These U.S. Cities Have the Highest STD Rates
Photo by Timo Wielink
Originally Posted On: These U.S. Cities Have the Highest STD Rates (updated 2020) (innerbody.com)
Our research team dives deep into the C.D.C.’s latest STD Surveillance Statistics and provides our analysis of current trends.
The Centers for Disease Control and Prevention (C.D.C.) recently released its latest Sexually Transmitted Disease Surveillance Report 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 along 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 rates in the South.
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. For more information about how individual states stack up in terms of highest and lowest rates, check out our recently published State STD Rankings.
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.
According to the CDC, over 2.4 million combined cases were reported across the U.S. in 2018 alone. However, many STDs are asymptomatic, which means they have no obvious symptoms (examples include chlamydia, gonorrhea, and HPV). And other STDs such as HIV and syphilis can be active inside your body before signs of the infection become apparent. Therefore, these statistics do not include the thousands of people who currently have an STD, but do not know it.
As an aside, the CDC stresses that: “If you are sexually active, getting tested for STDs is one of the most important things you can do to protect your health. Make sure you have an open and honest conversation about your sexual history and STD testing with your doctor…” If you are uncomfortable talking with your doctor or just can’t find the time to go get tested, an increasingly popular option is to take an at-home STD test.
Without further ado, here are the Top 100 cities with the highest rates:
Baltimore, MD
- Cases / 100K2,004
- Metro Population602,495
- HIV Cases207
- Chlamydia Cases7,636
- Gonorrhea Cases4,231
- Syphilis Cases210
Jackson, MS
- Cases / 100K1,872
- Metro Population237,085
- HIV Cases86
- Chlamydia Cases3,057
- Gonorrhea Cases1,330
- Syphilis Cases52
Philadelphia, PA
- Cases / 100K1,822
- Metro Population1,584,138
- HIV Cases499
- Chlamydia Cases21,119
- Gonorrhea Cases7,288
- Syphilis Cases459
San Francisco, CA
- Cases / 100K1,754
- Metro Population883,305
- HIV Cases246
- Chlamydia Cases9,137
- Gonorrhea Cases5,775
- Syphilis Cases584
Montgomery, AL
- Cases / 100K1,731
- Metro Population225,763
- HIV Cases71
- Chlamydia Cases2,828
- Gonorrhea Cases1,045
- Syphilis Cases36
Augusta, GA
- Cases / 100K1,675
- Metro Population201,554
- HIV Cases59
- Chlamydia Cases2,297
- Gonorrhea Cases1,045
- Syphilis Cases34
Milwaukee, WI
- Cases / 100K1,657
- Metro Population948,201
- HIV Cases134
- Chlamydia Cases10,928
- Gonorrhea Cases4,706
- Syphilis Cases77
Killeen, TX
- Cases / 100K1,644
- Metro Population355,642
- HIV Cases52
- Chlamydia Cases4,190
- Gonorrhea Cases1,630
- Syphilis Cases26
Shreveport, LA
- Cases / 100K1,615
- Metro Population242,922
- HIV Cases80
- Chlamydia Cases2,722
- Gonorrhea Cases1,145
- Syphilis Cases55
Indianapolis, IN
- Cases / 100K1,613
- Metro Population954,670
- HIV Cases228
- Chlamydia Cases10,536
- Gonorrhea Cases4,691
- Syphilis Cases168
New York (Bronx), NY
- Cases / 100K1,609
- Metro Population1,432,132
- HIV Cases498
- Chlamydia Cases17,711
- Gonorrhea Cases4,941
- Syphilis Cases388
Fayetteville, NC
- Cases / 100K1,559
- Metro Population332,330
- HIV CasesN/A
- Chlamydia Cases3,646
- Gonorrhea Cases1,486
- Syphilis Cases49
New York (Manhattan), NY
- Cases / 100K1,542
- Metro Population1,628,701
- HIV Cases393
- Chlamydia Cases16,670
- Gonorrhea Cases7,845
- Syphilis Cases596
Tallahassee, FL
- Cases / 100K1,502
- Metro Population292,502
- HIV Cases64
- Chlamydia Cases3,342
- Gonorrhea Cases1,031
- Syphilis Cases20
Columbus, GA
- Cases / 100K1,440
- Metro Population194,160
- HIV Cases81
- Chlamydia Cases1,820
- Gonorrhea Cases955
- Syphilis Cases20
Peoria, IL
- Cases / 100K1,421
- Metro Population180,621
- HIV Cases8
- Chlamydia Cases1,669
- Gonorrhea Cases891
- Syphilis Cases7
Washington DC
- Cases / 100K1,393
- Metro Population1,773,266
- HIV Cases630
- Chlamydia Cases17,480
- Gonorrhea Cases6,803
- Syphilis Cases426
Columbia, SC
- Cases / 100K1,390
- Metro Population414,576
- HIV Cases106
- Chlamydia Cases4,040
- Gonorrhea Cases1,669
- Syphilis Cases55
Denver, CO
- Cases / 100K1,379
- Metro Population716,492
- HIV Cases153
- Chlamydia Cases6,928
- Gonorrhea Cases2,821
- Syphilis Cases133
Birmingham, AL
- 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, WA | 815 | 891,299 | 49 | 5,421 | 1,774 | 66 |
92 | Myrtle Beach, SC | 814 | 344,147 | 70 | 1,832 | 944 | 26 |
93 | Tuscaloosa, AL | 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 data found in this report, including case statistics for HIV, syphilis, gonorrhea, and chlamydia, are from the C.D.C.’s latest data release from October 2019. 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 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 Review | MyLAB Box Review
STDcheck Review | Everlywell Review
BlueChew Review | BlueChew Free Trial
Support Resources:
BetterHelp Reviews | BetterHelp vs Talkspace
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