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. 2023 Sep 15;22(3):463–471. doi: 10.1002/wps.21122

Table 1.

Prevalence of the five levels of adverse childhood experiences (ACEs)

Prevalence, % (95% CI)
Moderators n 0 ACE 1 ACE 2 ACEs 3 ACEs 4+ ACEs
Overall mean 208 39.9 (29.8‐49.2) 22.4 (14.1‐30.6) 13.0 (6.5‐19.8) 8.7 (3.4‐14.5) 16.1 (8.9‐23.5)
Sex at birth
Female 190 34.6 (29.7‐39.8) 23.6 (21.5‐25.8) 14.1 (12.8‐15.5) 9.1 (8.1‐10.2) 17.5 (14.7‐20.6)
Male 163 45.1 (34.5‐56.6) 20.3 (16.0‐25.0) 11.2 (8.5‐14.3) 7.8 (6.0‐9.7) 14.3 (12.0‐16.6)
Age
Below average (mean: –1 SD) 170 33.4 (27.5‐39.6) 21.2 (19.6‐22.9) 14.1 (13.2‐15.1) 10.5 (8.6‐12.6) 18.1 (13.3‐23.5)
Above average (mean: +1 SD) 170 38.0 (35.1‐40.9) 23.1 (21.9‐24.3) 13.2 (12.3‐14.2) 9.5 (8.4‐10.6) 14.9 (12.3‐17.7)
Region
North America 173 38.7 (34.9‐42.6) 21.8 (19.6‐24.1) 12.8 (11.6‐14.1) 8.7 (8.0‐9.4) 16.9 (15.4‐18.6)
Europe 21 46.7 (39.9‐53.7) 25.4 (22.4‐28.5) 12.0 (10.3‐13.7) 7.2 (4.5‐10.6) 5.6 (2.9‐9.0)
Other 14 43.7 (23.2‐62.7) 23.2 (7.1‐40.5) 13.6 (1.5‐28.3) 8.2 (0.0‐20.6) 11.3 (0.5‐25.2)
Racial‐ethnic group
White 149 43.4 (38.7‐48.0) 23.7 (21.3‐26.1) 13.2 (11.9‐14.5) 8.1 (7.3‐9.1) 12.1 (10.2‐14.2)
Black 112 33.2 (25.7‐41.1) 20.3 (17.5‐23.3) 13.3 (11.2‐15.7) 9.3 (7.2‐11.6) 21.5 (16.2‐27.5)
Latinx 113 28.6 (21.6‐36.2) 20.3 (17.0‐23.8) 13.3 (11.5‐15.3) 10.7 (9.0‐12.6) 25.6 (20.7‐30.8)
Asian 73 51.3 (43.0‐59.6) 24.7 (22.3‐27.3) 11.1 (8.3‐14.2) 6.5 (4.7‐8.5) 5.6 (2.4‐10.2)
Indigenous/Native American 61 20.6 (10.7‐32.7) 11.3 (4.5‐20.8) 13.3 (9.6‐17.7) 12.9 (8.7‐17.9) 40.8 (23.1‐59.8)
Any minoritized group 148 31.2 (22.8‐40.3) 18.5 (15.4‐22.0) 12.2 (10.1‐14.5) 9.60 (7.7‐11.7) 26.6 (21.0‐32.6)
Household income
Low 32 17.4 (13.3‐21.9) 15.7 (12.6‐19.0) 13.3 (11.9‐14.7) 11.3 (9.9‐12.8) 40.5 (32.9‐48.4)
Mid‐to‐high 15 38.2 (37.6‐38.8) 23.4 (23.1‐23.7) 13.4 (13.4‐13.4) 8.9 (8.8‐9.0) 16.0 (15.4‐16.7)
Sociodemographic and health‐related variables
Unhoused 7 11.6 (10.2‐13.1) 9.1 (7.8‐10.5) 10.0 (9.3‐10.8) 9.6 (8.0‐11.2) 59.7 (56.8‐62.4)
Substance abuse/addiction 11 15.8 (13.5‐18.3) 13.0 (11.4‐14.8) 12.7 (1.6‐13.7) 11.1 (10.1‐12.1) 55.2 (45.5‐64.8)
History of offending/criminality 13 22.1 (12.5‐33.5) 19.7 (14.6‐25.4) 13.3 (11.9‐14.7) 10.2 (8.4‐12.1) 31.8 (17.0‐48.8)
History of a mental health condition 10 15.0 (11.0‐19.4) 12.6 (8.4‐17.5) 12.2 (9.4‐15.3) 11.0 (10.0‐12.0) 47.5 (34.4‐60.7)
Assessment method
Questionnaire 186 39.9 (35.8‐43.1) 22.1 (20.1‐24.1) 12.8 (11.7‐14.0) 8.6 (7.9‐9.2) 15.8 (14.5‐17.1)
Other methodologies 15 34.3 (21.2‐48.7) 20.5 (18.2‐23.0) 13.1 (11.0‐15.3) 9.5 (7.1‐12.2) 19.8 (11.1‐30.2)
Study quality
Below average (mean: –1 SD) 208 38.5 (37.1‐39.9) 22.9 (21.7‐24.1) 13.1 (12.4‐13.7) 8.6 (8.2‐9.1) 16.3 (15.1‐17.6)
Above average (mean: +1 SD) 208 40.5 (34.0‐47.2) 21.0 (18.2‐24.1) 12.4 (10.6‐14.4) 8.5 (7.2‐9.8) 15.3 (12.8‐17.9)