How Common Are STDs?

Posted: Mar 20th, 2024 at 12:00AM - by Ashlee Arnold/Vice President

Man giving a woman a piggyback ride

Physical contact doesn't come without its risks, one of which is sexually transmitted diseases (STDs). How common are STDs? What do the numbers look like across males and females, for different age groups, and for various diseases?

Let's break the numbers down, according to what research has told us.

How Common Are STDs? Research Says

According to the World Health Organization (WHO), more than one million STDs are acquired around the world every single day, most of which are asymptomatic (meaning individuals don’t display any symptoms of being infected). Every year, there are approximately 374 new infections involving one of four curable STDs: chlamydia, gonorrhea, syphilis, and trichomoniasis.

Which STDs Are More Common?

According to 2019 research from the Centers for Disease Control and Prevention (CDC), by far, chlamydia was the most common STD, with nearly 1,809,000 reported cases. (Remember, many infections go unreported<.) Gonorrhea came next, with more than 616,000 reported infections. And syphilis was third, with nearly 130,000 reported cases.

STD Reported Cases and Rates of Reported Cases by State - 2022

State Chlamydia Cases Chlamydia Rate per 100,000 Population Gonorrhea Cases Gonorrhea Rate per 100,000 Population Primary and Secondary Syphilis Cases Primary and Secondary Syphilis Rate per 100,000 Population
Alabama 31,060 612.1 13,279 261.7 1,190 23.5
Alaska 5,338 727.7 2,304 314.1 160 21.8
Arizona 40,796 554.4 16,490 224.1 2,151 29.2
Arkansas 17,918 588.3 6,792 223 1,001 32.9
California 192,647 493.6 80,257 205.6 7,849 20.1
Colorado 26,646 456.3 8,784 150.4 918 15.7
Connecticut 12,738 351.3 4,979 137.3 248 6.8
Delaware 5,177 508.3 1,464 143.8 238 23.4
Florida 106,873 480.4 44,333 199.3 4,618 20.8
Georgia 72,662 665.8 31,450 288.2 2,182 20
Hawaii 5,530 384 1,478 102.6 231 16
Idaho 5,976 308.2 1,098 56.6 118 6.1
Illinois 71,564 568.8 26,442 210.2 1,457 11.6
Indiana 33,834 495.2 12,396 181.4 686 10
Iowa 14,634 457.2 4,466 139.5 334 10.4
Kansas 13,935 474.4 4,997 170.1 347 11.8
Kentucky 18,358 406.8 6,820 151.1 670 14.8
Louisiana 36,200 788.6 15,015 327.1 1,225 26.7
Maine 3,128 225.8 621 44.8 82 5.9
Maryland 31,234 506.7 11,164 181.1 781 12.7
Massachusetts 28,373 406.4 9,206 131.9 824 11.8
Michigan 42,977 428.3 16,378 163.2 972 9.7
Minnesota 22,072 386.1 8,152 142.6 675 11.8
Mississippi 22,968 781.2 10,933 371.9 913 31.1
Missouri 32,346 523.6 15,209 246.2 1,454 23.5
Montana 4,089 364.2 1,311 116.8 325 28.9
Nebraska 9,627 489.2 2,560 130.1 215 10.9
Nevada 16,189 509.4 7,392 232.6 902 28.4
New Hampshire 2,830 202.8 662 47.4 74 5.3
New Jersey 33,147 357.9 9,330 100.7 1,018 11
New Mexico 11,172 528.6 4,157 196.7 761 36
New York 103,673 526.9 43,362 220.4 3,603 18.3
North Carolina 64,525 603.1 26,715 249.7 2,473 23.1
North Dakota 3,704 475.3 1,426 183 64 8.2
Ohio 54,459 463.2 22,969 195.4 2,402 20.4
Oklahoma 20,190 502.3 8,974 223.2 1,278 31.8
Oregon 15,504 365.6 5,494 129.6 1,117 26.3
Pennsylvania 54,645 421.3 18,851 145.3 1,397 10.8
Rhode Island 5,199 475.3 1,444 132 133 12.2
South Carolina 35,525 672.5 14,352 271.7 1,033 19.6
South Dakota 5,160 567.1 3,067 337.1 767 84.3
Tennessee 37,942 538.1 16,069 227.9 1,126 16
Texas 155,483 517.8 61,999 206.5 4,655 15.5
Utah 11,108 328.6 3,171 93.8 238 7
Vermont 1,281 198 174 26.9 3 0.5
Virginia 40,789 469.7 13,437 154.7 936 10.8
Washington 28,431 365.2 11,400 146.4 1,920 24.7
West Virginia 4,450 250.7 1,258 70.9 218 12.3
Wisconsin 25,676 435.7 8,740 148.3 742 12.6
Wyoming 1,793 308.4 310 53.3 21 3.6

