A	B	C	D	F
No disparity Disparity ratio: 0.0-1.0	Little disparity Disparity ratio: 1.1-1.4	Disparity may require intervention Disparity ratio: 1.5-1.9	Disparity requires intervention Disparity ratio: 2.0-2.4	Critical disparity, requires immediate intervention Disparity ratio: ≥ 2.5

Report Card by Location

Letter grades indicate the amount of difference between Genesee County and other populations.

No asterisk (*) indicates other populations face worse outcomes, while those with an asterisk (*) indicate Genesee County faces worse outcomes.

	A	B	C	D	F
Health Services and Access	Genesee County x Michigan Flu vaccinations, health insurance coverage, HIV testing, mammography screening, preventable hospital stays Genesee County x Flint Health insurance coverage, uninsured	Genesee County x Michigan Cost-prevented care*, uninsured*
Socioeconomic Status	Genesee County x Michigan Bachelor’s degree or higher, median household income, no high school diploma or GED, poverty, employment rate Genesee County x Flint Employment rate	Genesee County x Flint Bachelor’s degree or higher, median household income, no high school diploma/GED	Genesee County x Flint Poverty
Physical Health	Genesee County x Michigan Asthma, binge drinking, cigarette smoking, diabetes, disability, high blood pressure, high cholesterol, obesity, overweight, physical activity Genesee County x Flint Disability
Mental Health	Genesee County x Michigan Depression, poor mental health, suicides Genesee County x Flint Suicides by firearm	Genesee County x Michigan Suicides by firearm*
Maternal and Child Health	Genesee County x Michigan Child abuse, children in poverty, child mortality, infant mortality, low birthweight babies, maternal vulnerability Genesee County x Flint Low birthweight babies	Genesee County x Michigan Teenage births* Genesee County x Flint Teenage births	Genesee County x Flint Children in poverty, infant mortality
Health Outcomes	Genesee County x Michigan Breast cancer mortality, cancer mortality, cardiovascular disease mortality, colorectal cancer mortality, high blood pressure mortality, HIV prevalence, injury deaths, lung cancer mortality, preventable heart disease and stroke deaths, prostate cancer mortality, stroke mortality, years of potential life lost Genesee County x Flint Breast cancer mortality, cancer mortality, cardiovascular disease mortality, colorectal cancer mortality, unintentional injury mortality	Genesee County x Michigan Heart disease mortality, unintentional injury mortality*, years of potential life lost* Genesee County x Flint Years of potential life lost	Genesee County x Michigan Homicides* Genesee County x Flint Diabetes mortality*		Genesee County x Michigan Diabetes mortality*, homicides by firearm Genesee County x Flint Homicides by firearm

Genesee County x Michigan

75% of indicators that show disparity by location have Michigan residents facing better outcomes than Genesee County residents.

 In terms of health services and access, 11.5% of Genesee County residents have experienced cost-prevented care, while the state average for Michigan is 7.9%. Notably, 10.9% of Genesee County residents are uninsured, compared to 7% statewide. These disparities in cost-prevented care and insurance indicate a disparity (B-level), with Genesee County facing worse outcomes that may require intervention.

The median household income in Genesee County is $48,700 and $32,358 in Flint. This B-level disparity highlights that Flint faces worse outcomes, which may require intervention.

Genesee County has a higher rate of teenage births (25 per 1,000 females aged 15-19) compared to the statewide rate of 17 (per 1,000). This B-level disparity may require intervention.

The rate of suicides by firearm in Genesee County (10.6 per 100,000) is higher than the statewide rate (7 per 100,000). This B-level disparity may require intervention. 

Genesee County experiences a significantly higher rate of diabetes-related mortality (105.4 per 100,000) compared to the state average (26.3 per 100,000). This critical disparity (F-level) requires immediate intervention.

 Homicides by firearm occur at a higher rate in Michigan, with 7.3 per 100,000, compared to the overall rate of 0.4 in Genesee County. This critical disparity (F-level) requires immediate intervention. Homicides occur at a higher rate in Genesee County, with 13 per 100,000, compared to the overall rate of 6 in Genesee County. This disparity (C-level) may require intervention.

Genesee County x Flint

91% of indicators that show disparity by location have Genesee County residents facing better outcomes than Flint residents.

37.3% of Flint residents are experiencing poverty, compared to 18% of Genesee County residents. This indicates a C-level disparity that may require intervention.

Flint has a higher rate of teenage births (42.9 per 1,000 females aged 15-19) compared to the rate of 25 in Genesee County. This B-level disparity may require intervention.

Flint has a higher rate of children in poverty (53.2%) compared to Genesee County (24%). Additionally, Flint has a higher rate of infant mortality per 1,000 live births (12.9) compared to Genesee County (6.5). These maternal and child health indicators show disparity at the C-level which may require intervention.

Flint has a higher rate of homicides by firearm (32.5 per 100,000) compared to the rate of 0.4 in Genesee County. This critical disparity (F-level) requires immediate intervention.

