Table 4.

Association between ACEs and county- and individual-level factors, Odds Ratios (and 95% Confidence Intervals)

	Food Insecurity			Parental Substance Use/ Gambling			Parental Mental Illness			Family Member in Jail/Prison			Caregiver Verbal Abuse			Any ACES (1 + vs 0)
	OR	LL	UL	OR	LL	UL	OR	LL	UL	OR	LL	UL	OR	LL	UL	OR	LL	UL
LEVEL 2
Area-Deprivation Index (ADI) Score	1.10	1.07	1.13	1.05	1.02	1.07	1.02	1.00	1.04	1.14	1.09	1.19	1.03	1.00	1.05	1.08	1.05	1.10
Rural County
No (Ref.)
Yes	1.16	0.97	1.38	1.24	1.05	1.47	1.08	0.99	1.19	1.35	1.04	1.76	1.25	1.08	1.46	1.08	0.94	1.23
LEVEL 1
Race/Ethnicity
White (Ref)
Black	2.83	2.36	3.39	0.94	0.86	1.02	0.61	0.54	0.68	2.29	2.04	2.58	1.16	1.06	1.26	1.39	1.28	1.50
All Other	1.55	1.36	1.76	0.94	0.83	1.06	0.79	0.69	0.91	1.35	1.09	1.68	1.24	1.16	1.34	1.00	0.86	1.16
Latinx	2.75	2.21	3.42	1.40	1.25	1.58	1.01	0.87	1.17	2.03	1.80	2.29	1.43	1.33	1.55	1.57	1.44	1.70
Age
≤ 14 (Ref)
15	1.16	1.04	1.30	0.97	0.82	1.15	1.07	0.97	1.18	1.12	1.02	1.23	1.01	0.94	1.08	1.11	0.98	1.25
16	1.24	1.05	1.48	1.15	1.02	1.29	1.33	1.23	1.44	1.13	1.01	1.26	1.01	0.88	1.16	1.24	1.16	1.32
≥ 17	1.43	1.27	1.62	1.20	1.09	1.31	1.32	1.20	1.47	0.99	0.89	1.10	0.89	0.72	1.11	1.23	1.18	1.29
Sex
Boys (Ref.)
Girls	0.95	0.87	1.04	1.06	0.97	1.16	1.44	1.30	1.59	0.89	0.80	0.99	1.21	1.06	1.37	1.25	1.17	1.34
SGM
No (ref.)
Yes	1.76	1.59	1.95	1.65	1.44	1.90	2.20	1.93	2.51	1.50	1.29	1.74	2.09	1.81	2.41	2.31	2.16	2.47

ADI. OR Adjusted odds ratio, UL Upper limit, and LL Lower limit