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A turn-of-the-century wedding
Here’s Why Some States Used To Require Blood Tests Before Getting Married
By ALICE BENNETT
History
A lab technician puts a vial of blood in a holder
Despite myths, premarital blood testing had nothing to do with the potential for incest. In reality, it was instituted in the 1930s due to concerns about disease and infection.
A couple about to kiss
These blood tests checked for diseases like gonorrhea, tuberculosis, and rubella. The biggest driving factor behind the legislation was syphilis, a debilitating disease.
An old fashioned poster warning of the spread of syphilis and gonorrhea
Because it was still pretty taboo to talk about sex back then, these mandatory blood tests were a way of forcing couples to confront the problem without having to talk about it.
A soldier and his bride after the wedding ceremony
Mandatory premarital blood tests were repealed throughout the 1980s and 1990s. The last state to get rid of them was Montana, which still had women tested for rubella until 2019.
A gavel with the scales of justice in the background
Outside the U.S., premarital blood testing is still mandatory in more than 25 countries, according to the Open Society Foundation, due to the serious risk of HIV.