Who's Most Susceptible?

How common are STDs for different groups of people? Not everyone is at an equal risk. Certain groups of people are more likely to become infected with an STD. Newborns, women, and gay/bisexual men are more likely to suffer from syphilis. Women and gay/bisexual men are more likely to contract gonorrhea. And women are more likely to become infected with chlamydia. Based on self-reporting, women are more likely to acquire chlamydia, while men are more likely to acquire gonorrhea and syphilis.

What Age Ranges Are Likely to Acquire an STD?

For what ages are STDs most common? While an individual of any age can become infected with a sexually transmitted disease, there are indeed some patterns. For instance, in 2018, there were 26 million new cases of infections, and about half of them occurred in individuals between the ages of 15 and 24. This is likely due to two reasons: Biologically, young women are more prone to STDs, and many young people don't undergo the recommended testing. Infection rates peak between the ages of 20 and 34.

Do STDs Last Forever?

There are eight pathogens that are linked to the highest incidence of STDs. Half are curable, and the other half are not.

The curable STDs are syphilis, gonorrhea, chlamydia, and trichomoniasis. The four incurable infections are hepatitis B, herpes simplex virus (HSV), HIV, and human papillomavirus (HPV).

While “incurable” means that the individual will have the STD for life, modern medicine has found ways to manage acute symptoms, and long-term management can help prevent disease progression. If left untreated, some STDs can have more serious long-term consequences or even be fatal. This is why regular testing and, if needed, treatment are so important to stay healthy.

How Do STD Rates Differ From State to State?

Where in the country are STDs most common? The number of infections varies widely depending on where you are in the United States. 2024 data from U.S. News & World Report lists the top 10 states with the most STDs:

  1. Mississippi
  2. Louisiana
  3. South Dakota
  4. Alaska
  5. Georgia
  6. South Carolina
  7. Alabama
  8. North Carolina
  9. Arkansas
  10. Arizona

Some states (and countries) might see higher rates for a number of reasons. These can include a lack of education about preventative health and a lack of resources (or access to resources) to treat STDs.

For instance, the California Healthy Youth Act aims to provide young people with the skills they need to protect their sexual and reproductive health. They encourage an understanding of sexuality as part of human development. It holds educators to high standards to provide pupils with accurate, comprehensive, and unbiased information and instruction.

As another example of how these variables can fluctuate geographically, the WHO notes that diagnostic testing is widely used in high-income countries but is overwhelmingly unavailable in middle-income and low-income countries.

Educating individuals on sexual health, in addition to making healthcare affordable and accessible, is key to decreasing the prevalence of sexually transmitted diseases around the world.

Get Tested and Have Safe Sex

If you're sexually active — and especially if you have a new partner or multiple partners — then it's smart to get tested every three to six months. Always consult with a medical provider if a known exposure occurs or if there are any signs or symptoms. Encourage open communication with your partner(s) and encourage them to get tested as well. Additionally, use protection to help prevent the spread of dangerous sexually transmitted diseases. Together, we can make a difference!

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