Report Card by Race

Letter grades indicate the amount of difference between Black and White populations.

No asterisk (*) indicates the Black population faces worse outcomes, while those with an asterisk (*) indicate the White population faces worse outcomes.

	A	B	C	D	F
Health Services and Access	Genesee County Flu vaccinations, health insurance coverage, mammography screening Flint Health insurance coverage, uninsured	Genesee County Cost-prevented care, HIV testing, preventable hospital stays
Socioeconomic Status	Flint Median household income, no high school diploma/GED, poverty	Genesee County Bachelor’s degree or higher, median household income, no high school diploma/GED Flint Bachelor’s degree or higher	Genesee County Poverty
Physical Health	Genesee County Asthma, cigarette smoking, diabetes, disability, high blood pressure, high cholesterol, obesity, overweight, physical activity Flint Disability	Genesee County Binge drinking*
Mental Health	Genesee County Depression, poor mental health		Genesee County Suicides* Flint Suicides by firearm*
Maternal and Child Health	Flint Children in poverty	Genesee County Child abuse Flint Infant mortality, low birthweight babies	Genesee County Low birthweight babies	Genesee County Children in poverty, teenage births Flint Teenage births	Genesee County Child mortality, infant mortality
Health Outcomes	Genesee County Breast cancer mortality, heart disease mortality, injury deaths, lung cancer mortality, prostate cancer mortality, stroke mortality Flint Breast cancer mortality, cancer mortality, cardiovascular disease mortality, colorectal cancer mortality, heart disease mortality, unintentional injury mortality	Genesee County High blood pressure mortality, preventable heart disease/stroke deaths, unintentional injury mortality, years of potential life lost* Flint Diabetes mortality, years of potential life lost			Genesee County HIV prevalence, homicides, homicides by firearm Flint Homicides by firearm

Genesee County (Black x White residents)

87% of indicators that show disparity by race have White residents facing better outcomes than Black residents in Genesee County.

Racial disparities in health services and access are present in Genesee County, with 10.1% of White residents facing cost-prevented care compared to 15.7% of Black residents. Additionally, Black residents experience a higher rate of preventable hospital stays (7,291 per 100,000) compared to White residents (4,365 per 100,000). These racial disparities are at the B-level and may require intervention.

12.1% of Black residents lack a high school diploma or GED compared to 8.3% of White residents in Genesee County. Also, 13.3% of Black residents have a Bachelor’s degree or higher, as compared to 23.1% of White residents in Genesee County. The median household income is $32,600 for Black residents and $55,600 for White residents in Genesee County. These socioeconomic status racial disparities, at the B-level, may require intervention.

32.6% of Black residents are experiencing poverty compared to 13.7% of White residents in Genesee County, indicating a C-level racial disparity that requires intervention.

White residents have a higher rate of binge-drinking (16.8%) compared to White residents (10.2%) in Genesee County, indicating a B-level physical health racial disparity that may require intervention.

Maternal and child health racial disparities are present in Genesee County, with Black residents experiencing higher rates of teenage births (46 per 1,000 females aged 15-19) compared to White residents (18 per 1,000). The percentage of Black children in poverty (46%) also is higher than that of White children (18%). These racial disparities (D-level) require intervention. Black residents also experience higher rates of child mortality (120 per 1,000) compared to White residents (40) and higher rates of infant mortality (13 per 1,000 live births) than White residents in Genesee County (3.1). These critical racial disparities in maternal and child health, at the F-level, require immediate intervention.

Black residents have a higher HIV prevalence (453.1 per 100,000), at the F-level, compared to White residents (87 per 100,000) in Genesee County. White residents face higher suicide rates (16 per 100,000), at the C-level, and lower homicide rates (4 per 100,000), at the F-level, compared to Black residents (7 per 100,000) and 46 per 100,000, respectively). These racial disparities require intervention.

Flint (Black x White residents)

89% of indicators that show disparity by race have White residents facing better outcomes than Black residents in Flint.

Socioeconomic racial disparities are present in Flint, with 9.9% of Black residents having a Bachelor’s degree or higher compared to 15% of White residents. This C-level socioeconomic racial disparity may require intervention.

Racial disparities in maternal and child health are present in Flint, as Black residents experience a higher rate of infant mortality (14.6 per 1,000 live births) compared to White residents (9.3 per 1,000). Also, Black residents have a higher percentage of low birthweight babies (15.7%) compared to White residents (8.4%). These racial disparities in maternal and child health, at the C-level, should be monitored and may require intervention. Black residents have higher rates of teenage births in Flint (42.9 per 1,000 females aged 15-19) compared to White residents (16.1 per 1,000). This critical racial disparity, at the F-level, requires immediate intervention.

White residents face higher rates of suicides by firearm (9.6 per 100,000) compared to Black residents (4 per 100,000) in Flint. This racial disparity, at the D-level, requires intervention.

Black residents face significantly higher rates of homicides by firearm (42.5 per 100,000) compared to White residents (2.3 per 100,000) in Flint. This critical racial disparity, at the F-level, requires immediate intervention.