Selected Slides from Child Abuse Prevention Conference Presentations

Selected Slides from Child Abuse Prevention Conference Presentations July 18, 2014 Marcia Stanton, MSW and Randy Ahn, Ph. D National Survey of Children’s Health • • Telephone survey Tracks parent report of their children’s ACEs 2011/12 data http: //www. childhealthdata. org

(2011/2012 National Survey Children’s Health)

Arizona Children • Estimated 69, 213 have 5+ ACEs • Ethnic minority children have disproportionately higher share of 6+ ACEs • As children age, the number of 2+ ACEs increases: 0 -5 = 16. 7% 6 -11 = 31. 1% 12 -17 = 44. 4%

750000 ACE Estimates for Arizona Child Population 1 694993 In 2011/12, an estimated 69, 212 children in Arizona had 5 or more ACEs 500000 431972 233963 250000 128543 70256 69212 4 5+ 0 0 1 2 ACEs 3 1. National Survey of Child Health, 2011/12 Data Resource Center for Child and Adolescent Health. http: //www. childhealthdata. org

National Survey of Children’s Health Prevalence of ACEs among Children 0 -17 in Arizona by Race/Ethnicity 100% 75% 0 ACEs 49% 50% 44% 38% 46% 1 ACE 38% 37% 2+ ACEs 33% 29% 25% 26% * Small sample * 19% 17% 0% Hispanic White Black Other Source: Data Resource Center for Child and Adolescent Health; http: //www. childhealthdata. org

National Survey of Children’s Health Prevalence of ACEs among Children 0 -17 in US by Race/Ethnicity 100% 75% 56% 50% 56% 0 ACEs 49% 1 ACE 40% 29% 22% 25% 2+ ACEs 23% 31% 22% 21% 22% 0% Hispanic White Black Other Source: Data Resource Center for Child and Adolescent Health; http: //www. childhealthdata. org

Arizona Children, 0 – 17 (2011/2012 National Survey of Children’s Health) • No ACEs - 42. 5 % • One ACE - 26. 4 % • Two + ACEs - 31. 1 % (Natl. average: 22. 6 %)

Arizona Children, 0 - 5 (2011/2012 National Survey of Children’s Health) • No ACEs – 54. 7% • One ACE – 28. 6% • Two or More ACEs – 16. 7% (National Average 12. 5%)

Arizona Children, 12 – 17 (2011/2012 National Survey of Children’s Health) • 44. 4% have experienced two or more ACEs (Natl. average 30. 5%)

Out of 100 people… 33% Report No ACEs 51% Report 1 -3 ACEs 16% Report 4 -10 ACEs With 3 ACEs With 7+ ACEs 1 in 16 smokes 1 in 9 smokes 1 in 69 are alcoholic 1 in 480 use IV drugs 1 in 43 use IV drugs 1 in 14 has heart disease 1 in 7 has heart disease 1 in 96 attempts suicide 1 in 10 attempts suicide 1 in 6 smokes 1 in 6 are alcoholic 1 in 30 use IV drugs 1 in 6 has heart disease 1 in 5 attempts suicide

Arizona ACE Data by County (2011/2012 National Survey of Children's Health) 40 36, 1 35 33, 2 31, 8 Arizona 30, 3 30, 5 30, 6 30, 7 30, 8 32, 2 32, 3 32, 4 30, 9 % of children with 2 or more ACEs Arizona Average 30 28, 3 28, 4 National Average 25 National 20 Yavapai Mohave Greenlee Cochise Pinal Graham Maricopa Gila County Pima Yuma La Paz Coconino Santa Cruz Navajo Apache

County-level Child ACE Estimates Synthetic estimates generated from 2011/12 NSCH data set and 2010 Kids Count population estimates 0 ACEs 1 ACEs 2 ACEs 3 ACEs 4 ACEs 5 ACEs 6 ACEs 7 ACEs 8 ACEs 9 ACEs Apache 10279 4211 3005 2450 1849 789 53 20 5 0 Cochise 12852 8171 4353 2306 1252 785 379 116 35 0 Coconino 14367 7156 4308 2918 1828 900 211 81 18 0 Gila 5172 2764 1564 968 558 302 98 37 9 0 Graham 4705 2637 1457 856 490 279 103 36 9 0 Greenlee 1042 675 352 176 104 68 33 10 3 0 La Paz 1570 924 517 297 201 113 40 12 4 0 427912 270574 145893 79424 41602 25417 12169 3736 1086 0 Maricopa Mojave 18893 10645 5639 3198 1399 879 409 167 33 0 Navajo 14567 6789 4287 3100 2039 949 163 66 13 0 Pima 94073 59651 31807 16688 9952 6191 2827 842 277 0 Pinal 42892 26433 14289 7910 4083 2470 1149 368 101 0 5616 4224 2163 926 769 518 255 60 29 0 Yavapai 18440 10434 5498 3087 1344 857 406 165 33 0 Yuma 22040 15574 8100 3765 2732 1793 868 219 94 0 Santa Cruz

Correlating ACEs with Home Environment (AZ) • For all children, hours spent playing videogames and watching TV was significantly related to ACE scores. • For all children, BMI and ADHD medication were significantly related to ACE scores • For all children, having a physically ill parent was significantly related to ACE score • For 6 -17 year olds, school problems were significantly related to ACE scores. The higher a child’s ACE score, the more days of school were missed and the more disengaged children were with school. What home environment conditions would give rise to these connections?

Correlating ACEs with Social Environment (AZ) • For all children, poverty and living in an unsupportive neighborhood were significantly related to ACE scores. The higher a child’s ACE score, the more impoverished a family was and fewer social supports were available in their neighborhood. Neighborhood items: – People in my neighborhood help each other. – We watch out for each other’s children in my neighborhood. – There are people I can count on in my neighborhood. – If my children were playing outside and got hurt or scared, there adults nearby who I trust to help my child.