These U.S. Cities Have the Highest STD Rates
Originally posted on https://www.innerbody.com/std-testing/std-statistics
The Centers for Disease Control and Prevention (C.D.C.) recently released its latest Sexually Transmitted Disease Surveillance Report (Oct. 8th, 2019) along with new data on the number of reported sexually transmitted disease (STD) cases across U.S. counties and metro areas.
Innerbody.com’s research team analyzed the latest statistics on a city-by-city basis and developed our list of the top 100 cities with the highest STD rates and with key trends. But before we get to the rankings, here are some findings and trends that we observed:
STD rates continue to run rampant in the South. Nearly half of the top 25 cities with the highest STD rates in the South.
Four of the top five states with the highest rates are in the South. The Top 5 states with the highest STD rates are:
- Alaska
- Mississippi
- Louisiana
- South Carolina
- Alabama
To put these high rates in perspective: for the top three worst states, over 1% of the population has an STD.
California led all states with the most cities in the Top 100 with seven cities. Ohio and Texas tied for the second most cities, both of which had six each.
The cities with the biggest jump in rankings since last year include:
- Columbus, GA up 17 spots from 32nd → 15th
- Jackson, MS up 13 spots from 15th → 2nd
- San Francisco, CA up 12 spots from 16th → 4th
- Milwaukee, WI up 11 spots from 18th → 7th
- Baltimore, MD up 5 spots from 6th → 1st
In terms of total STD cases (again, including HIV, syphilis, chlamydia, and gonorrhea only), the top five cities are:
- Los Angeles, CA (92,401)
- Chicago, IL (58,322)
- Houston, TX (36,710)
- Phoenix, AZ (34,973)
- Philadelphia, PA (28,866)
We also noticed that three of the top 10 cities are relatively small (Augusta, GA, Killeen TX, and Shreveport, LA), but share one thing in common: they are home to relatively large military bases.
Without further ado, here are the Top 100 cities with the highest STD rates:
Baltimore, MD
- STD Cases / 100K2,004
- Metro Population602,495
- HIV Cases207
- Chlamydia Cases7,636
- Gonorrhea Cases4,231
- Syphilis Cases210
Jackson, MS
- STD Cases / 100K1,872
- Metro Population237,085
- HIV Cases86
- Chlamydia Cases3,057
- Gonorrhea Cases1,330
- Syphilis Cases52
Philadelphia, PA
- STD Cases / 100K1,822
- Metro Population1,584,138
- HIV Cases499
- Chlamydia Cases21,119
- Gonorrhea Cases7,288
- Syphilis Cases459
San Francisco, CA
- STD Cases / 100K1,754
- Metro Population883,305
- HIV Cases246
- Chlamydia Cases9,137
- Gonorrhea Cases5,775
- Syphilis Cases584
Montgomery, AL
- STD Cases / 100K1,731
- Metro Population225,763
- HIV Cases71
- Chlamydia Cases2,828
- Gonorrhea Cases1,045
- Syphilis Cases36
Augusta, GA
- STD Cases / 100K1,675
- Metro Population201,554
- HIV Cases59
- Chlamydia Cases2,297
- Gonorrhea Cases1,045
- Syphilis Cases34
Milwaukee, WI
- STD Cases / 100K1,657
- Metro Population948,201
- HIV Cases134
- Chlamydia Cases10,928
- Gonorrhea Cases4,706
- Syphilis Cases77
Killeen, TX
- STD Cases / 100K1,644
- Metro Population355,642
