Table 2.
NSCH-ACEs Item by Item Findings on Acceptability, Efficiency, Consistency, and “Single Score” Construct Validity
| Type of Adverse Childhood Experience | National Prevalence (US State) Range | Missing Values
|
Additional ACEs
|
Correlation With Other Items, Range | Item-Total Correlation | Unidimensional Confirmatory Factor Loading | |||
|---|---|---|---|---|---|---|---|---|---|
| Don’t Know | Refused | None | 1–2 Other | ≥3 Other | |||||
| Difficult to get by on current income | 25.7% 20.1% (Md)–34.3% (Ariz) |
0.2% | 0.5% | 48.5% | 34.5% | 17.0% | 0.054–0.152 | 0.232 | 0.39 |
| Divorce/parental separation | 20.1% 15.2% (DC)–29.5% (Okla) |
0.3% | 0.2% | 30.4% | 44.4% | 25.2% | 0.062–0.342 | 0.393 | 0.67 |
| Lived with someone with alcohol or drug problem | 10.7% 6.4% (NY)–18.5% (Mont) |
0.2% | 0.2% | 10.3% | 44.2% | 45.5% | 0.073–0.398 | 0.496 | 0.85 |
| Victim or witnessed neighborhood violence | 8.6% 5.2% (NJ)–16.6% (DC) |
0.5% | 0.1% | 15.1% | 41.5% | 43.4% | 0.079–0.360 | 0.380 | 0.70 |
| Lived with someone mentally ill or suicidal | 8.6% 5.4% (Calif)–14.1% (Mont) |
0.4% | 0.2% | 17.2% | 42.1% | 40.7% | 0.078–0.350 | 0.381 | 0.67 |
| Domestic violence witness | 7.3% 5.0% (NJ, Conn)–11.1% (Okla) |
0.6% | 0.3% | 6.4% | 36.4% | 57.2% | 0.085–0.398 | 0.482 | 0.84 |
| Parent served time in jail | 6.9% 3.2% (NJ)–13.2% (Ky) |
0.2% | 0.2% | 8.6% | 41.4% | 50.0% | 0.057–0.397 | 0.409 | 0.76 |
| Treated or judged unfairly due to race/ethnicity | 4.1% 1.8% (Vt)–6.5% (Ariz) |
0.5% | 0.1% | 29.7% | 44.2% | 26.1% | 0.032–0.144 | 0.131 | 0.33 |
| Death of parent | 3.1% 1.4% (Conn)–7.1% (DC) |
0.1% | 0.1% | 25.7% | 42.9% | 31.3% | 0.032–0.118 | 0.138 | 0.38 |
ACE indicates adverse childhood experience; NSCH, National Survey of Children’s Health.