 15.9%
2034 10% 15.9%
2033 10.5% 16%
2032 11.2% 16.1%
2031 11.8% 16.2%
2030 12.4% 16.3%
2029 13.1% 16.5%
2028 13.8% 16.6%
2027 14.5% 16.8%
2026 15.1% 17%
2025 15.7% 17.2%
2024 16% 17.3%
2023 16.6% 17.6%
2022 17.1% 17.9%
2021 17.6% 18.1%
2020 18% 18.4%
2019 18.2% 18.6%
2018 18.3% 18.8%
2017 18.4% 18.9%
2016 18.3% 19.1%
2015 18.3% 19.2%
2014 18.3% 19.3%
2013 18.3% 19.4%
2012 18.3% 19.5%
2011 18.3% 19.6%
2010 18.5% 19.7%
2009 18.6% 19.8%
2008 18.9% 19.9%
2007 19.2% 20%
2006 19.6% 20.2%
2005 20.3% 20.3%
2004 21.2% 20.5%
2003 22% 20.7%
2002 22.9% 20.9%
2001 23.8% 21%
2000 24.5% 21.2%
1999 25.2% 21.3%
1998 25.7% 21.4%
1997 26.3% 21.5%
1996 27% 21.7%
1995 27.4% 21.8%
1994 27.8% 21.9%
1993 28.2% 21.9%
1992 28.4% 21.8%
1991 28.6% 21.7%
1990 28.8% 21.6%
1989 28.9% 21.5%
1988 29.3% 21.3%
1987 29.8% 21.3%
1986 30.4% 21.3%
1985 31.2% 21.5%
1984 32.2% 21.7%
1983 33.3% 21.8%
1982 34.3% 22%
1981 35.1% 22.1%
1980 36.1% 22.4%
1979 37.2% 22.8%
1978 38.6% 23.2%
1977 39.8% 23.8%
1976 40.3% 24.4%
1975 40.2% 25.2%
1974 40.2% 25.9%
1973 40.1% 26.6%
1972 40.4% 27.4%
1971 40.7% 28%
1970 40.8% 28.6%
1969 41% 29%
1968 41% 29.5%
1967 41.3% 30%
1966 41.5% 30.4%
1965 41.5% 30.7%
1964 41.2% 30.9%
1963 40.6% 31.1%
1962 40% 31.3%
1961 40% 31.4%
1960 40.3% 31.3%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10); U.S. Census Bureau (1960–2024, retrieved 2026-02-08).

GeoRank.org/birth-rate/china/united-states | CC BY

Children aged 0-14 make up 16% of the population in China and 17.3% in the United States in 2024, compared to 28.8% and 21.6% respectively in 1990.

Demographics of China and the United States compared.

Fertility rates around the globe

1x

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/united-states | CC BY

Maternal mortality chart: China vs United States

China
United States
1x
Year Maternal mortality per 100K births
China United States
2023 16 17
2022 18 20
2021 21 31
2020 20 22
2019 21 18
2018 22 18
2017 24 18
2016 25 18
2015 26 17
2014 28 17
2013 30 16
2012 32 16
2011 33 15
2010 34 15
2009 35 15
2008 38 14
2007 38 13
2006 40 13
2005 42 13
2004 45 13
2003 47 13
2002 50 13
2001 52 13
2000 56 12
1999 58 12
1998 60 11
1997 63 11
1996 67 11
1995 71 12
1994 76 11
1993 80 12
1992 86 11
1991 92 12
1990 102 12
1989 104 12
1988 108 12
1987 114 11
1986 120 11
1985 125 11

Data sources: World Bank | Gender (1985–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/united-states | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 16 deaths per 100,000 live births in China, compared to 17 deaths in the United States.

U.S. figures are less comparable to other countries, because reporting changes between 2003 and 2018 doubled the number of maternal deaths captured in official records without an actual doubling in mortality, and coding was revised again in 2018.

Under-five mortality rates

China
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
China United States
2023 0.62% 0.65%
2022 0.66% 0.65%
2021 0.7% 0.65%
2020 0.75% 0.65%
2019 0.8% 0.65%
2018 0.86% 0.65%
2017 0.92% 0.66%
2016 0.99% 0.67%
2015 1.07% 0.68%
2014 1.15% 0.68%
2013 1.25% 0.69%
2012 1.35% 0.7%
2011 1.46% 0.72%
2010 1.58% 0.73%
2009 1.71% 0.75%
2008 1.85% 0.76%
2007 2.01% 0.77%
2006 2.19% 0.79%
2005 2.4% 0.8%
2004 2.64% 0.81%
2003 2.89% 0.81%
2002 3.15% 0.82%
2001 3.42% 0.83%
2000 3.67% 0.84%
1999 3.91% 0.86%
1998 4.14% 0.87%
1997 4.36% 0.89%
1996 4.56% 0.92%
1995 4.75% 0.95%
1994 4.93% 0.98%
1993 5.08% 1.01%
1992 5.22% 1.05%
1991 5.31% 1.09%
1990 5.37% 1.12%
1989 5.39% 1.16%
1988 5.4% 1.19%
1987 5.4% 1.21%
1986 5.4% 1.24%
1985 5.43% 1.27%
1984 5.5% 1.3%
1983 5.61% 1.34%
1982 5.78% 1.39%
1981 6% 1.44%
1980 6.28% 1.5%
1979 6.62% 1.56%
1978 7.01% 1.63%
1977 7.47% 1.71%
1976 7.97% 1.79%
1975 8.5% 1.88%
1974 9.05% 1.97%
1973 9.61% 2.06%
1972 10.2% 2.15%
1971 10.7% 2.24%
1970 11.3% 2.32%
1969 11.9% 2.41%
1968 - 2.49%
1967 - 2.57%
1966 - 2.64%
1965 - 2.71%
1964 - 2.77%
1963 - 2.83%
1962 - 2.89%
1961 - 2.95%
1960 - 3.01%

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/united-states | CC BY

The chance that a newborn baby will die before reaching age five is 0.62% in China and 0.65% in the United States. Above is a chart with historical data on under-five mortality rates.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10)
  3. U.S. Census Bureau (1960–2025, retrieved 2026-02-08)
  4. United Nations Economic Commission for Europe (UNECE) (2021, retrieved 2026-03-10)

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