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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.

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Four of the top five states with the highest rates are in the South. The Top 5 states with the highest STD rates are:

  1. Alaska
  2. Mississippi
  3. Louisiana
  4. South Carolina
  5. 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:

  1. Columbus, GA up 17 spots from 32nd 15th
  2. Jackson, MS up 13 spots from 15th 2nd
  3. San Francisco, CA up 12 spots from 16th 4th
  4. Milwaukee, WI up 11 spots from 18th 7th
  5. 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:

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  1. Los Angeles, CA (92,401)
  2. Chicago, IL (58,322)
  3. Houston, TX (36,710)
  4. Phoenix, AZ (34,973)
  5. 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:

The Top 20 U.S. Cities with the Highest STD Rates

#1

Baltimore, MD

Baltimore, MD
  • STD Cases / 100K2,004
  • Metro Population602,495
  • HIV Cases207
  • Chlamydia Cases7,636
  • Gonorrhea Cases4,231
  • Syphilis Cases210
#2

Jackson, MS

Jackson, MS
  • STD Cases / 100K1,872
  • Metro Population237,085
  • HIV Cases86
  • Chlamydia Cases3,057
  • Gonorrhea Cases1,330
  • Syphilis Cases52
#3

Philadelphia, PA

Philadelphia, PA
  • STD Cases / 100K1,822
  • Metro Population1,584,138
  • HIV Cases499
  • Chlamydia Cases21,119
  • Gonorrhea Cases7,288
  • Syphilis Cases459
#4

San Francisco, CA

San Francisco, CA
  • STD Cases / 100K1,754
  • Metro Population883,305
  • HIV Cases246
  • Chlamydia Cases9,137
  • Gonorrhea Cases5,775
  • Syphilis Cases584
#5

Montgomery, AL

Montgomery, AL
  • STD Cases / 100K1,731
  • Metro Population225,763
  • HIV Cases71
  • Chlamydia Cases2,828
  • Gonorrhea Cases1,045
  • Syphilis Cases36
#6

Augusta, GA

Augusta, GA
  • STD Cases / 100K1,675
  • Metro Population201,554
  • HIV Cases59
  • Chlamydia Cases2,297
  • Gonorrhea Cases1,045
  • Syphilis Cases34
#7

Milwaukee, WI

Milwaukee, WI
  • STD Cases / 100K1,657
  • Metro Population948,201
  • HIV Cases134
  • Chlamydia Cases10,928
  • Gonorrhea Cases4,706
  • Syphilis Cases77
#8

Killeen, TX

Killeen, TX
  • STD Cases / 100K1,644
  • Metro Population355,642
  • HIV Cases52
  • Chlamydia Cases4,190
  • Gonorrhea Cases1,630
  • Syphilis Cases26
#9

Shreveport, LA

Shreveport, LA
  • STD Cases / 100K1,615
  • Metro Population242,922
  • HIV Cases80
  • Chlamydia Cases2,722
  • Gonorrhea Cases1,145
  • Syphilis Cases55
#10

Indianapolis, IN

Indianapolis, IN
  • STD Cases / 100K1,613
  • Metro Population954,670
  • HIV Cases228
  • Chlamydia Cases10,536
  • Gonorrhea Cases4,691
  • Syphilis Cases168
#11

New York (Bronx), NY

New York (Bronx), NY
  • STD Cases / 100K1,609
  • Metro Population1,432,132
  • HIV Cases498
  • Chlamydia Cases17,711
  • Gonorrhea Cases4,941
  • Syphilis Cases388
#12

Fayetteville, NC

Fayetteville, NC
  • STD Cases / 100K1,559
  • Metro Population332,330
  • HIV CasesN/A
  • Chlamydia Cases3,646
  • Gonorrhea Cases1,486
  • Syphilis Cases49
#13

New York (Manhattan), NY

New York (Manhattan), NY
  • STD Cases / 100K1,542
  • Metro Population1,628,701
  • HIV Cases393
  • Chlamydia Cases16,670
  • Gonorrhea Cases7,845
  • Syphilis Cases596
#14

Tallahassee, FL

Tallahassee, FL
  • STD Cases / 100K1,502
  • Metro Population292,502
  • HIV Cases64
  • Chlamydia Cases3,342
  • Gonorrhea Cases1,031
  • Syphilis Cases20
#15

Columbus, GA

Columbus, GA
  • STD Cases / 100K1,440
  • Metro Population194,160
  • HIV Cases81
  • Chlamydia Cases1,820
  • Gonorrhea Cases955
  • Syphilis Cases20
#16

Peoria, IL

Peoria, IL
  • STD Cases / 100K1,421
  • Metro Population180,621
  • HIV Cases8
  • Chlamydia Cases1,669
  • Gonorrhea Cases891
  • Syphilis Cases7
#17

Washington DC

Washington DC
  • STD Cases / 100K1,393
  • Metro Population1,773,266
  • HIV Cases630
  • Chlamydia Cases17,480
  • Gonorrhea Cases6,803
  • Syphilis Cases426
#18

Columbia, SC

Columbia, SC
  • STD Cases / 100K1,390
  • Metro Population414,576
  • HIV Cases106
  • Chlamydia Cases4,040
  • Gonorrhea Cases1,669
  • Syphilis Cases55
#19

Denver, CO

Denver, CO
  • STD Cases / 100K1,379
  • Metro Population716,492
  • HIV Cases153
  • Chlamydia Cases6,928
  • Gonorrhea Cases2,821
  • Syphilis Cases133
#20

Birmingham, AL

Birmingham, AL
  • STD Cases / 100K1,372
  • Metro Population659,300
  • HIV Cases141
  • Chlamydia Cases6,031
  • Gonorrhea Cases2,920
  • Syphilis Cases97

Other Cites with High STD rates (rankings: 21 – 100)

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

How We Collected Data for This Report

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.

Sources

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

Additional STD Resources

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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