2025 Children's of Alabmama Community Health Needs Assessment

The total population of the Birmingham MSA has grown by just 1% from 1,180,600 to 1,192,583. Meanwhile, the population outside of the Birmingham MSA increased by just over 120,000, a 3% increase. 8 At the same time, the population of children in the Birmingham MSA declined by 1.2% and increased by 1% outside the Birmingham MSA. 9 The Birmingham MSA accounts for 31% of the state’s under-18 population. 10 Figure 4 illustrates the year-over-year change and percentage change in the number of children under 18 in the Birmingham MSA and outside the Birmingham MSA.

Figure 4. Number and Percent Change of Children In/Out of Birmingham Metro

The absolute population of children in the Birmingham MSA is declining. So, too, is the percentage of children as a share of the population. While children make up a slightly larger share of the Birmingham MSA population, the share is steadily declining. See Figure 5.

______________________________________ 8 Annual County and Puerto Rico Municipio Resident Population Estimates by Selected Age Groups and Sex: April 1, 2020 to July 1, 2024 (CC-EST2024-AGESEX). U.S. Census Bureau, Population Division. June 2025. 9 Ibid. 10 Ibid. Figure 5. Children As a Share of the Population

Children’s of Alabama, 2025 CHNA

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