Table 1.
Prevalence of ACEs among adults in North Carolina overall, by presence of children in the household, and by region, 2012 & 2014.
| ACE Category | All Adults | Adults in Appalachia | Adults Outside Appalachia | ||||
|---|---|---|---|---|---|---|---|
| (N = 13,050) | Households with Children (N = 554) |
Households without Children (N = 1950) |
p-Value 1 | Households with Children (N = 2798) |
Households without Children (N = 7722) |
p-Value 1 | |
| Weighted % (95%CI) |
Weighted % (95%CI) |
Weighted % (95%CI) |
Weighted % (95%CI) |
Weighted % (95%CI) |
|||
| Household Dysfunction | |||||||
| Household mental illness | 15.2 (14.1–16.4) |
17.7 (13.0–23.7) |
14.9 (11.8–18.7) |
0.38 | 16.8 (14.8–19.0) |
14.1 (12.6–15.7) |
0.04 |
| Household alcohol abuse | 22.7 (21.5–24.0) |
25.1 (19.0–32.3) |
20.1 (17.1–23.4) |
0.16 | 25.5 (22.9–28.2) |
21.6 (20.1–23.2) |
0.01 |
| Household substance use | 10.7 (9.7–11.7) |
10.6 (7.4–15.1) |
9.5 (7.1–12.5) |
0.62 | 14.3 (12.1–16.8) |
9.0 (7.8–10.4) |
<0.001 |
| Incarcerated family member | 7.3 (6.5–8.1) |
9.9 (6.8–14.2) |
5.0 (3.7–6.7) |
0.004 | 9.2 (7.6–11.3) |
6.6 (5.6–7.7) |
0.008 |
| Parental separation or divorce | 28.2 (26.8–29.6) |
36.5 (30.1–43.5) |
23.0 (19.5–27.0) |
<0.001 | 36.3 (33.3–39.4) |
24.4 (22.6–26.2) |
<0.001 |
| Any household dysfunction | 48.1 (46.6–49.6) |
56.8 (50.1–63.) |
41.1 (37.4–45.0) |
<0.001 | 56.0 (53.0–58.9) |
44.7 (42.8–46.7) |
<0.001 |
| Emotional/Physical Abuse | |||||||
| Household physical violence | 16.3 (15.3–17.4) |
15.8 (11.9–20.6) |
15.6 (12.6–19.2) |
0.96 | 18.9 (16.7–21.2) |
15.2 (13.9–16.6) |
0.005 |
| Physical abuse | 13.9 (12.9–15.0) |
14.7 (10.8–19.8) |
15.0 (12.0–18.6) |
0.93 | 15.2 (13.3–17.4) |
12.8 (11.6–14.1) |
0.04 |
| Emotional abuse | 28.1 (26.8–29.5) |
30.8 (25.0–37.2) |
27.2 (23.7–30.9) |
0.31 | 31.5 (28.7–34.5) |
26.1 (24.4–27.9) |
0.001 |
| Any emotional/physical abuse | 35.8 (24.4–37.2) |
35.6 (29.5–42.2) |
33.9 (30.3–37.7) |
0.65 | 39.3 (36.4–42.3) |
34.3 (32.5–36.2) |
0.005 |
| Sexual Abuse | |||||||
| Touched | 9.4 (8.5–10.3) |
9.4 (6.5–13.4) |
9.0 (6.4–12.5) |
0.87 | 11.2 (9.3–13.3) |
8.5 (7.4–9.7) |
0.02 |
| Touched adult | 7.0 (6.3–7.9) |
8.3 (5.4–12.5) |
6.4 (4.4–9.1) |
0.36 | 8.9 (7.3–10.8) |
6.1 (5.3–7.1) |
0.003 |
| Forced sex | 4.3 (3.7–5.0) |
5.2 (3.1–8.6) |
4.7 (2.6–8.2) |
0.79 | 5.0 (3.9–6.3) |
3.8 (3.0–4.7) |
0.08 |
| Any sexual abuse | 11.1 (10.2–12.2) |
11.3 (8.0–15.8) |
10.3 (7.6–13.8) |
0.69 | 13.1 (11.1–15.3) |
10.3 (9.1–11.6) |
0.02 |
| Number of Adverse Childhood Experiences (ACEs) | |||||||
| 0 | 40.4 (39.0–41.8) |
31.4 (25.9–37.6) |
47.4 (43.7–51.2) |
0.001 | 34.4 (31.7–37.2) |
42.8 (41.0–44.8) |
<0.001 |
| 1 | 23.5 (22.3–24.8) |
30.2 (23.5–37.8) |
21.0 (18.4–23.8) |
22.9 (20.4–25.6) |
23.8 (22.2–25.5) |
||
| 2 | 11.2 (10.3–12.2) |
12.8 (8.9–17.9) |
8.6 (7.0–10.5) |
12.9 (10.9–15.2) |
10.8 (9.6–12.1) |
||
| 3 | 8.3 (7.5–9.2) |
8.5 (5.5–13.0) |
7.6 (12.1–19.4) |
8.7 (7.1–10.7) |
8.2 (7.1–9.4) |
||
| 4 or more | 16.6 (15.4–17.8) |
17.2 (12.9–22.4) |
15.4 (12.1–19.4) |
21.1 (18.7–23.7) |
14.4 (13.0–15.9) |
||
1p-value compares households with children and households without children in a given region (i.e., within Appalachian or outside Appalachian) based on chi-square test of weighted data. For the number of ACEs, the p-value indicates a trend across all categories (i.e., people with children in the household tended to have more ACEs than people without children in the household). ACE: Adverse childhood experience.