aces:adverse childhood experiences - Thurston County

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THURSTON | Community Health Assessment Data Series 2012 ... In Washington State, adult data about adverse childhood expe
ACES: ADVERSE CHILDHOOD EXPERIENCES ISSUE Research has identified a set of experiences, called adverse childhood experiences, that are associated with increased risk for poor physical and mental health outcomes. Included in these adverse experiences are: 1) physical abuse, 2) sexual abuse, 3) verbal abuse, 4) witnessing domestic violence, 5) living with someone who is mentally ill, depressed or suicidal, 6) having a family member with a substance abuse problem, 7) parental discord such as divorce, separation or abandonment and 8) having a family member incarcerated (jail, prison). (1) Adverse childhood experiences, or ACEs, can be stressful and traumatic to children. The more ACEs experienced as a child, the higher the risk for a range of health issues including: (2)  Heart disease  Alcohol and drug abuse  Interpersonal violence  Chronic obstructive pulmonary disease  Liver disease (COPD)  Sexually transmitted diseases  Cigarette smoking  Suicide  Depression

FINDINGS 

In 2010, about 1 in 3 (33%) of Thurston County adults had experienced 3 or more ACEs during childhood (high ACEs score). This equates to about 64,149 county adults with a high ACEs score. (3)

Percent of Adults by Level of Adverse Childhood Experiences (ACEs) Score, Thurston County and Washington State 2010 (3) 100% 80%

73% 67%

60% 40%

33% 27%

20% 0%

Thurston

WA State

Low Score (0 to 2 experiences)

High Score (3 or more experiences)

THURSTON | Community Health Assessment Data Series 2012 Thurston County Public Health & Social Services Department

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DETAILED DATA 

In Washington State, adult data about adverse childhood experiences began to be collected in 2009.

Percent of Adults with a High ACEs Score (3 or more experiences), Thurston County and Washington State 2009-2010 (3) 40%

30%

20%

10%

0%



2009

2010

Thurston

35%

33%

WA State

28%

27%

Having a high ACEs score varies by gender.

Percent of Adults with a High ACEs Score (3 or more experiences) by Gender, Thurston County and Washington State 2010 (3) 50% 37%

40% 30%

29%

29% 24%

20% 10% 0%

Thurston

WA State Male

Female

THURSTON | Community Health Assessment Data Series 2012 Thurston County Public Health & Social Services Department

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Having a high ACEs scores varies by annual household income.

Percent of Adults by Level of Adverse Childhood Experiences (ACEs) Score and Annual Household Income, Thurston County 2009-2010 Combined (3) 100%

80%

33%

30%

67%

70%

$35,000 to $49,999

$50,000 and up

53% 60%

40% 47%

20%

0% Under $35,000 Low Score (0 to 2 experiences)



High Score (3 or more experiences)

ACEs scores are calculated by determining how many of the following experiences adults had as a child (before age 18).

Percent of Adults by Individual Adverse Childhood Experience, Thurston County 2009-2010 Combined (3) During childhood lived with: Substance abuser Parental discord (divorce, separation) Someone who was mentally ill Someone who was incarcerated

Percent 40% 34% 27% 10%

During childhood was: Verbally abused Physically abused Witness to domestic violence Sexually abused

Percent 42% 21% 19% 15%

THURSTON | Community Health Assessment Data Series 2012 Thurston County Public Health & Social Services Department

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CITATIONS (1) The Health and Social Impact of Growing Up with Adverse Childhood Experiences: The Human and Economic Costs of the Status Quo. 2007. U.S. Department of Health & Human Services, Centers for Disease Control & Prevention and Kaiser Permanente. http://acestudy.org/ (2) Adverse Childhood Experiences (ACE) Study: Major Findings. 2012. U.S. Department of Health & Human Services, Centers for Disease Control & Prevention. www.cdc.gov/ace/findings.htm (3) Behavioral Risk Factor Surveillance Survey (BRFSS) Data. 2009-2010. Washington State Department of Health. Prepared by Thurston County Public Health & Social Services Department.

NOTES − −

High ACEs Score = having experienced 3 or more adverse childhood experiences before age 18. The following survey questions are used to calculate ACEs scores. “All questions refer to the time period before you were 18 years of age. Now, looking back before you were 18 years of age:”  Did you live with anyone who was depressed, mentally ill, or suicidal?  Did you live with anyone who was a problem drinker or alcoholic? Did you live with anyone who used illegal street drugs or who abused prescription medications?  Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility?  Were your parents separated or divorced?  How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up?  Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way?  How often did a parent or adult in your home ever swear at you, insult you, or put you down?  How often did anyone at least 5 years older than you or an adult, ever touch you sexually? How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? How often did anyone at least 5 years older than you or an adult, force you to have sex?

MORE INFORMATION 

Mary Ann O’Garro, Epidemiologist, 360-867-2525, [email protected], www.co.thurston.wa.us/health

THURSTON | Community Health Assessment Data Series 2012 Thurston County Public Health & Social Services Department

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