Health Equity Report Card: St. Clair County

Substance Use

This section highlights disparities for SUD and related indicators within the community. By examining factors such as drug-related arrests and overdose deaths, we can better understand the current state of SUD and related disparities in this region.

A

B

C

D

F

No disparity

Disparity ratio: 1.0-1.4

Some 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 ratios measure the difference in outcomes between two groups. 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. An asterisk [*] indicates that St. Clair County [SCC] faces worse outcomes, rather than Michigan [MI] or Port Huron [PH].

Indicator Year(s) MI x SCC Grade MI x SCC Ratio SCC x PH Grade SCC x PH Ratio

Opioid prescription units

MI: 2021

SCC: 2020

PH: 2020

B*

1.6

A

1.2

Buprenorphine prescription units

MI: 2021

SCC: 2020

PH: 2020

A

1.4

A

1.4

Drug-involved traffic crashes

MI: 2021

SCC: 2021

PH: 2021

A

1.3

B

1.7

Drug-related arrests

MI: 2019

SCC: 2020

PH: 2020

A

1.0

A

1.3

Non-fatal overdose emergency department visits

MI: 2020

SCC: 2020

PH: 2021

A

1.2

B

1.8

Overdose deaths

MI: 2021

SCC: 2021

PH: 2020

A

1.2

F*

4.5

Individuals in Port Huron are 1.8 times more likely to have a non-fatal overdose emergency department visit compared to St. Clair County. This indicates a B grade disparity that should be monitored. Individuals in St. Clair County are 4.5 times more likely to have died from overdose compared to Port Huron. This indicates a F grade critical disparity that requires immediate intervention.

The substance use vulnerability index score (MI-SUVI) for Port Huron residents is 0.6 and -0.1 in St. Clair County. This means that Port Huron and St. Clair County residents have been similarly impacted by substance use disorder compared to other residents across the state.