- HIV Cases52
- Chlamydia Cases4,190
- Gonorrhea Cases1,630
- Syphilis Cases26
Shreveport, LA
- STD Cases / 100K1,615
- Metro Population242,922
- HIV Cases80
- Chlamydia Cases2,722
- Gonorrhea Cases1,145
- Syphilis Cases55
Indianapolis, IN
- STD Cases / 100K1,613
- Metro Population954,670
- HIV Cases228
- Chlamydia Cases10,536
- Gonorrhea Cases4,691
- Syphilis Cases168
New York (Bronx), NY
- STD Cases / 100K1,609
- Metro Population1,432,132
- HIV Cases498
- Chlamydia Cases17,711
- Gonorrhea Cases4,941
- Syphilis Cases388
Fayetteville, NC
- STD Cases / 100K1,559
- Metro Population332,330
- HIV CasesN/A
- Chlamydia Cases3,646
- Gonorrhea Cases1,486
- Syphilis Cases49
New York (Manhattan), NY
- STD Cases / 100K1,542
- Metro Population1,628,701
- HIV Cases393
- Chlamydia Cases16,670
- Gonorrhea Cases7,845
- Syphilis Cases596
Tallahassee, FL
- STD Cases / 100K1,502
- Metro Population292,502
- HIV Cases64
- Chlamydia Cases3,342
- Gonorrhea Cases1,031
- Syphilis Cases20
Columbus, GA
- STD Cases / 100K1,440
- Metro Population194,160
- HIV Cases81
- Chlamydia Cases1,820
- Gonorrhea Cases955
- Syphilis Cases20
Peoria, IL
- STD Cases / 100K1,421
- Metro Population180,621
- HIV Cases8
- Chlamydia Cases1,669
- Gonorrhea Cases891
- Syphilis Cases7
Washington DC
- STD Cases / 100K1,393
- Metro Population1,773,266
- HIV Cases630
- Chlamydia Cases17,480
- Gonorrhea Cases6,803
- Syphilis Cases426
Columbia, SC
- STD Cases / 100K1,390
- Metro Population414,576
- HIV Cases106
- Chlamydia Cases4,040
- Gonorrhea Cases1,669
- Syphilis Cases55
Denver, CO
- STD Cases / 100K1,379
- Metro Population716,492
- HIV Cases153
- Chlamydia Cases6,928
- Gonorrhea Cases2,821
- Syphilis Cases133
Birmingham, AL
- STD Cases / 100K1,372
- Metro Population659,300
- HIV Cases141
- Chlamydia Cases6,031
- Gonorrhea Cases2,920
- Syphilis Cases97
Rank | Metro Area | STD cases/ 100K | Metro Population | HIV Cases | Chlamydia Cases | Gonorrhea Cases | Syphilis Cases |
---|---|---|---|---|---|---|---|
21 | Memphis, TN | 1,371 | 935,764 | 244 | 9,003 | 3,694 | 135 |
22 | Little Rock, AR | 1,357 | 392,680 | 112 | 3,625 | 1,632 | 73 |
23 | Macon, GA | 1,353 | 153,095 | 43 | 1,525 | 526 | 21 |
24 | New Orleans, LA | 1,325 | 825,057 | 303 | 7,691 | 3,056 | 185 |
25 | Greensboro, NC | 1,313 | 533,670 | N/A | 4,985 | 1,907 | 113 |
26 | Cleveland, OH | 1,310 | 1,243,857 | 156 | 11,044 | 5,097 | 158 |
27 | Anchorage, AK | 1,308 | 291,538 | N/A | 2,523 | 1,282 | 9 |
28 | Kansas City, MO | 1,306 | 700,307 | 104 | 5,856 | 3,146 | 146 |
29 | Detroit, MI | 1,264 | 1,753,893 | 321 | 15,636 | 6,349 | 179 |
30 | Cincinnati, OH | 1,263 | 816,684 | 191 | 6,861 | 3,381 | 71 |
31 | Baton Rouge, LA | 1,251 | 440,956 | 170 | 4,057 | 1,387 | 73 |
32 | Richmond, VA | 1,231 | 558,044 | 103 | 4,790 | 2,000 | 77 |
33 | Waco, TX | 1,196 | 254,607 | 35 | 2,125 | 907 | 12 |
34 | Savannah, GA | 1,181 | 289,195 | 79 | 2,547 | 804 | 63 |
35 | Kalamazoo, MI | 1,178 | 264,870 | 19 | 2,254 | 859 | 8 |
36 | St. Louis, MO | 1,194 | 1,560,842 | 264 | 12,409 | 5,710 | 249 |
37 | Toledo, OH | 1,169 | 429,899 | 43 | 3,303 | 1,693 | 28 |
