Columbus, Ohio places third thanks to its birth rates coming in 22nd, condom sales ranking 13th, and STD rates placing 15th.

ColumbusTour Operations Industry
Don Kay of Delaware, Ohio, left, and Brian Cobbs of Sparta, Ohio, admire the Santa Maria, a replica of the ship Christopher Columbus sailed to the new world 500 years ago on August 30, 1999 in Columbus, Ohio. The ship is one of several tourist attractions along the Scioto River in Columbus. AP Photo/Jay Laprete
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