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State of Alaska

Complete Health Indicator Report of Adverse Childhood Experiences: Total ACEs Count

Definition

Percentage of adults 18 years of age and older who were exposed to 0, 1, 2-3, or 4+ Adverse Childhood Experiences (ACEs) before age 18 based upon the ACEs domain questions on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)]. Responses are assigned a score of 1 for exposure and 0 for lack of exposure to each domain, which are summed as the total ACEs count. There are 10 domains of ACEs organized into abuse (i.e., verbal, physical, and sexual), dysfunctional households (i.e., substance abuse, mental illness, domestic violence, separation/divorce, and incarceration among household members), and neglect (i.e., physical and emotional). The total ACEs count is the sum of the ACEs domains respondents reported to have experienced.

Numerator

Weighted number of adults (18+) with scores of total ACEs exposures who responded to all ACEs questions on the BRFSS.

Denominator

Weighted number of adults (18+) who responded to all ACEs questions on the BRFSS, excluding those with missing or "Refused" responses. Those who responded "Don't know/Not sure" are defined as a negative response for that ACEs category.

Data Interpretation Issues

Eight domains of Adverse Childhood Experiences (ACEs) encompassing abuse and dysfunctional households were asked in 2013. Two questions on physical and emotional neglect were added in 2014. Refer to the individual ACEs domains in the Relative Indicators under Risk Factors for criteria for exposure. Scores are based upon respondents who answered all 11 questions in the 2013 ACEs module and the original 11 questions related to the 8 domains in the 2014 version. The preamble to each of the Adverse Childhood Experiences (ACEs) question was: "I'd like to ask you some questions about events that happened during your childhood. This information will allow us to better understand problems that may occur early in life, and may help others in the future. This is a sensitive topic and some people may feel uncomfortable with these questions. At the end of this section, I will give you a phone number for an organization that can provide information and referral for these issues. Please keep in mind that you can ask me to skip any question you do not want to answer. All questions refer to the time period before you were 18 years of age. Now, looking back before you were 18 years of age ---" While the individual adverse childhood experience (ACE) an Alaska adult may have experienced is important, the strength of the research lies in the often multiple ACEs an individual has during childhood: "The ACE score, a total sum of the different categories of ACEs reported by participants, is used to assess cumulative childhood stress. Study findings repeatedly reveal a graded dose-response relationship between ACEs and negative health and well-being outcomes across the life course...Dose response describes the changes in an outcome (e.g., alcoholism) associated with differing levels of exposure (or doses) to a stressor (e.g., ACEs). A graded dose-response means that as the dose of the stressor increases the intensity of the outcome also increases."^1^

Why Is This Important?

Childhood trauma is far more common than previously realized. The Adverse Childhood Experiences (ACE) Study, a collaborative between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego, assessed associations between childhood maltreatment and later-life health and well-being. The ACE Study findings suggest that certain experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States. The higher the total ACEs count, the more likely the respondent experienced poor health - both self-reported and clinically measured.^1^ A more representative study was conducted using the Behavioral Risk Factor Surveillance System (BRFSS) in 2010 from the District of Columbia (DC) and 10 states (Hawaii, Maine, Nebraska, Nevada, Ohio, Pennsylvania, Utah, Vermont, Washington, and Wisconsin).^2^ The study found a linear dose-response relationship between the number of ACEs experienced and 8 health conditions (fair or poor health, frequent mental distress, diabetes, myocardial infarction, coronary heart disease, stroke, asthma, and disability) consistent with a dose-response relationship, after controlling for demographic variables (all p lt 0.01). It is critical to understand how some of the worst health and social problems can arise as a consequence of adverse childhood experiences. Sixteen of the [http://hss.state.ak.us/ha2020/ Healthy Alaskans 2020] measures have been shown through peer-reviewed journal articles to be negatively impacted by Adverse Childhood Experiences.^3^ Alaska takes on the burden of approximately $82 million in costs (e.g., health care costs, welfare costs, special education costs) each year due to nonfatal child maltreatment.^3^ Realizing these connections is likely to improve efforts towards prevention and recovery.[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). Adverse Childhood Experiences (ACE) Study. [http://www.cdc.gov/violenceprevention/acestudy/index.html]. Updated April 1, 2016. Accessed April 26, 2016. 2. Gilbert LK, Breiding MJ, Merrick MT, Thompson WW, et al. Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia, 2010. Am J Prev Med 2015;48(3):345-9. 3. Sidmore P. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Economic costs of adverse childhood experiences in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsEconomicCosts-AK.pdf]. Accessed April 26, 2016. }}

How Are We Doing?

In 2013-2015 combined, no exposure to ACEs prior to age 18 was reported by 34.3% of Alaska adults. Only 26.0% of Alaska Native adults had not experienced any ACEs. Nearly one-fifth (19.5%) of Alaska adults reported experiencing 4 or more ACEs. In comparison, 28.4% of Alaska Native adults reported experiencing 4 or more ACEs during childhood. Those who were unemployed or unable to work reported more ACEs compared to employed Alaskans. Over one-quarter (26.1%) of unemployed Alaska adults and 33.2% of adults unable to work reported 4 or more ACEs compared to 19.5% of employed Alaska adults. The number of ACEs from the BRFSS are initially presented for all Alaskans and Alaska Native people for the combined 3-year period from 2013-2015. Subsequent analyses were conducted for demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and poverty status). Crosstabulations were also conducted for 3-year averages by body mass index, current smoking, sexual orientation, and disability. Significant differences were evident in all 4 contrasts. The number of ACEs by regions of Alaska are presented for all Alaskans and Alaska Native people for the 3-year average of surveys conducted between 2013-2015: 1) 7 Alaska Public Health Regions, 2) 5 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) 29 boroughs and census areas, and 5) 12 tribal health organization regions.

How Do We Compare With the U.S.?