38 | Lubbock, TX | 1,129 | 307,412 | 35 | 2,429 | 991 | 51 |
39 | Grand Rapids, MI | 1,127 | 173,588 | N/A | 1,384 | 568 | 4 |
40 | Chicago, IL | 1,126 | 5,180,493 | 898 | 42,422 | 14,920 | 980 |
41 | Charlotte, NC | 1,122 | 1,093,901 | 270 | 8,828 | 3,181 | 265 |
42 | Lexington, KY | 1,107 | 323,780 | 41 | 2,446 | 1,088 | 51 |
43 | Atlanta, GA | 1,105 | 2,300,344 | 1,013 | 17,244 | 7,441 | 740 |
44 | New York (Brooklyn), NY | 1,103 | 2,582,830 | 637 | 21,137 | 6,824 | 519 |
45 | Jacksonville, FL | 1,088 | 950,181 | 304 | 6,925 | 3,239 | 170 |
46 | Louisville, KY | 1,086 | 770,517 | 128 | 5,445 | 2,790 | 129 |
47 | Columbus, OH | 1,082 | 1,310,300 | 238 | 9,409 | 4,444 | 321 |
48 | Oklahoma City, OK | 1,069 | 792,582 | 111 | 5,693 | 2,606 | 176 |
49 | Mobile, AL | 1,065 | 413,757 | 82 | 3,032 | 1,327 | 48 |
50 | Champaign, IL | 1,064 | 209,983 | 16 | 1,704 | 518 | 13 |
51 | Gainesville, FL | 1,057 | 269,956 | 53 | 2,191 | 618 | 44 |
52 | Albuquerque, NM | 1,049 | 678,701 | 31 | 4,932 | 2,079 | 107 |
53 | Bakersfield, CA | 1,046 | 896,764 | 149 | 6,866 | 2,264 | 251 |
54 | Norfolk, VA | 1,038 | 936,899 | 159 | 7,241 | 2,406 | 77 |
55 | Newark, NJ | 1,022 | 799,767 | 303 | 6,064 | 2,015 | 98 |
56 | Austin, TX | 1,006 | 1,248,743 | 221 | 8,946 | 3,306 | 310 |
57 | Tulsa, OK | 991 | 648,360 | 69 | 4,245 | 2,111 | 70 |
58 | Springfield, MO | 980 | 291,923 | 11 | 2,020 | 819 | 22 |
59 | Fresno, CA | 979 | 994,400 | 158 | 7,198 | 2,261 | 279 |
60 | Dallas, TX | 972 | 2,637,772 | 814 | 18,417 | 6,800 | 417 |
61 | Pensacola, FL | 950 | 315,534 | 61 | 2,124 | 827 | 45 |
62 | Rochester, NY | 934 | 742,474 | 64 | 4,988 | 1,891 | 59 |
63 | Rockford, IL | 932 | 284,081 | 26 | 1,980 | 659 | 9 |
64 | Orlando, FL | 932 | 1,380,645 | 507 | 9,523 | 3,100 | 243 |
65 | Omaha, NE | 928 | 566,880 | N/A | 3,670 | 1,575 | 13 |
66 | Flint, MI | 922 | 406,892 | 34 | 2,751 | 981 | 21 |
67 | Greenville, SC | 920 | 514,213 | 65 | 3,162 | 1,522 | 47 |
68 | Portland, OR | 917 | 811,880 | 82 | 5,198 | 2,086 | 159 |
69 | Los Angeles, CA | 914 | 10,105,518 | 1,527 | 64,302 | 26,103 | 1,996 |
70 | Nashville, TN | 914 | 692,587 | 127 | 4,567 | 1,656 | 109 |
71 | Columbia, MO | 912 | 180,005 | 18 | 1,328 | 310 | 4 |
72 | Evansville, IN | 901 | 180,974 | N/A | 1,174 | 449 | 8 |
73 | Minneapolis, MN | 900 | 1,259,428 | 131 | 8,156 | 3,028 | 152 |
74 | San Antonio, TX | 896 | 1,986,049 | 358 | 12,986 | 4,496 | 314 |
75 | South Bend, IN | 890 | 270,771 | 19 | 1,685 | 720 | 6 |
76 | Charleston, SC | 882 | 405,905 | 81 | 2,738 | 793 | 48 |
77 | Des Moines, IA | 876 | 487,204 | 30 | 3,109 | 1,119 | 41 |
78 | Sacramento, CA | 875 | 1,540,975 | 133 | 9,852 | 3,342 | 287 |
79 | Huntsville, AL | 871 | 366,519 | 43 | 2,258 | 880 | 54 |
80 | Wichita, KS | 857 | 513,607 | 24 | 3,049 | 1,310 | 42 |
81 | Knoxville, TN | 853 | 465,289 | 50 | 2,600 | 1,333 | 38 |
82 | Lansing, MI | 853 | 292,735 | 25 | 1,902 | 565 | 29 |
83 | Dayton, OH | 852 | 532,331 | 63 | 3,154 | 1,346 | 35 |
84 | Fort Wayne, IN | 847 | 375,351 | 24 | 2,238 | 939 | 3 |
85 | Yakima, WA | 836 | 251,446 | 24 | 1,658 | 429 | 15 |
