The Centers for Disease Control and Prevention recommends six strategies to reduce the spread of HIV and STD's. Only one of 32 rural states has all six policies in place and less than one-third have four or more of the six recommended policies in place. 

Rural households have worse health outcomes than urban households. Access to care is limited due to less insurance coverage, financial hardship and geographical access to care. Highlighted state policies address increasing the health care workforce in rural areas.

Expedited Partner Therapy (EPT), a cost-effective policy for treatment of curable sexually transmitted diseases, is legal in 23 states. EPT is one approach to treating sexual partners of patients diagnosed with chlamydia or gonorrhea infections, where patients provide treatment directly to their partners.

One-third of teens become pregnant before age 20. One-fourth of young women acquire a sexually transmitted infection by age 19, making them more susceptible to HIV infection.  This 4-page brief describes successful state health and education policies as well as successful targeted youth education activities that can prevent these conditions.

African-American women are hardest hit by HIV/AIDS and sexually transmitted infections, and many are unaware of their infections. The highest teen birth rates occur among Hispanics.  This 12-page brief examines the causes and impact of these disparities, and describes evidence-based policy solutions that states have implemented.