There are no national statistics on ACE scores available; however, in 2009 the CDC released a study comparing ACE data from 5 states (i.e., Arkansas, Louisiana, Tennessee, New Mexico, Washington) that used the BRFSS ACE module. Generally, Alaska had higher ACE scores. The 5 states had an average of 40.6% of residents with an ACE score of 0, while Alaska reported a 35.6% mean. The rates reported by Alaska adults for every category of adverse experiences were higher than the 5-state study's average rates. In all but 2 of the categories, these higher rates were statistically significant.^4^ The 3 categories of adverse experiences with significantly higher rates among adults in Alaska --- incarcerated family member, household substance abuse, and separation and divorce --- were also found to be significantly higher in a sample of Alaska children when compared with the national rate.^5^ In the most comprehensive study to date encompassing 10 states and DC with a sample of 53,998, 40.6% of adults nationally had no exposure to ACEs compared to 33.7% for Alaska adults. The pattern of higher exposure to ACEs in Alaska adults continues for other demographic characteristics such as sex in which the study showed 41.3% of males and 40.0% of females with no exposure compared to the Alaska rates of 35.7% and 31.5%, respectively.^2^[[br]] [[br]] ---- {{class .SmallerFont 2. Gilbert LK, Breiding MJ, Merrick MT, Thompson WW, et al. Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia, 2010. Am J Prev Med 2015;48(3):345-9. 4. U.S. Centers for Disease Control and Prevention (CDC). Adverse childhood experiences reported by adults - five states, 2009. MMWR 2010;59(49):1609-13. [https://www.cdc.gov/mmwr/pdf/wk/mm5949.pdf] Accessed October 31, 2017. 5. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Adverse childhood experiences - overcoming ACEs in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsReportAlaska.pdf]. Published January 2015. Accessed April 26, 2016. }}

What Is Being Done?

The [http://hss.state.ak.us/ha2020/ Healthy Alaskans 2020] initiative developed strategies by content experts to reduce child maltreatment. Public health partners around the state are aligning work around these approaches adapted by Alaska's unique needs. Alaska strategies include: 1. Promote screening and monitoring for child abuse in primary care offices and public health clinics. 2. Use the [http://www.cssp.org/reform/strengtheningfamilies Strengthening Families Protective Factors] framework in family programs. 3. Expand home visiting programs. 4. Expand and strengthen quality early childhood programs. 5. Train providers and the public on brain development, adverse childhood experiences (ACEs), and resiliency.^6^ Alaska has many groups working on preventing childhood trauma and easing the effects of damage already done.^5^ Here are a few examples (as of early 2015): Statewide, teachers and public health nurses provide teens with information on healthy relationships and life skills. They have partnered with the Alaska departments of Health and Social Services and Education and Early Development, the [http://www.dps.alaska.gov/cdvsa/ Council on Domestic Violence and Sexual Assault], and the [http://www.andvsa.org/ Alaska Network on Domestic Violence and Sexual Assault] on an evidenced-based curriculum for the 7th-9th grade called [https://education.alaska.gov/tls/schoolhealth/fourth.html "the Fourth R for Healthy Relationships."] The Division of Public Health partnered with the Alaska Native Tribal Health Consortium and the [http://dhss.alaska.gov/dph/chronic/pages/injuryprevention/akfvpp/default.aspx Alaska Family Violence Prevention Project] to develop a teen safety card, a gender-neutral resource developed for Alaska teens with guidance from Alaska teens. The card provides information about healthy and unhealthy relationship characteristics, what consent looks and sounds like, and where to get help, if needed. Another safety card was designed specifically for women.^7^ The Division of Behavioral Health has promoted trauma-informed care for several years. Efforts include development of "Trauma 101" and "Trauma 201" curriculum for behavioral health providers, used around the state. [http://tundrapeace.org/programs/taav/ Teens Acting Against Violence (TAAV)] is a violence-prevention and youth empowerment program at the [http://tundrapeace.org/ Tundra Women's Coalition] for teenagers living in Bethel. Participation is voluntary and open for any interested teens age 12-18.^8^ The Alaska Mental Health Board and Advisory Board on Alcoholism and Drug Abuse have coordinated the efforts of many organizations to gather Alaska-specific ACE data.^3,5^ The Boards have focused since 2008 on community wellness and personal resilience.[[br]] [[br]] ---- {{class .SmallerFont 3. Sidmore P. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Economic costs of adverse childhood experiences in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsEconomicCosts-AK.pdf]. Accessed April 26, 2016. 5. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Adverse childhood experiences - overcoming ACEs in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsReportAlaska.pdf]. Published January 2015. Accessed April 26, 2016. 6. Alaska Department of Health and Social Services. Healthy Alaskans 2020. [http://hss.state.ak.us/ha2020/]. Accessed April 26, 2016. 7. Alaska Native Tribal Health Consortium. Getting together - teen relationship safety card. [http://www.anthctoday.org/epicenter/healthyfamilies/teenCard_111014.pdf]. Accessed April 26, 2016. 8. Teens Acting Against Violence. Tundra Women's Coalition - Crisis Line - 1-800-478-7799 or 907-543-3456 website. [http://tundrapeace.org/programs/taav/]. Accessed April 26, 2016. }}

Evidence-based Practices

Recovering from trauma is a challenging process. Building resiliency and having a supportive adult in your life can help with recovery. Positive experiences --- such as exposure to environments rich in a range of developmentally appropriate opportunities for social play and exploration --- can compensate for and even reverse the negative consequences of stress. Efforts during childhood are essential because over time, some stress-induced detriments are increasingly resistant to reversal. Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment approach shown to help children, adolescents, and their caregivers overcome trauma-related difficulties. It is designed to reduce negative emotional and behavioral responses following traumatic events. The treatment - based on learning and cognitive theories - addresses distorted beliefs and attributions related to the abuse and provides a supportive environment in which children are encouraged to talk about their traumatic experience. TF-CBT also helps parents who were not abusive to cope effectively with their own emotional distress and develop skills that support their children.^9^ ACEs are best addressed through a coordinated effort to implement prevention programs across multiple settings and populations. Research indicates the majority of health and social challenges are interconnected and often share the same root causes. The following steps need to be taken to address these root causes: 1. Support quality early childhood programs. 2. Ensure access to health care including behavioral health care. 3. Strengthen capacity for social emotional learning throughout Alaska's schools. 4. Maintain and expand prevention efforts that have been proven to be effective.^10^ The [http://www.cssp.org/ Center for the Study of Social Policy] spent two years researching and identifying five protective factors that prevent child abuse and neglect. These are: parental resilience, social connections, concrete support in times of need, knowledge of parenting and child development, and social and emotional competence of children. Research studies support the common-sense notion that when these protective factors are well established in a family, the likelihood of child abuse and neglect diminishes. Research shows that these protective factors are also "promotive" factors that build family strengths and a family environment that promotes optimal child and youth development.^11^[[br]] [[br]] ---- {{class .SmallerFont 9. Child Welfare Information Gateway. Trauma-focused cognitive behavioral therapy for children affected by sexual abuse or trauma. https://www.childwelfare.gov/pubPDFs/trauma.pdf. Accessed April 26, 2016. 10. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Investing in prevention: working together in early childhood for healthy Alaskan children, families, and communities 2015. [http://dhss.alaska.gov/abada/ace-k/Documents/State_Interagency_Prevention_2015.pdf]. Accessed April 26, 2016. 11. Alaska Department of Health and Social Services. Office of Children's Services. Strengthening families. [http://dhss.alaska.gov/ocs/Pages/families/default.aspx]. Accessed April 26, 2016. }}


