1. Selected Slides from Child Abuse Prevention Conference Presentations July 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

2. (2011/2012 National Survey Children’s Health)

3. 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%

4. ACE Estimates for Arizona Child Population 1 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

5. National Survey of Children’s Health Source: Data Resource Center for Child and Adolescent Health; http://www.childhealthdata.org * * Small sample

6. National Survey of Children’s Health Source: Data Resource Center for Child and Adolescent Health; http://www.childhealthdata.org

7. 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 %)

8. 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%)

9. Arizona Children, 12 – 17 (2011/2012 National Survey of Children’s Health) 44.4% have experienced two or more ACEs (Natl. average 30.5%)

10. 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 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 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 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 33% Report No ACEs 51% Report 1-3 ACEs 51% Report 1-3 ACEs 16% Report 4-10 ACEs 16% Report 4-10 ACEs Out of 100 people…

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

13. 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?

14. 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.