The state of Idaho has some of the lowest prevalence of sexually transmitted diseases and infections among all the states, ranking relatively low nationally for chlamydia, gonorrhea, and primary and secondary syphilis. But before everyone in Idaho begins celebrating, examining the national picture of STDs isn’t all good news for our state. While Idaho does currently have some of the lowest rates in the country, STDs are becoming more common in Idaho, with some rates climbing dramatically in recent years.
Idaho isn’t alone, though, as the entire U.S. has seen STD rates rise for the past few years, according to the federal Centers for Disease Control and Prevention.
What sexually transmitted diseases are the most common here in Idaho, where in the state are they most prevalent, and how have rates gone up (or down) over the past few years? To get a better picture of how common these infections are here in Idaho, we’ll examine data from the CDC.
Chlamydia Rates in Idaho
About 6,200 people in Idaho were diagnosed with chlamydia in 2017, which gives the state a population-adjusted rate of 368.4 per 100,000, which is the seventh-lowest rate among the 50 states. Not only is Idaho’s rate about half that of nation-leading Alaska, it’s also significantly lower than the overall U.S. rate.
Chlamydia infections per 100,000 people
Highest | |
Alaska | 799.8 |
Louisiana | 742.4 |
Mississippi | 708.7 |
South Carolina | 649.8 |
New Mexico | 645 |
Georgia | 623.7 |
Alabama | 615.5 |
North Carolina | 612.2 |
New York | 591.6 |
Illinois | 589.9 |
Total | 528.8 |
Lowest | |
North Dakota | 432.5 |
Massachusetts | 425.7 |
New Jersey | 392 |
Idaho | 368.4 |
Wyoming | 365.8 |
Maine | 342.1 |
New Hampshire | 330.5 |
Utah | 323.7 |
Vermont | 297.5 |
West Virginia | 226.1 |
Idaho may have a low chlamydia rate today, but if conditions continue as they are, that position may not last long. The chlamydia rate in Idaho has climbed by nearly 30% since 2012.
Idaho chlamydia rate by year (cases per 100,000 people)
2012 | 285.1 |
2013 | 336.7 |
2014 | 333 |
2015 | 340.3 |
2016 | 356.3 |
2017 | 368.4 |
Only two Western states appear in the top 10 for chlamydia rates, and Idaho ranks as the state with the third-lowest rate in the region. Idaho’s rate is about 14% higher than the Western state with the lowest rate, Utah.
Chlamydia infection rate, Western states (cases per 100,000 people)
Alaska | 799.8 |
New Mexico | 645 |
Arizona | 571.8 |
California | 557.4 |
Nevada | 544.7 |
Colorado | 481.3 |
Hawaii | 479.5 |
Oregon | 450 |
Washington | 444 |
Montana | 437.4 |
Idaho | 368.4 |
Wyoming | 365.8 |
Utah | 323.7 |
Gonorrhea Rates in Idaho
Idaho has the fourth-lowest prevalence of gonorrhea among the states, and the rate is only about a third what the overall U.S. rate is. Additionally, Idaho’s gonorrhea rate is more than 80% lower than that of Mississippi, the state with the highest gonorrhea rate.
Gonorrhea infections per 100,000 people
Highest | |
Mississippi | 310 |
Alaska | 295.1 |
Louisiana | 256.7 |
South Carolina | 254.4 |
Alabama | 245.7 |
Oklahoma | 231.4 |
Arkansas | 223.5 |
North Carolina | 220.9 |
Georgia | 217.5 |
Ohio | 216.3 |
Total | 171.9 |
Lowest | |
Rhode Island | 102.9 |
Hawaii | 95.1 |
Utah | 81.2 |
Montana | 75 |
West Virginia | 70.8 |
Wyoming | 70.4 |
Idaho | 58.6 |
Maine | 46.6 |
New Hampshire | 38.4 |
Vermont | 32.5 |
Gonorrhea has exploded over the past several years in Idaho. It’s gone up every year since at least 2013, and between 2012 and 2017, the rate surged by more than 450%.
Idaho gonorrhea rate by year (cases per 100,000 people)
2012 | 10.5 |
2013 | 13.1 |
2014 | 27.1 |
2015 | 28.5 |
2016 | 38.4 |
2017 | 58.6 |
Idaho is at the bottom of the Weste, a region that counts just one state among the 10 highest nationally.
Gonorrhea infection rate, Western states (cases per 100,000 people)
Alaska | 295.1 |
New Mexico | 214 |
California | 192 |
Nevada | 184.9 |
Arizona | 180.5 |
Colorado | 151.1 |
Washington | 137.1 |
Oregon | 121.3 |
Hawaii | 95.1 |
Utah | 81.2 |
Montana | 75 |
Wyoming | 70.4 |
Idaho | 58.6 |
Syphilis Rates in Idaho
Idaho’s population-adjusted rate of primary and secondary syphilis is the 11th-lowest in the country, about 60% lower than the overall rate for the United States. In addition to falling far below the national rate, Idaho’s syphilis prevalence is over 80% lower than the level recorded in Nevada, the state with the highest syphilis rate.
Primary and secondary syphilis infections per 100,000 people
Highest | |
Nevada | 19.7 |
California | 17.1 |
Georgia | 14.5 |
Louisiana | 14.5 |
Arizona | 13.1 |
Maryland | 12.2 |
New York | 11.9 |
Florida | 11.6 |
North Carolina | 10.6 |
Mississippi | 10 |
Total | 9.5 |
Lowest | |
Idaho | 3.8 |
Utah | 3.7 |
West Virginia | 3.4 |
New Hampshire | 3.2 |
Connecticut | 3.1 |
Wisconsin | 3 |
Iowa | 2.7 |
Nebraska | 2.3 |
Vermont | 2.1 |
Wyoming | 0.7 |
Idaho’s syphilis rate has varied widely over the past few years, but it’s risen more than 440% since 2014.
