Before and After the Flint Water Crisis: Changes in the Consumption of Sugary Beverages in Residents Affected by Lead Contamination.

The present study examines the changes in the type and frequency of beverage consumption of Genesee County, Michigan residents before and after the Flint water crisis (FWC). Employing Speak to Your Health! Community Survey data of adults (N=1,825) and random-effects longitudinal ordered logistic regression, we examined between the frequency of daily soda, juice, and other sweetened drinks (OSD) intake in two subpopulations: respondents residing in ZIP codes affected and not affected by lead contamination. After the FWC, African Americans were more likely to consume all three beverage types compared with Whites. It should be noted that the context of the FWC made this a time when mistrust in local government messaging might have been a factor. Within the affected area, African Americans' likelihood of soda, fruit juice, and OSD consumption increased significantly by 156%, 146%, and 924%, respectively.