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by all Alaskans and Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0All Alaskans34.3%32.9%35.6%3,97710,847
0Alaska Native people26.0%23.1%29.2%5111,848
1All Alaskans22.2%21.0%23.4%2,37510,847
1Alaska Native people19.1%16.6%21.8%3681,848
2-3All Alaskans24.1%22.8%25.3%2,59910,847
2-3Alaska Native people26.5%23.4%29.7%4761,848
4+All Alaskans19.5%18.3%20.8%1,89610,847
4+Alaska Native people28.4%25.4%31.7%4931,848

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by sex, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0Males35.9%34.0%37.8%1,9164,945
0Females32.5%30.6%34.4%2,0615,902
1Males23.6%22.0%25.4%1,1594,945
1Females20.6%18.9%22.4%1,2165,902
2-3Males23.7%22.0%25.6%1,1354,945
2-3Females24.4%22.7%26.2%1,4645,902
4+Males16.7%15.2%18.4%7354,945
4+Females22.5%20.7%24.4%1,1615,902

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by age, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
018-2429.8%25.5%34.4%203655
025-3428.2%25.1%31.6%4181,376
035-4430.4%27.3%33.8%5061,593
045-6435.4%33.4%37.5%1,6694,740
065+47.9%45.0%50.8%1,1382,399
118-2422.3%18.1%27.1%144655
125-3422.4%19.4%25.6%2981,376
135-4423.9%20.8%27.4%3521,593
145-6420.9%19.3%22.6%1,0104,740
165+22.2%20.0%24.7%5472,399
2-318-2425.7%21.5%30.4%162655
2-325-3426.2%23.0%29.6%3621,376
2-335-4422.0%19.2%25.0%3841,593
2-345-6425.0%23.2%26.9%1,2004,740
2-365+20.1%17.8%22.8%4792,399
4+18-2422.2%18.1%27.0%146655
4+25-3423.2%20.1%26.7%2981,376
4+35-4423.6%20.5%27.1%3511,593
4+45-6418.6%17.0%20.3%8614,740
4+65+9.7%8.2%11.6%2352,399

Data Notes

Respondents are asked, "What is your age?, which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by race/ethnicity, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
0Alaska Native (any mention)26.0%23.1%29.2%5111,848
0Asian (non-Hispanic)41.2%32.4%50.6%100193
0Black (non-Hispanic)31.7%22.9%42.0%47139
0Native Hawaiian/Other Pacific Islander (non-Hispanic)43.4%27.4%60.9%2655
0White (non-Hispanic)35.6%34.1%37.1%3,1088,092
0Multiracial/Other (non-Hisp.)27.6%15.1%44.9%1862
0Hispanic (alone or multi)30.9%24.1%38.7%92273
1Alaska Native (any mention)19.1%16.6%21.8%3681,848
1Asian (non-Hispanic)31.1%22.1%41.7%42193
1Black (non-Hispanic)19.8%12.8%29.4%27139
1Native Hawaiian/Other Pacific Islander (non-Hispanic)27.5%14.2%46.6%1455
1White (non-Hispanic)22.3%21.0%23.7%1,8078,092
1Multiracial/Other (non-Hisp.)29.0%15.7%47.3%1862
1Hispanic (alone or multi)17.1%12.1%23.6%53273
2-3Alaska Native (any mention)26.5%23.4%29.7%4761,848
2-3Asian (non-Hispanic)18.6%12.6%26.5%37193
2-3Black (non-Hispanic)31.9%22.8%42.6%42139
2-3Native Hawaiian/Other Pacific Islander (non-Hispanic)12.5%5.1%27.7%655
2-3White (non-Hispanic)23.9%22.5%25.3%1,9118,092
2-3Multiracial/Other (non-Hisp.)20.6%10.5%36.5%1562
2-3Hispanic (alone or multi)25.3%18.8%33.2%73273
4+Alaska Native (any mention)28.4%25.4%31.7%4931,848
4+Asian (non-Hispanic)9.2%4.6%17.6%14193
4+Black (non-Hispanic)16.6%10.2%25.9%23139
4+Native Hawaiian/Other Pacific Islander (non-Hispanic)16.6%7.7%32.2%955
4+White (non-Hispanic)18.2%16.9%19.6%1,2668,092
4+Multiracial/Other (non-Hisp.)22.8%10.2%43.3%1162
4+Hispanic (alone or multi)26.6%19.2%35.6%55273

Data Notes

Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enumerated above. Responses of Don't Know/Not Sure or Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by ethnicity, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0Hispanic/Latino29.9%23.6%37.2%99316
0Non-Hispanic/Latino34.5%33.1%35.9%3,83510,410
1Hispanic/Latino16.2%11.6%22.2%59316
1Non-Hispanic/Latino22.5%21.2%23.8%2,28610,410
2-3Hispanic/Latino24.8%18.7%32.1%81316
2-3Non-Hispanic/Latino24.1%22.8%25.4%2,49310,410
4+Hispanic/Latino29.1%21.9%37.4%77316
4+Non-Hispanic/Latino19.0%17.8%20.2%1,79610,410