Idaho primary and secondary syphilis rate by year (cases per 100,000 people)
2012 | 1.6 |
2013 | 0.9 |
2014 | 0.7 |
2015 | 3.4 |
2016 | 3 |
2017 | 3.8 |
Three Western states are among the 10 states with the highest syphilis rates, and Idaho has the third-lowest rate in the region.
Primary and secondary syphilis infection rates, Western states (cases per 100,000 people)
Nevada | 19.7 |
California | 17.1 |
Arizona | 13.1 |
New Mexico | 9.2 |
Washington | 9.2 |
Oregon | 8.6 |
Alaska | 7.6 |
Hawaii | 6.6 |
Colorado | 5.2 |
Montana | 4.6 |
Idaho | 3.8 |
Utah | 3.7 |
Wyoming | 0.7 |
HIV & Other STD Rates in Idaho
HIV
Just under 50 people were newly diagnosed with HIV in Idaho in 2017, putting the state’s population-adjusted rate at just 2.7 per 100,000 people, the fourth-lowest rate in the nation. In addition to having a relatively low rate of HIV, the state recorded a modest 4% decline in the rate between 2016 and 2017. See best HIV test options.
Hepatitis B & C
In Idaho, acute infections of both hepatitis B and hepatitis C are less common than in the U.S. overall — and mostly falling. Hep B cases occur in Idaho at a rate that’s about 60% lower than the U.S. rate and reflects a 20% decline since 2015. Hep C cases occur at a similar rate to hep B cases, with Idaho’s rate being about 60% lower than the U.S. rate, though the hep C rate has varied widely in recent years. See best hepatitis test options.
HPV
Cases of cancers caused by human papillomavirus, or HPV, are slightly less common in Idaho than in the nation as a whole. Idaho’s population-adjusted HPV cancer rate is 11.3 per 100,000, lower than the national median of 11.7 per 100,000. HPV-linked cancers are considered a primary indicator of untreated HPV, since the virus causes a majority of several types of cancers, including cervical, anal and penile cancers. See best HPV test options.
STDs in Idaho Cities & Counties
Idaho boasts some of the lowest rates of sexually transmitted diseases in the U.S., but not every area of the state can say the same.
Chlamydia
The metro areas of Pocatello and Boise account for more than half of all chlamydia cases in Idaho.
Idaho counties by chlamydia infection rate (cases per 100,000 people), top 10
Elmore | 525.6 |
Twin Falls | 460.1 |
Nez Perce | 457 |
Lewis | 448.7 |
Canyon | 447.3 |
Power | 431.5 |
Jerome | 425.2 |
Bannock | 425.1 |
Ada | 420.1 |
Shoshone | 370 |
Gonorrhea
Nearly 60% of gonorrhea infections occur in Boise.
Idaho counties by gonorrhea infection rate (cases per 100,000 people), top 10
Lewis | 132 |
Nez Perce | 94.9 |
Camas | 93.8 |
Ada | 75.1 |
Lincoln | 56.6 |
Twin Falls | 54.6 |
Clearwater | 47.1 |
Oneida | 46.7 |
Butte | 40 |
Jerome | 35.1 |
Primary and secondary syphilis
Boise accounts for almost 2 in 3 syphilis cases that occur in Idaho.
Idaho counties by primary and secondary syphilis infection rate (cases per 100,000 people)
Gooding | 6.5 |
Kootenai | 5.3 |
Canyon | 4.8 |
Ada | 4.6 |
Blaine | 4.6 |
Jerome | 4.4 |
Payette | 4.4 |
Elmore | 3.9 |
Bonneville | 3.6 |
Latah | 2.6 |
Conclusion
Sexually transmitted diseases are currently less common in Idaho than in many other states and in the nation as a whole. But if trends continue in the direction they’re going now, that could all change. Most STDs are becoming more common in Idaho, and this trend is reflected across the nation. But did you know that almost all sexually active people will contract at least one STD in their lifetime? STDs are very common, but they’re entirely avoidable through testing, treatment and prevention.
Additional References
- Centers for Disease Control and Prevention, NCHHSTP AtlasPlus. (Undated). Retrieved from https://www.cdc.gov/nchhstp/atlas/index.htm
- Centers for Disease Control and Prevention, HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2017. (2018). Retrieved from https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2017-vol-29.pdf
- Centers for Disease Control and Prevention, Surveillance for Viral Hepatitis – United States, 2016. (2018). Retrieved from https://www.cdc.gov/hepatitis/statistics/2016surveillance/index.htm
- Centers for Disease Control and Prevention, Sexually Transmitted Disease Surveillance 2017. (2018). Retrieved from https://www.cdc.gov/std/stats17/SRtables.pdf
- Centers for Disease Control and Prevention, HPV-Associated Cancer Rates by State, 2011-2015. (2018). Retrieved from https://www.cdc.gov/cancer/hpv/statistics/state/index.htm
Note: Some states have published more recent data for chlamydia, gonorrhea, and primary and secondary syphilis. For states in which that’s the case, we have substituted the individual state data for 2018 and used that in our rankings, while other states’ rankings are based on 2017 numbers. In some cases, we assume that when the full national dataset is published by the CDC, states’ positions relative to other states will change some, though those changes are unlikely to be dramatic, since the CDC data comes from the states.