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Child Mental Health Status in Flint, Michigan: A Worsening Health Inequity, 2018-2022

Jacqueline Dannis1, Sarah Jenuwine1, Nicole Jones1

  • 1The authors are with the Michigan State University-Hurley Children's Hospital Pediatric Public Health Initiative, Charles Stewart Mott Department of Public Health, Michigan State University College of Human Medicine, Flint.

American Journal of Public Health
|September 14, 2023
PubMed

Insights

Children in Flint, Michigan, experienced higher rates of anxiety and depression compared to national averages. Caregivers reported a decline in children's mental health wellness, highlighting health inequities in disadvantaged communities.

Area of Science:

  • Pediatric mental health
  • Public health crises
  • Health equity

Background:

  • A local public health crisis and a national pediatric mental health crisis created a challenging environment for children's well-being.
  • The Flint Registry provided a unique cohort for studying the mental health burden in a vulnerable population.

Purpose of the Study:

  • To assess the prevalence of mental health disorders, specifically anxiety and depression, among children in the Flint Registry.
  • To examine changes in overall mental health wellness over time in this pediatric population.

Main Methods:

  • A survey-based study involving 1203 children (aged 3-17) enrolled in the Flint Registry.
  • Caregiver-reported data on childhood anxiety, depression, and mental health wellness collected via baseline and follow-up surveys (Oct 2020 - Mar 2022).

Main Results:

  • Children in the Flint Registry showed significantly higher rates of anxiety (12.9%) and depression (8.2%) compared to national rates (9.4% and 4.4%, respectively).
  • Caregivers reported a significant decline in children's overall mental health wellness at follow-up.

Conclusions:

  • The study reveals a disproportionate burden of pediatric mental health disorders in the Flint Registry cohort.
  • Findings underscore health inequities faced by vulnerable populations during public health crises.
  • Proactive and preventive public health interventions are crucial, particularly in chronically disadvantaged communities.

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