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Title page 1

Contents 12

Abstract 1

Introduction 2

Methods 2

Results 3

Overall trends in births and deaths 3

Trends and differences in births and deaths by race and Hispanic origin 4

Trends and differences in births and deaths by urbanicity 6

Summary 7

Limitations 8

Conclusion 8

References 8

Acknowledgments 12

Tables 9

Table 1. Births and deaths, crude birth and death rates, and ratio of births to deaths, by selected race and Hispanic origin: United States, 2010-2023 10

Table 2. Births and deaths, crude birth and death rates, and ratio of births to deaths, by urbanicity of county of residence: United States, 2010-2023 11

Figures 1

Figure 1. Number of births and deaths: United States, 2010-2023 1

Figure 2. Crude birth rate, crude death rate, and ratio of births to deaths: United States, 2010-2023 3

Figure 3. Ratio of births to deaths for selected race and Hispanic-origin groups: United States, 2010-2023 4

Figure 4. Ratio of births to deaths, by urbanicity of county of residence: United States, 2010-2023 7