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by marital status, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
0Married38.2%36.4%29.9%2,3515,986
0Widowed42.0%37.2%46.9%392866
0Divorced/Separated31.7%28.2%35.4%5591,790
0Never Married27.5%24.5%30.6%5341,688
0Living with a Partner25.4%20.1%31.5%107446
1Married23.1%21.6%24.8%1,3595,986
1Widowed23.2%19.3%27.6%192866
1Divorced/Separated17.6%15.2%20.4%3461,790
1Never Married23.7%20.6%27.1%3751,688
1Living with a Partner16.9%12.7%22.2%89446
2-3Married22.8%21.3%24.4%1,3755,986
2-3Widowed25.4%20.6%30.9%190866
2-3Divorced/Separated23.9%21.0%27.1%4541,790
2-3Never Married26.6%23.5%29.9%4381,688
2-3Living with a Partner25.6%20.4%31.6%127446
4+Married15.9%14.6%17.3%9015,986
4+Widowed9.4%7.4%12.1%92866
4+Divorced/Separated26.7%23.5%30.3%4311,790
4+Never Married22.3%19.3%25.6%3411,688
4+Living with a Partner32.1%25.8%39.1%123446

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by education levels, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 16
0Less than High School25.9%20.7%31.9%147506
0High School Graduate or GED33.5%30.7%36.4%8732,513
0Some College or Tech. School33.3%31.0%35.8%1,0282,970
0College Graduate41.1%38.9%43.2%1,7004,147
1Less than High School17.4%13.5%22.3%104506
1High School Graduate or GED21.5%19.0%24.1%5242,513
1Some College or Tech. School23.3%21.1%25.6%6442,970
1College Graduate22.4%20.7%24.2%9414,147
2-3Less than High School26.9%21.3%33.5%121506
2-3High School Graduate or GED25.2%22.8%27.8%6332,513
2-3Some College or Tech. School23.2%21.1%25.5%7032,970
2-3College Graduate22.6%20.8%24.4%9714,147
4+Less than High School29.7%23.8%36.2%1.4506
4+High School Graduate or GED19.8%17.6%22.2%4832,513
4+Some College or Tech. School20.2%18.1%22.4%5952,970
4+College Graduate14.0%12.4%15.8%5354,147

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by employment status, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 16
0Employed34.1%32.4%35.9%2,3386,477
0Unemployed23.7%19.6%28.5%168683
0Not in Work Force39.5%26.9%42.2%1,3003,082
0Unable to Work20.8%16.0%26.7%130512
1Employed22.5%21.0%24.1%1,4036,477
1Unemployed19.8%15.8%24.4%143683
1Not in Work Force22.7%20.4%25.2%7263,082
1Unable to Work17.3%13.0%22.6%78512
2-3Employed23.9%22.4%25.5%1,5896,477
2-3Unemployed30.4%25.5%35.9%189683
2-3Not in Work Force22.2%19.8%24.7%6673,082
2-3Unable to Work28.7%22.8%35.4%137512
4+Employed19.5%18.0%21.1%1,1476,477
4+Unemployed26.1%21.9%30.8%183683
4+Not in Work Force15.6%13.4%18.1%3893,082
4+Unable to Work33.2%27.3%39.8%167512

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by income status, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
0<$15,00030.9%25.8%36.6%241824
0$15,000-$24,99925.5%21.9%29.5%3731,160
0$25,000-$49,00032.5%29.6%35.6%7522,072
0$50,000-$74,00034.1%30.9%37.4%6361,736
0$75,000+37.0%34.8%39.2%1,5714,148
1<$15,00016.1%12.9%19.9%148824
1$15,000-$24,99919.2%15.5%23.6%2391,160
1$25,000-$49,00020.9%18.3%23.8%4332,072
1$50,000-$74,00024.9%21.9%28.1%4061,736
1$75,000+22.9%21.1%24.9%9414,148
2-3<$15,00023.6%19.6%28.2%208824
2-3$15,000-$24,99928.6%24.1%33.6%2731,160
2-3$25,000-$49,00023.8%21.1%26.7%5002,072
2-3$50,000-$74,00024.6%21.9%27.5%4311,736
2-3$75,000+24.2%22.3%26.2%1,0184,148
4+<$15,00029.3%24.7%34.4%227824
4+$15,000-$24,99926.6%22.7%31.0%2751,160
4+$25,000-$49,00022.8%19.9%26.0%3872,072
4+$50,000-$74,00016.4%14.0%19.2%2631,736
4+$75,000+15.9%14.2%17.8%6184,148

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by poverty status, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]
ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
0Poor30.4%25.3%36.1%222708
0Near Poor30.8%27.2%34.7%4091,309
0Middle/High35.3%33.7%36.9%2,6447,043
1Poor15.8%12.4%19.8%128708
1Near Poor18.4%15.5%21.7%2541,309
1Middle/High23.8%22.4%25.4%1,5997,043
2-3Poor28.3%22.7%34.6%170708
2-3Near Poor23.7%20.4%27.3%3111,309
2-3Middle/High24.7%23.2%26.2%1,7377,043
4+Poor25.5%20.9%30.7%188708
4+Near Poor27.1%23.5%31.0%3351,309
4+Middle/High16.2%15.0%17.5%1,0637,043

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by body mass index, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countWeight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
0Neither Overweight nor Obese35.9%33.5%38.3%1,3803,448
0Overweight35.2%32.9%37.5%1,4293,833
0Obese30.6%28.2%33.1%1,0033,154
1Neither Overweight nor Obese21.6%19.6%23.8%7403,448
1Overweight22.8%20.7%24.9%8793,833
1Obese21.7%19.5%24.0%6623,154
2-3Neither Overweight nor Obese24.4%22.2%26.7%8033,448
2-3Overweight23.7%21.7%25.9%9033,833
2-3Obese25.0%22.8%27.4%8023,154
4+Neither Overweight nor Obese18.1%16.1%20.4%2523,448
4+Overweight18.4%16.4%20.5%6223,833
4+Obese22.7%20.5%25.1%6873,154

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by current smoker, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0Not current smoker37.2%35.7%38.7%3,4558,843
0Current smoker22.7%20.0%25.5%2051,948
1Not current smoker23.0%21.6%24.4%1,9898,843
1Current smoker18.9%16.4%21.5%3731,948
2-3Not current smoker22.9%21.6%24.2%2,0638,843
2-3Current smoker28.7%25.6%32.0%5221,948
4+Not current smoker16.9%15.7%18.3%1,3368,843
4+Current smoker29.8%26.8%33.1%5511,948

