STD Rates in Grayson County, Texas

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

Data Year: 2023 Source: CDC STI Surveillance Population: 146,919
Combined
377.7
per 100K
126th / 247
Chlamydia
295.4
per 100K • 434 cases
US rate: 490.7
129th of 247 in Texas
Higher than 52% of US counties
Gonorrhea
73.5
per 100K • 108 cases
US rate: 178.2
125th of 247 in Texas
Higher than 55% of US counties
Syphilis P&S
8.8
per 100K • 13 cases
Based on 13 cases — interpret with care
US rate: 15.8

Grayson County recorded a combined STD rate of 377.7 per 100,000 residents in 2023, ranking 126th of 247 counties in Texas. Reported infections included chlamydia at 295.4 per 100,000 (434 cases, 40% below the state rate), gonorrhea at 73.5 per 100,000 (108 cases, 58% below the state rate), syphilis at 8.8 per 100,000 (13 cases, too few for a reliable comparison). Confidential STD testing is available throughout Grayson County — knowing your status is the only way to catch infections that often show no symptoms.

STD Trends in Grayson County, 2000–2023

Reported cases per 100,000 residents each year, against the Texas 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
295.4
per 100K in 2023
276.6 in 2000
Peak 388.2 in 2016
Gonorrhea
73.5
per 100K in 2023
117.1 in 2000
Peak 169.0 in 2020
Syphilis (P&S)
8.8
per 100K in 2023
0.0 in 2000
Peak 16.8 in 2022

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

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Grayson County vs Texas and the US

Infection Grayson County Texas US vs Texas vs US Rank in Texas
Chlamydia 295.4434 cases 491.9 490.7 39.9% below 39.8% below 129th of 247
Gonorrhea 73.5108 cases 176.4 178.2 58.3% below 58.8% below 125th of 247
Syphilis (P&S) 8.813 cases 15 15.8 Too few cases Too few cases –

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Texas’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

Grayson County ranks 126th of 247 Texas counties for combined STD rate in 2023, at 377.7 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Grayson County, with 434 cases at a rate of 295.4 per 100,000 residents.
STDTest.com lists confidential testing locations across Grayson County and Texas. 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.