| Rank* | County | Ratio of adults to children under 18 in 2003 |
|---|---|---|
| 1 | Dillon County | 2.57 |
| 2 | Sumter County | 2.60 |
| 3 | Berkeley County | 2.64 |
| 4 | Williamsburg County | 2.70 |
| 5 | Barnwell County | 2.77 |
| 6 | Dorchester County | 2.77 |
| 7 | Colleton County | 2.79 |
| 8 | Hampton County | 2.81 |
| 9 | Marion County | 2.83 |
| 10 | Chester County | 2.84 |
| 11 | Allendale County | 2.86 |
| 12 | Chesterfield County | 2.89 |
| 13 | Jasper County | 2.91 |
| 14 | Bamberg County | 2.92 |
| 15 | Orangeburg County | 2.92 |
| 16 | Darlington County | 2.93 |
| 17 | Cherokee County | 2.93 |
| 18 | Marlboro County | 2.93 |
| 19 | York County | 2.93 |
| 20 | Fairfield County | 2.97 |
| 21 | Florence County | 2.99 |
| 22 | Greenwood County | 2.99 |
| 23 | Richland County | 3.01 |
| 24 | Lexington County | 3.02 |
| 25 | Kershaw County | 3.02 |
| 26 | Aiken County | 3.04 |
| 27 | Clarendon County | 3.07 |
| 28 | Lancaster County | 3.08 |
| 29 | Abbeville County | 3.08 |
| 30 | Lee County | 3.09 |
| 31 | Greenville County | 3.09 |
| 32 | Beaufort County | 3.10 |
| 33 | Laurens County | 3.11 |
| 34 | Spartanburg County | 3.13 |
| 35 | Charleston County | 3.16 |
| 36 | Anderson County | 3.17 |
| 37 | Saluda County | 3.21 |
| 38 | Newberry County | 3.23 |
| 39 | Georgetown County | 3.23 |
| 40 | Calhoun County | 3.25 |
| 41 | Pickens County | 3.33 |
| 42 | Edgefield County | 3.34 |
| 43 | Union County | 3.36 |
| 44 | Oconee County | 3.58 |
| 45 | Horry County | 3.72 |
| 46 | McCormick County | 4.52 |
| - | South Carolina | 3.05 |
* 1 is best, 46 is worst.