Health Equity Report Card: Genesee County

Physical Health

A

B

C

D

F

No disparity

Disparity ratio: 1.0-1.4

Little disparity

Disparity ratio: 1.5-1.9

Disparity may require intervention

Disparity ratio: 2.0-2.4

Disparity requires intervention

Disparity ratio: 2.5-2.9

Critical disparity, requires immediate intervention

Disparity ratio: ≥ 3.0

Disparity Ratio

Disparity can be defined as a significant, unfair difference. Disparity ratios are a measure of the difference in outcomes between two groups. They are calculated by dividing the outcome for one group by the same outcome for a second group. The disparity ratio will always be 1 or greater. The higher the number, the higher the disparity or difference. The resulting number then determines the letter grade for that given indicator. A lack of disparity or difference does not mean adequate health services, access, behaviors, or outcomes.

Report Card by Location

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

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

Indicator Year(s) GC x US GC x MI GC x Flint

Asthma

US: 2021
MI: 2021
GC: 2019-21

A

A

Binge drinking

US: 2021
MI: 2021
GC: 2019-21

A

A

Cigarette smoking

US: 2021
MI: 2021
GC: 2019-21

B* 

A

Diabetes

US: 2021
MI: 2021
GC: 2019-21

A

A

Disability

US: 2016-20
MI: 2016-20
GC: 2016-20
Flint: 2016-20

A

A

A

High blood pressure

US: 2021
MI: 2021
GC: 2017-19

A

A

High cholesterol

US: 2021
MI: 2021
GC: 2017-21

A

A

Obesity

US: 2021
MI: 2021
GC: 2019-21

A

A

Overweight

US: 2021
MI: 2021
GC: 2019-21

A

A

Physical activity

US: 2019
MI: 2019
GC: 2019-21

A

A

Overall, there is little or no disparity in Genesee County and Flint across all physical health indicators. Additional information related to physical health is needed for the city of Flint.

Report Card by Race

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

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

Indicator Year(s) US MI GC Flint

Asthma

US: 2021
MI: 2021
GC: 2019-21

A

A

A

Binge drinking

US: 2022
MI: 2022
GC: 2019-21

A

A

B*

Cigarette smoking

US: 2021
MI: 2021
GC: 2019-21

A

A

A

Diabetes

US: 2021
MI: 2021
GC: 2019-21

B

B

A

Disability

US: 2021
MI: 2021
GC: 2016-20
Flint: 2016-20

A

A

A

A

High blood pressure

US: 2021
MI: 2021
GC: 2017-19

A

A

A

High cholesterol

US: 2021
MI: 2021
GC: 2017-21

A

A

A

Obesity

US: 2021
MI: 2021
GC: 2019-21

A

A

A

Overweight

US: 2018
GC: 2019-21

A

A

Physical activity

US: 2021
MI: 2021
GC: 2019-21

A

A

A

Racial disparity is present in Genesee County for binge drinking, with the White population facing worse outcomes. This should be closely monitored and may require intervention. Additional information related to physical health is needed for the city of Flint.

The pink map illustrates poor physical health by census tract among adults in Genesee County. The city of Flint is outlined at the center of the map. The darker the pink color, the poorer the physical health in the population.

The gray-scale map illustrates the percentage of the population that identifies as Black by census tract in Genesee County. The city of Flint is outlined at the center of the map. The darker the gray color, the higher the percentage of Black individuals in the population.

It’s important to understand the reason for using census tracts as the unit of analysis rather than USPS-derived ZIP codes in the maps above. ZIP code boundaries were drawn to help deliver mail efficiently, not to understand neighborhood demographics. ZIP codes will often include areas within multiple municipalities with different levels of socio-economic distress, which can make it difficult to evaluate certain public health indicators. This is why ZIP codes are less than ideal for understanding neighborhood-level conditions. Census tracts do not cross municipal boundaries and offer a much better alternative to understanding public health metrics at the appropriate scale.

Definitions

Poor physical health: Physical health has not been good for greater than or equal to 14 days among adults aged 18 or older.