Data Notes

Current smoking is assessed using two questions: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", "Do you now smoke cigarettes every day, some days, or not at all?" Current smokers are defined as those who have smoked at least 100 cigarettes and who now smoke every day or some days. Non-current smokers are those who have either never smoke 100 cigarettes or whom now smoke cigarettes not at all. Responses of "Don't know / Not sure" or "Refused" to either question are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by sexual orientation, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0Heterosexual34.5%33.1%35.9%3,75710,217
0Gay, Lesbian, or Bisexual19.2%13.2%26.9%65303
1Heterosexual22.5%21.2%23.8%2,25310,217
1Gay, Lesbian, or Bisexual13.1%8.9%18.9%54303
2-3Heterosexual23.9%22.7%25.2%2,45010,217
2-3Gay, Lesbian, or Bisexual29.8%23.2%37.4%90303
4+Heterosexual19.1%17.9%20.4%1,75710,217
4+Gay, Lesbian, or Bisexual37.9%30.4%45.9%94303

Data Notes

Sexual orientation is assessed by the question: "Now I'm going to ask you a question about sexual orientation. Do you think of yourself as A. Gay or lesbian, B. Straight, that is, not lesbian or gay, C. Bisexual, or D. something else?" Responses of "Straight, that is not lesbian or gay" are contrasted with the combined responses to "Gay or lesbian" and "Bisexual". Responses of "Something else", "Don't Know / Not sure", or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by disability, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
0Disability Present23.4%20.6%26.4%5241,904
0Disability Absent36.5%35.0%38.0%3,4108,820
1Disability Present17.9%15.3%20.8%3341,904
1Disability Absent23.0%21.7%24.4%2,0188,820
2-3Disability Present27.0%23.8%30.4%4871,904
2-3Disability Absent23.5%22.1%24.8%2,0818,820
4+Disability Present31.8%28.4%35.3%5591,904
4+Disability Absent17.0%15.8%18.4%1,3118,820

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by Alaska Public Health Regions, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
0Anchorage33.2%30.7%35.9%7892,155
0Gulf Coast34.8%31.8%37.8%5791,652
0Interior36.0%33.4%38.8%9012,273
0Mat-Su34.6%31.3%38.1%5771,598
0Northern33.8%27.8%40.4%158463
0Southeast33.4%30.4%36.4%5891,648
0Southwest37.2%32.3%42.4%3841,058
1Anchorage23.6%21.2%26.1%4812,155
1Gulf Coast21.8%19.4%24.4%3891,652
1Interior22.7%20.3%25.3%5112,273
1Mat-Su19.4%17.0%22.1%3231,598
1Northern19.1%14.5%24.9%86463
1Southeast21.8%19.2%24.6%3621,648
1Southwest19.9%16.0%24.4%2231,058
2-3Anchorage24.2%21.8%26.8%5312,155
2-3Gulf Coast23.4%20.8%26.1%3781,652
2-3Interior22.2%20.0%24.6%5162,273
2-3Mat-Su24.4%21.5%27.6%3911,598
2-3Northern25.2%19.9%31.3%116463
2-3Southeast26.3%23.5%29.4%4031,648
2-3Southwest24.5%20.1%29.5%2641,058
4+Anchorage19.0%16.7%21.6%3542,155
4+Gulf Coast20.1%17.6%22.9%3061,652
4+Interior19.1%16.8%21.6%3452,273
4+Mat-Su21.6%18.8%24.6%3071,598
4+Northern21.9%17.0%27.6%103463
4+Southeast18.5%16.2%21.1%2941,648
4+Southwest18.4%15.0%22.4%1871,058

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by Alaska Public Health Regions, Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
0Anchorage22.4%16.2%30.1%47208
0Gulf Coast19.3%13.3%27.2%34158
0Interior24.9%18.6%32.6%76293
0Mat-Su29.0%18.0%43.2%34133
0Northern28.9%22.0%37.0%79263
0Southeast23.0%17.2%30.1%62233
0Southwest32.7%27.2%38.7%179560
1Anchorage18.4%12.7%25.8%36208
1Gulf Coast23.0%15.8%32.4%36158
1Interior21.0%15.7%27.5%64293
1Mat-Su12.0%6.6%20.7%20133
1Northern17.2%11.7%24.6%44263
1Southeast20.6%14.8%27.9%44233
1Southwest22.3%17.2%28.3%124560
2-3Anchorage30.6%23.1%39.3%65208
2-3Gulf Coast29.1%21.4%38.1%47158
2-3Interior24.9%18.8%32.0%76293
2-3Mat-Su26.5%15.9%40.8%37133
2-3Northern26.8%20.0%34.8%66263
2-3Southeast22.7%16.7%30.0%50233
2-3Southwest23.0%18.3%28.4%135560
4+Anchorage28.6%21.3%37.2%60208
4+Gulf Coast28.6%20.2%38.9%41158
4+Interior29.2%22.6%36.8%77293
4+Mat-Su32.4%21.6%45.5%42133
4+Northern27.1%20.3%35.1%74263
4+Southeast33.7%26.6%41.6%77233
4+Southwest22.1%17.5%27.4%122560

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by metro/micropolitan statistical areas, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
0Anchorage MSA33.6%31.5%35.7%1,3663,753
0Fairbanks North Star MSA35.6%32.6%38.6%6491,666
0Juneau MicroSA32.6%28.1%37.4%238706
0Ketchikan Gateway MicroSA32.6%26.3%39.6%106296
0Rural (non-Metro/MicroSA)35.5%33.5%37.5%1,6184,426
1Anchorage MSA22.5%20.6%24.6%8043,753
1Fairbanks North Star MSA22.3%19.7%25.1%3781,666
1Juneau MicroSA22.1%18.0%26.7%164706
1Ketchikan Gateway MicroSA18.2%13.5%24.1%56296
1Rural (non-Metro/MicroSA)21.7%20.0%23.5%9734,426
2-3Anchorage MSA24.3%22.3%26.3%9223,753
2-3Fairbanks North Star MSA22.6%20.1%25.4%3911,666
2-3Juneau MicroSA27.3%23.0%32.0%175706
2-3Ketchikan Gateway MicroSA28.1%21.0%36.4%76296
2-3Rural (non-Metro/MicroSA)23.5%21.8%25.3%1,0354,426
4+Anchorage MSA19.7%17.8%21.7%6613,753
4+Fairbanks North Star MSA19.6%16.9%22.5%2481,666
4+Juneau MicroSA18.1%14.7%22.1%129706
4+Ketchikan Gateway MicroSA21.1%15.7%27.8%58296
4+Rural (non-Metro/MicroSA)19.3%17.7%21.0%8004,426

