Selected Slides from Child Abuse Prevention Conference PresentationsJuly 18, 2014

Marcia Stanton, MSW and Randy Ahn, PhD

National Survey of Children’s Health • Telephone survey• Tracks parent report of their children’s ACEs• 2011/12 data• http://www.childhealthdata.org

(2011/2012 National Survey Children’s Health)

Arizona Children

• Estimated 69,213 have 5+ ACEs

• Ethnic minority children have disproportionately higher share of 6+ ACEs

• As children age, the number of 2+ ACEs increases: 0-5 = 16.7% 6-11 = 31.1% 12-17 = 44.4%

ACE Estimates for Arizona Child Population1

In 2011/12, an estimated 69,212 children in Arizona had 5 or more ACEs

1. National Survey of Child Health, 2011/12 Data. Data Resource Center for Child and Adolescent Health. http://www.childhealthdata.org

0 1 2 3 4 5+0

250000

500000

750000

694993

431972

233963

128543

70256 69212

ACEs

National Survey of Children’s Health

Source: Data Resource Center for Child and Adolescent Health; http://www.childhealthdata.org

Hispanic White Black Other0%

25%

50%

75%

100%

38%

49%

19%

46%

29%25%

37%

17%

33%

26%

44%

38%

Prevalence of ACEs among Children 0-17 in Arizona by Race/Ethnicity

0 ACEs1 ACE2+ ACEs

** Small sample

National Survey of Children’s Health

Source: Data Resource Center for Child and Adolescent Health; http://www.childhealthdata.org

Hispanic White Black Other0%

25%

50%

75%

100%

49%

56%

40%

56%

29%

23%

29%

22%22% 21%

31%

22%

Prevalence of ACEs among Children 0-17 in US by Race/Ethnicity

0 ACEs1 ACE2+ ACEs

Arizona Children, 0 – 17(2011/2012 National Survey of Children’s Health)

• No ACEs - 42.5 %

• One ACE - 26.4 %

• Two + ACEs - 31.1 % (Natl. average: 22.6 %)

Arizona Children, 0 - 5 (2011/2012 National Survey of Children’s Health)

• No ACEs – 54.7%

• One ACE – 28.6%

• Two or More ACEs – 16.7%

(National Average 12.5%)

Arizona Children, 12 – 17(2011/2012 National Survey of Children’s Health)

• 44.4% have experienced two or more ACEs (Natl. average 30.5%)

With 0 ACEs

1 in 16 smokes

1 in 69 are alcoholic

1 in 480 use IV drugs

1 in 14 has heart disease

1 in 96 attempts suicide

With 3 ACEs

1 in 9 smokes

1 in 9 are alcoholic

1 in 43 use IV drugs

1 in 7 has heart disease

1 in 10 attempts suicide

With 7+ ACEs

1 in 6 smokes

1 in 6 are alcoholic

1 in 30 use IV drugs

1 in 6 has heart disease

1 in 5 attempts suicide

33%Report No ACEs

51%Report 1-3 ACEs

16%Report 4-10 ACEs

Out of 100 people…

Yava

pai

Mohave

Greenlee

Cochise

Pinal

Graham

Marico

paGila

Pima

Yuma

La Paz

Coconino

Santa

Cruz

Navajo

Apache

20

25

30

35

40

28.3 28.4

30.3 30.5 30.5 30.6 30.7 30.8 30.931.8

32.2 32.3 32.433.2

36.1

Arizona ACE Data by County(2011/2012 National Survey of Children's Health)

% of chil-dren with 2 or more ACEs

Arizona Average

National Average

County

National Av-erage 22.6

Arizona Aver-age 31.10

County-level Child ACE EstimatesSynthetic estimates generated from 2011/12 NSCH data set and 2010 Kids Count population estimates

0 ACEs 1 ACEs 2 ACEs 3 ACEs 4 ACEs 5 ACEs 6 ACEs 7 ACEs 8 ACEs 9 ACEs

Apache 10279 4211 3005 2450 1849 789 53 20 5 0

Cochise 12852 8171 4353 2306 1252 785 379 116 35 0

Coconino 14367 7156 4308 2918 1828 900 211 81 18 0

Gila 5172 2764 1564 968 558 302 98 37 9 0

Graham 4705 2637 1457 856 490 279 103 36 9 0

Greenlee 1042 675 352 176 104 68 33 10 3 0

La Paz 1570 924 517 297 201 113 40 12 4 0

Maricopa 427912 270574 145893 79424 41602 25417 12169 3736 1086 0

Mojave 18893 10645 5639 3198 1399 879 409 167 33 0

Navajo 14567 6789 4287 3100 2039 949 163 66 13 0

Pima 94073 59651 31807 16688 9952 6191 2827 842 277 0

Pinal 42892 26433 14289 7910 4083 2470 1149 368 101 0

Santa Cruz 5616 4224 2163 926 769 518 255 60 29 0

Yavapai 18440 10434 5498 3087 1344 857 406 165 33 0

Yuma 22040 15574 8100 3765 2732 1793 868 219 94 0

Correlating ACEs with Home Environment (AZ)

• For all children, hours spent playing videogames and watching TV was significantly related to ACE scores.

• For all children, BMI and ADHD medication were significantly related to ACE scores

• For all children, having a physically ill parent was significantly related to ACE score

• For 6-17 year olds, school problems were significantly related to ACE scores. The higher a child’s ACE score, the more days of school were missed and the more disengaged children were with school.

What home environment conditions would give rise to these connections?

Correlating ACEs with Social Environment (AZ)

• For all children, poverty and living in an unsupportive neighborhood were significantly related to ACE scores. The higher a child’s ACE score, the more impoverished a family was and fewer social supports were available in their neighborhood.

Neighborhood items:– People in my neighborhood help each other.– We watch out for each other’s children in my neighborhood.– There are people I can count on in my neighborhood.– If my children were playing outside and got hurt or scared, there are

adults nearby who I trust to help my child.