86 | Buffalo, NY | 834 | 919,719 | 91 | 5,571 | 2,039 | 56 |
87 | Lafayette, IN | 825 | 193,048 | 8 | 1,181 | 401 | 10 |
88 | Worcester, MA | 819 | 470,406 | 44 | 2,740 | 1,060 | 54 |
89 | San Diego, CA | 819 | 3,343,364 | 404 | 20,832 | 5,973 | 585 |
90 | Lafayette, LA | 817 | 242,782 | 53 | 1,423 | 532 | 28 |
91 | Tacoma, CA | 815 | 891,299 | 49 | 5,421 | 1,774 | 66 |
92 | Myrtle Beach, SC | 814 | 344,147 | 70 | 1,832 | 944 | 26 |
93 | Grand Rapids, MI | 804 | 653,786 | 46 | 4,085 | 1,136 | 34 |
94 | Akron, OH | 802 | 541,918 | 43 | 3,175 | 1,132 | 37 |
95 | Riverside, CA | 800 | 2,171,603 | 210 | 13,144 | 3,978 | 242 |
96 | New York (Queens), NY | 799 | 2,278,906 | 442 | 14,421 | 3,513 | 267 |
97 | Tucson, AZ | 798 | 1,039,073 | 115 | 6,625 | 1,570 | 100 |
98 | Albany, NY | 797 | 307,117 | 34 | 1,877 | 519 | 51 |
99 | Fort Lauderdale, FL | 797 | 1,951,260 | 681 | 11,283 | 3,933 | 328 |
100 | Chattanooga, TN | 794 | 364,286 | 37 | 1,922 | 928 | 42 |
All of the STD data found in this report, including case statistics for HIV, syphilis, gonorrhea, and chlamydia, are from the C.D.C.’s latest data release (Aug. 2019) for the year 2018. Syphilis data includes only primary and secondary syphilis cases and does not include congenital and early latent syphilis cases. HIV cases are not reported for some cities. Statistics for other relatively common STDs, such as herpes, are not collected by the C.D.C. at this time and hence are left out of our analysis. For more information about which statistics the C.D.C. does and does not track, see its STD Data & Statistics page.
All estimated metro area and state population data is from the C.D.C. and the US Census Bureau. For our interactive map, our research team decided to use counties as visual proxies for most metro areas. The C.D.C. does not have STD data for all US counties.
For our “Top 100 Rankings,” we chose to only include city metro areas with an estimated population of 150,000 or more. Though Washington, DC is technically a district, we chose to include it as a city. Also, since New York City is relatively large in size and the C.D.C. breaks down STD cases there by borough, we made the editorial decision to treat each borough as its own metro area for ranking purposes. No statistical testing was used during the production of this research.
https://www.cdc.gov/std/stats18/default.htm
https://www.cdc.gov/std/chlamydia/default.htm
https://www.cdc.gov/std/gonorrhea/default.htm
https://www.cdc.gov/std/syphilis/default.htm
https://www.cdc.gov/std/hiv/default.htm
https://www.cdc.gov/std/stats17/appendix-c.htm
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html
https://www.census.gov/data/datasets/time-series/demo/popest/2010s-counties-total.html
STD Information:
STD Symptoms & Causes from the Mayo Clinic
STD Guide from Planned Parenthood
STD Awareness for Teens from KidsHealth
STD Testing Resources:
Mayo Clinic: STD Testing Guide
Planned Parenthood: STD Testing
Innerbody: STD Testing At-Home Guide
STD Testing Companies:
LetsGetChecked | MyLAB Box | STDcheck | EverlyWell
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