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by metro/micropolitan statistical areas, Alaska Native, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
0Anchorage MSA24.5%18.8%31.4%81341
0Fairbanks North Star MSA15.7%9.8%24.1%25139
0Juneau MicroSA13.6%7.2%24.1%1171
0Ketchikan Gateway MicroSA**41
0Rural (non-Metro/MicroSA)29.8%26.3%33.6%3821,256
1Anchorage MSA16.3%11.9%22.0%56341
1Fairbanks North Star MSA19.4%13.2%27.6%30139
1Juneau MicroSA25.0%14.7%39.1%1571
1Ketchikan Gateway MicroSA**41
1Rural (non-Metro/MicroSA)20.9%17.7%24.4%2611,256
2-3Anchorage MSA29.3%22.9%36.6%102341
2-3Fairbanks North Star MSA28.0%19.5%38.5%39139
2-3Juneau MicroSA24.7%15.2%37.4%1871
2-3Ketchikan Gateway MicroSA**41
2-3Rural (non-Metro/MicroSA)24.5%21.3%28.0%3081,256
4+Anchorage MSA29.8%23.6%36.9%102341
4+Fairbanks North Star MSA36.8%27.3%47.4%45139
4+Juneau MicroSA36.7%24.7%50.7%2771
4+Ketchikan Gateway MicroSA**41
4+Rural (non-Metro/MicroSA)24.9%21.6%28.4%3051,256

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by behavioral health system assessment regions, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 40
0Anchorage Muncipality33.2%30.7%35.9%7892,155
0Fairbanks North Star Borough35.4%32.5%38.5%6511,673
0City and Borough of Juneau32.6%28.1%37.4%238706
0Kenai Peninsula Borough33.2%29.8%36.8%3971,171
0Matanuska-Susitna Borough34.6%31.3%38.1%5771,598
0Northwest Region33.8%27.8%40.4%158463
0Other Interior Region38.7%34.0%43.6%342841
0Y-K Delta Region39.5%32.7%46.7%181482
0Southwest Region36.4%31.1%41.9%293816
0Other Southeast Region34.0%30.3%38.0%351942
1Anchorage Muncipality23.6%21.2%26.1%4812,155
1Fairbanks North Star Borough22.3%19.7%25.1%3791,673
1City and Borough of Juneau22.1%18.0%26.7%164706
1Kenai Peninsula Borough22.6%19.7%25.7%2861,171
1Matanuska-Susitna Borough19.4%17.0%22.1%3231,598
1Northwest Region19.1%14.5%24.9%86463
1Other Interior Region22.1%17.8%27.1%179841
1Y-K Delta Region18.3%13.7%24.0%98482
1Southwest Region21.9%17.4%27.1%181816
1Other Southeast Region21.5%18.4%25.0%198942
2-3Anchorage Muncipality24.2%21.8%26.8%5312,155
2-3Fairbanks North Star Borough22.8%20.3%25.5%3941,673
2-3City and Borough of Juneau27.3%23.0%32.0%175706
2-3Kenai Peninsula Borough23.1%20.1%26.3%2601,171
2-3Matanuska-Susitna Borough24.4%21.5%27.6%3911,598
2-3Northwest Region25.2%19.9%31.3%116463
2-3Other Interior Region21.2%17.6%25.3%180841
2-3Y-K Delta Region22.5%17.5%28.4%112482
2-3Southwest Region25.3%20.5%30.7%212816
2-3Other Southeast Region25.5%21.9%29.5%228942
4+Anchorage Muncipality19.0%16.7%21.6%3542,155
4+Fairbanks North Star Borough19.5%16.9%22.5%2491,673
4+City and Borough of Juneau18.1%14.7%22.1%129706
4+Kenai Peninsula Borough21.2%18.3%24.4%2281,171
4+Matanuska-Susitna Borough21.6%18.8%24.6%3071,598
4+Northwest Region21.9%17.0%27.6%103463
4+Other Interior Region18.0%14.6%22.0%140841
4+Y-K Delta Region19.8%14.9%25.7%91482
4+Southwest Region16.5%12.7%21.3%130816
4+Other Southeast Region18.9%15.9%22.3%165942

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by behavioral health system assessment regions, Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 40
0Anchorage Muncipality22.4%16.2%30.1%47208
0Fairbanks North Star Borough15.5%9.7%23.9%25140
0City and Borough of Juneau13.6%7.2%24.1%1171
0Kenai Peninsula Borough13.7%7.9%22.7%1495
0Matanuska-Susitna Borough29.0%18.0%43.2%34133
0Northwest Region28.9%22.0%37.0%79263
0Other Interior Region36.7%26.5%48.2%59180
0Y-K Delta Region36.5%29.2%44.5%106305
0Southwest Region26.8%20.0%35.0%85291
0Other Southeast Region27.4%19.7%36.6%51162
1Anchorage Muncipality18.4%12.7%25.8%36208
1Fairbanks North Star Borough19.2%13.1%27.3%30140
1City and Borough of Juneau25.0%14.7%39.1%1571
1Kenai Peninsula Borough19.2%11.5%30.4%1995
1Matanuska-Susitna Borough12.0%6.6%20.7%20133
1Northwest Region17.2%11.7%24.6%44263
1Other Interior Region24.0%16.3%34.0%41180
1Y-K Delta Region19.8%14.1%27.0%61305
1Southwest Region27.0%19.0%36.9%73291
1Other Southeast Region18.6%12.1%27.4%29162
2-3Anchorage Muncipality30.6%23.1%39.3%65208
2-3Fairbanks North Star Borough28.9%20.3%39.3%40140
2-3City and Borough of Juneau24.7%15.2%37.4%1871
2-3Kenai Peninsula Borough34.0%23.9%45.8%3395
2-3Matanuska-Susitna Borough26.5%15.9%40.8%37133
2-3Northwest Region26.8%20.0%34.8%66263
2-3Other Interior Region20.9%14.4%29.3%44180
2-3Y-K Delta Region20.4%15.1%26.9%69305
2-3Southwest Region24.9%17.9%33.4%72291
2-3Other Southeast Region21.7%14.6%31.2%32162
4+Anchorage Muncipality28.6%21.3%37.2%60208
4+Fairbanks North Star Borough36.4%27.0%46.9%45140
4+City and Borough of Juneau36.7%24.7%50.7%2771
4+Kenai Peninsula Borough33.0%22.7%45.2%2995
4+Matanuska-Susitna Borough32.4%21.6%45.5%42133
4+Northwest Region27.1%20.3%35.1%74263
4+Other Interior Region18.4%12.1%27.0%36180
4+Y-K Delta Region23.4%17.4%30.6%69305
4+Southwest Region21.3%14.6%30.0%61291
4+Other Southeast Region32.3%23.9%42.0%50162

