Adverse Childhood Experiences in Michigan, 2011-2012

Adverse Childhood Experiences in Michigan, 2011-2012
1m +
What is an adverse childhood experience?
Figure 1:
Adverse childhood experiences
(ACEs) are childhood events
that negatively impact the
child’s future.
60
Living with household members who are substance
abusers, mentally ill, suicidal or ever incarcerated;

Living in a household with poor economic resources or
with parents who got divorced or separated after the
child was born; and

Adverse childhood experiences
Children age 0-17 years
Nationwide vs. Michigan
Percent
Verbal, psychological, physical, or sexual abuse (witness
or victim);

49.3
40
ACEs include:

52.1
25.3
28.5
22.6
22.2
20
0
No adverse
family
experiences
One adverse
family
experience
Nationwide
Two or more
adverse family
experiences
Michigan
Two or more adverse childhood experiences are
more common in children who are:

Male 31.2% {C.I: 26.6—35.8}
ACEs have been linked to a range of poor health outcomes in
adulthood, including substance abuse, depression,
cardiovascular disease, diabetes, cancer, and premature
mortality. ACEs reflect current childhood experiences that
impact health and have the potential to predict future
individual and intergenerational health and social outcomes.¹

Between the ages of 12-17 years - 38.9% {C.I: 33.4—
44.3}

Non-Hispanic (NH) Black - 40.3% {C.I: 30.5—50.2}

Living in a household whose income is 0-99% of the
Federal Poverty Level - 42.2% at {C.I: 34.3—48.8}
Adverse childhood experiences (ACEs) in Michigan

Children with special health care needs (CSHCN) - 48.7%
{C.I: 41.4—56.1}

Living with 2 parents, at least 1 step parent - 60.6% {C.I:
49.5—71.7}. Children living in a two parent (biologic or
adopted) household had a lower prevalence of adverse
childhood experiences.
Child exposed to racial or ethnic discrimination.
Note: Figure 2-7 ² on page 2 ——→
What can be done to prevent the high
prevalence of ACEs in Michigan?

Expanded efforts at the state and local level to reduce
and prevent child maltreatment and associated family
dysfunction through evidence - based programs such as
home visits to mothers at high risk and parenting
programs that teach new skills and behaviors to parents.

Further development and dissemination of traumafocused services to treat ACEs might improve health
outcome and upstream strategies.
The ACEs Pyramid Source: CDC
During 2011-2012, 47.9% or an estimated 1 million children
experienced one or more adverse family experiences in
Michigan. This rate was significantly higher than the National
rate (Figure 1). All data are from the National Survey for
Children’s Health, and based on telephone interview of parents.2
Figure 3:
Figure 2:
Adverse childhood experiences
Adverse childhood experiences
Children age 0-17 years
Children age 0-17 years
Two or more adverse family experiences by gender
40
60
31.2
22.7
22.5
25.6
Percent
Percent
30
Two or more adverse family experiences by age
20
40
26.7
24.4
18.3
38.9
30.5
12.5
20
10
0
0
Male
0-5 yrs old
Female
Nationwide
Michigan
Nationwide
Figure 4:
Michigan
Adverse childhood experiences
Children age 0-17 years
Children age 0-17 years
Two or more adverse family experiences by race
60
30.1
31.1
21.8
26.2 22.2
21
25.6
20
Percent
40.3
40
Percent
12-17 yrs old
Figure 5:
Adverse childhood experiences
60
6-11 yrs old
40
Two or more adverse family experiences by household
income
42.2
41.1
34.8
28.6
25.2
21.0
20
9.6
0
Hispanic
NH Black
Nationwide
NH White
0
NH Other
0-99% FPL 100-199% FPL 200-399% FPL 400% FPL +
Nationwide
Michigan
Figure 6:
Adverse childhood experiences
Percent
Two or more adverse family experiences by special
healthcare needs status
48.7
36.0
40
19.3
Children age 0-17 years
100
Percent
Children age 0-17 years
20
Michigan
Figure 7:
Adverse childhood experiences
60
8.3
Two or more adverse family experiences by family structure
52.4
60.6
50
8.4
23.1
46.7
52.4
54.4
62.6
9.9
0
Two-parent Two-parent
(biological or (at least one
adoptive)
step-parent)
0
Non-CSHCN
Nationwide
CSHCN
Nationwide
Michigan
References:
¹ Centers for Disease Control and Prevention (CDC) (2010). Adverse
childhood experiences reported by adults---five states, 2009.
MMWR. Morbidity and mortality weekly report, 59(49), 1609.
² Child and Adolescent Health Measurement Initiative (2012). “Fast
Facts: 2011/12 National Survey of Children’s Health.” Data Resource
Center, supported by Cooperative Agreement 1-U59-MC06980-01
from the U.S. Department of Health and Human Services, Health
Resources and Services Administration (HRSA), Maternal and Child
Health Bureau (MCHB). Available at www.childhealthdata.org.
Retrieved on 7/14/14.
Suggested citation:
Oyewumi, F., McKane, P.,
Lyon-Callo S., Michigan
Department of Community
Health; “Adverse Childhood
Experiences, MI 2011-2012”
Mother only
(no father
present)
Michigan
All other
family
structure