STD Rates in Custer County, Montana

2023 CDC surveillance data for Custer County, Montana — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 11,986
Combined
417.1
per 100K
10th / 51
Chlamydia
408.8
per 100K • 49 cases
US rate: 490.7
7th of 51 in Montana
Higher than 70% of US counties
Gonorrhea
8.3
per 100K • 1 cases
Based on 1 case — interpret with care
US rate: 178.2
Syphilis P&S
0.0
No cases reported

Custer County has one of the higher STD burdens in Montana, with a combined rate of 417.1 per 100,000 residents in 2023 — ranking 10th of 51 counties. Reported infections included chlamydia at 408.8 per 100,000 (49 cases, 27% above the state rate), gonorrhea at 8.3 per 100,000 (1 case, too few for a reliable comparison). No syphilis cases were reported in Custer County in 2023. Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Custer County.

STD Trends in Custer County, 2000–2023

Reported cases per 100,000 residents each year, against the Montana rate (dashed). In a county this size a handful of cases moves the rate a long way, so read the shape rather than any single year.

Chlamydia
408.8
per 100K in 2023
0.0 in 2000
Peak 466.4 in 2014
Gonorrhea
8.3
per 100K in 2023
0.0 in 2000
Peak 67.1 in 2021
Syphilis (P&S)
0.0
per 100K in 2023
0.0 in 2000
Peak 8.3 in 2022

Source: CDC NCHHSTP AtlasPlus county surveillance, 2000–2023.

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Custer County vs Montana and the US

Infection Custer County Montana US vs Montana vs US Rank in Montana
Chlamydia 408.849 cases 322.6 490.7 26.7% above 16.7% below 7th of 51
Gonorrhea 8.31 case 67.7 178.2 Too few cases Too few cases –
Syphilis (P&S) 00 cases 27.5 15.8 Too few cases Too few cases –

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Montana’s counties. The US rate is all 50 states combined. Comparisons are left out where fewer than 20 cases were reported, because a rate built on so few cases can swing widely from one year to the next.

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FAQs

Custer County ranks 10th of 51 Montana counties for combined STD rate in 2023, at 417.1 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Custer County, with 49 cases at a rate of 408.8 per 100,000 residents.
STDTest.com lists confidential testing locations across Custer County and Montana. Many offer same-day appointments with results in 1–3 days.
Data sourced from the CDC's annual STI Surveillance Report. Rates are per 100,000 population and reflect reported cases only — actual prevalence is likely higher due to undiagnosed infections. While we strive for accuracy, STDTest.com makes no representations or warranties regarding the completeness or accuracy of this data and is not responsible for any errors or omissions. This page is for informational purposes only and does not constitute medical advice.