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by boroughs and census areas, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 116
0Aleutians East Borough40.7%24.9%58.6%4087
0Aleutians West CA42.2%27.7%58.2%45138
0Anchorage Municipality33.2%30.7%35.9%7892,155
0Bethel CA40.8%33.2%48.9%139362
0Bristol Bay Borough34.4%21.3%50.5%2981
0Denali Borough34.0%22.7%47.5%4694
0Dillingham CA25.8%18.0%35.7%54182
0Fairbanks North Star Borough35.4%32.5%38.5%6511,673
0Haines Borough25.2%16.1%37.2%2888
0Hoonah-Angoon CA33.1%20.4%48.8%2255
0Juneau City and Borough32.6%28.1%37.4%238706
0Kenai Peninsula Borough33.2%29.8%36.8%3971,171
0Ketchikan Gateway Borough32.6%26.3%39.6%106296
0Kodiak Island Borough38.0%30.3%46.4%90240
0Kusilvak CA36.4%23.3%51.8%42120
0Lake and Peninsula Borough30.2%15.2%51.2%3588
0Matanuska-Susitna Borough34.6%31.3%38.1%5771,598
0Nome CA32.8%24.2%42.8%74202
0North Slope Borough41.7%29.2%55.4%40118
0Northwest Arctic Borough27.1%18.6%37.7%44143
0Petersburg Borough41.4%30.6%53.1%4291
0Prince of Wales-Hyder CA29.4%21.2%39.3%50127
0Sitka City and Borough38.2%29.4%47.9%72201
0Skagway Municipality**19
0Southeast Fairbanks CA38.5%30.2%47.5%109278
0Valdez-Cordova CA38.5%30.8%46.8%92241
0Wrangell City and Borough**44
0Yakutat City and Borough**21
0Yukon-Koyukuk CA41.4%32.0%51.6%95228
1Aleutians East Borough30.2%13.8%53.7%1887
1Aleutians West CA17.8%7.6%36.2%27138
1Anchorage Municipality23.6%21.2%26.1%4812,155
1Bethel CA17.9%12.9%24.3%77362
1Bristol Bay Borough24.7%12.0%44.2%1781
1Denali Borough31.6%18.1%49.1%2394
1Dillingham CA22.6%15.2%32.4%42182
1Fairbanks North Star Borough22.3%19.7%25.1%3791,673
1Haines Borough32.0%21.0%45.5%2588
1Hoonah-Angoon CA32.6%19.4%49.3%1555
1Juneau City and Borough22.1%18.0%26.7%164706
1Kenai Peninsula Borough22.6%19.7%25.7%2861,171
1Ketchikan Gateway Borough18.2%13.5%24.1%56296
1Kodiak Island Borough22.4%16.1%30.2%56240
1Kusilvak CA19.3%10.8%32.0%21120
1Lake and Peninsula Borough14.4%7.0%27.4%2188
1Matanuska-Susitna Borough19.4%17.0%22.1%3231,598
1Nome CA16.8%10.9%24.9%36202
1North Slope Borough23.5%13.9%36.9%23118
1Northwest Arctic Borough17.8%10.9%27.7%27143
1Petersburg Borough27.0%17.9%38.5%2491
1Prince of Wales-Hyder CA21.4%12.8%33.5%21127
1Sitka City and Borough19.5%13.2%27.8%38201
1Skagway Municipality**19
1Southeast Fairbanks CA28.0%18.8%39.5%69278
1Valdez-Cordova CA17.4%12.6%23.5%47241
1Wrangell City and Borough**44
1Yakutat City and Borough**21
1Yukon-Koyukuk CA16.8%10.9%25.0%40228
2-3Aleutians East Borough12.8%6.5%23.5%1587
2-3Aleutians West CA22.8%13.3%36.5%41138
2-3Anchorage Municipality24.2%21.8%26.8%5312,155
2-3Bethel CA20.3%14.8%27.2%76362
2-3Bristol Bay Borough27.8%16.8%42.1%2581
2-3Denali Borough22.7%12.5%37.7%1794
2-3Dillingham CA32.6%22.3%44.9%52182
2-3Fairbanks North Star Borough22.8%20.3%25.5%3941,673
2-3Haines Borough26.5%16.5%39.5%2588
2-3Hoonah-Angoon CA17.0%8.3%31.7%1055
2-3Juneau City and Borough27.3%23.0%32.0%175706
2-3Kenai Peninsula Borough23.1%20.1%26.3%2601,171
2-3Ketchikan Gateway Borough28.1%21.0%36.4%76296
2-3Kodiak Island Borough23.8%17.9%30.8%60240
2-3Kusilvak CA27.5%17.9%39.7%36120
2-3Lake and Peninsula Borough38.1%13.4%70.9%1988
2-3Matanuska-Susitna Borough24.4%21.5%27.6%3911,598
2-3Nome CA23.1%15.8%32.6%46202
2-3North Slope Borough22.1%13.6%33.9%30118
2-3Northwest Arctic Borough30.8%21.0%42.7%40143
2-3Petersburg Borough22.7%14.0%34.8%1891
2-3Prince of Wales-Hyder CA24.0%15.2%35.6%24127
2-3Sitka City and Borough26.5%19.8%34.5%54201
2-3Skagway Municipality**19
2-3Southeast Fairbanks CA20.3%14.1%28.3%62278
2-3Valdez-Cordova CA24.3%18.0%32.0%58241
2-3Wrangell City and Borough**44
2-3Yakutat City and Borough**21
2-3Yukon-Koyukuk CA16.8%11.4%24.1%43228
4+Aleutians East Borough16.4%7.6%31.9%1487
4+Aleutians West CA17.2%9.4%29.2%25138
4+Anchorage Municipality19.0%16.7%21.6%3542,155
4+Bethel CA21.0%15.1%28.6%70362
4+Bristol Bay Borough13.1%6.3%25.1%1081
4+Denali Borough11.7%5.4%23.7%894
4+Dillingham CA18.9%11.7%29.1%34182
4+Fairbanks North Star Borough19.5%16.9%22.5%2491,673
4+Haines Borough16.3%7.9%30.8%1088
4+Hoonah-Angoon CA17.3%8.1%33.3%855
4+Juneau City and Borough18.1%14.7%22.1%129706
4+Kenai Peninsula Borough21.2%18.3%24.4%2281,171
4+Ketchikan Gateway Borough21.1%15.7%27.8%58296
4+Kodiak Island Borough15.8%9.8%24.5%34240
4+Kusilvak CA16.8%9.8%27.3%21120
4+Lake and Peninsula Borough17.3%7.0%37.0%1388
4+Matanuska-Susitna Borough21.6%18.8%24.6%3071,598
4+Nome CA27.3%18.8%37.8%46202
4+North Slope Borough12.7%7.6%20.4%25118
4+Northwest Arctic Borough24.3%15.9%35.2%32143
4+Petersburg Borough8.9%4.0%18.6%791
4+Prince of Wales-Hyder CA25.2%17.0%35.8%32127
4+Sitka City and Borough15.8%10.8%22.5%37201
4+Skagway Municipality**19
4+Southeast Fairbanks CA13.2%8.7%19.5%38278
4+Valdez-Cordova CA19.8%13.7%27.7%44241
4+Wrangell City and Borough**44
4+Yakutat City and Borough**21
4+Yukon-Koyukuk CA24.9%17.7%33.8%50228

