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. 2020 Jan 28;15(1):e0228019. doi: 10.1371/journal.pone.0228019

Table 2. Healthcare expenses and DALYs associated with ACEs exposure in California.

Condition # of ACEs ACES-Associated Fractiona (%) Healthcare Spending Associated with ACEs ($) Health Burden Associated with ACES (DALYs)
Health Risk Factors
Heavy Drinking
 1 3.86 41,605,749
 2–3 6.00 64,659,817
 4+ 5.80 62,504,490
 ACEs Exposure 15.66 168,770,056
Lifetime Smoking
 1 4.56 517,126
 2–3 7.14 809,624
 4+ 7.17 813,105
 ACEs Exposure 18.87 2,139,855
Obesity
 1 0.82 4,753,194
 2–3 2.42 13,980,454
 4+ 3.62 20,881,178
 ACEs Exposure 6.87 39,614,826
Health Conditions
Arthritis
 1 3.09 182,938,456 2,370
 2–3 4.34 256,702,397 3,325
 4+ 4.54 268,844,163 3,482
 Any ACEs 11.98 708,485,016 9,177
Asthma
 1 2.73 75,509,330 1,657
 2–3 5.42 149,855,089 3,289
 4+ 6.36 175,852,408 3,859
 Any ACEs 14.52 401,216,827 8,805
COPD
 1 9.56 584,562,925 34,028
 2–3 12.94 791,325,227 46,064
 4+ 8.91 545,006,035 31,725
 ACEs Exposure 31.42 1,920,894,187 111,817
CVD
 1 3.52 949,585,816 46,973
 2–3 6.36 1,712,887,016 84,731
 4+ 6.59 1,776,789,510 87,892
 ACEs Exposure 16.47 4,439,262,343 219,595
Depression
 1 9.37 728,850,087 22,214
 2–3 14.72 1,145,299,680 34,907
 4+ 11.73 912,039,220 27,798
 ACEs Exposure 35.82 2,786,188,987 84,919
All Outcomes 10,466,572,097 434,313

a ACES-Associated Fractions taken from last column of Table 1.