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by boroughs and census areas, Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 116
0Aleutians East Borough**43
0Aleutians West CA**39
0Anchorage Municipality22.4%16.2%30.1%47208
0Bethel CA39.7%30.4%49.8%71202
0Bristol Bay Borough**33
0Denali Borough**3
0Dillingham CA18.0%9.7%31.1%1992
0Fairbanks North Star Borough15.5%9.7%23.9%25140
0Haines Borough**12
0Hoonah-Angoon CA**15
0Juneau City and Borough13.6%7.2%24.1%1171
0Kenai Peninsula Borough13.7%7.9%22.7%1495
0Ketchikan Gateway Borough**41
0Kodiak Island Borough**36
0Kusilvak CA30.8%20.2%43.9%35103
0Lake and Peninsula Borough**48
0Matanuska-Susitna Borough29.0%18.0%43.2%34133
0Nome CA29.2%18.6%42.7%32110
0North Slope Borough39.6%23.6%58.1%2258
0Northwest Arctic Borough22.7%13.8%34.8%2595
0Petersburg Borough**8
0Prince of Wales-Hyder CA**39
0Sitka City and Borough**27
0Skagway Municipality**1
0Southeast Fairbanks CA**34
0Valdez-Cordova CA**27
0Wrangell City and Borough**9
0Yakutat City and Borough**10
0Yukon-Koyukuk CA40.8%27.2%55.9%40116
1Aleutians East Borough**43
1Aleutians West CA**39
1Anchorage Municipality18.4%12.7%25.8%36208
1Bethel CA17.5%11.4%26.1%41202
1Bristol Bay Borough**33
1Denali Borough**3
1Dillingham CA22.1%12.4%36.3%2192
1Fairbanks North Star Borough19.2%13.1%27.3%30140
1Haines Borough**12
1Hoonah-Angoon CA**15
1Juneau City and Borough25.0%14.7%39.1%1571
1Kenai Peninsula Borough19.2%11.5%30.4%1995
1Ketchikan Gateway Borough**41
1Kodiak Island Borough**36
1Kusilvak CA23.7%13.7%37.9%20103
1Lake and Peninsula Borough**48
1Matanuska-Susitna Borough12.0%6.6%20.7%20133
1Nome CA13.4%7.5%22.8%17110
1North Slope Borough25.4%11.8%46.5%1058
1Northwest Arctic Borough16.4%8.8%28.5%1795
1Petersburg Borough**8
1Prince of Wales-Hyder CA**39
1Sitka City and Borough**27
1Skagway Municipality**1
1Southeast Fairbanks CA**34
1Valdez-Cordova CA**27
1Wrangell City and Borough**9
1Yakutat City and Borough**10
1Yukon-Koyukuk CA19.3%10.7%32.4%22116
2-3Aleutians East Borough**43
2-3Aleutians West CA**39
2-3Anchorage Municipality30.6%23.1%39.3%65208
2-3Bethel CA17.9%12.0%25.8%41202
2-3Bristol Bay Borough**33
2-3Denali Borough**3
2-3Dillingham CA33.5%20.2%50.2%2792
2-3Fairbanks North Star Borough28.9%20.3%39.3%40140
2-3Haines Borough**12
2-3Hoonah-Angoon CA**15
2-3Juneau City and Borough24.7%15.2%37.4%1871
2-3Kenai Peninsula Borough34.0%23.9%45.8%3395
2-3Ketchikan Gateway Borough**41
2-3Kodiak Island Borough**36
2-3Kusilvak CA24.8%15.5%37.2%28103
2-3Lake and Peninsula Borough**48
2-3Matanuska-Susitna Borough26.5%15.9%40.8%37133
2-3Nome CA22.9%13.8%35.6%26110
2-3North Slope Borough21.5%10.9%38.0%1258
2-3Northwest Arctic Borough33.4%21.7%47.5%2895
2-3Petersburg Borough**8
2-3Prince of Wales-Hyder CA**39
2-3Sitka City and Borough**27
2-3Skagway Municipality**1
2-3Southeast Fairbanks CA**34
2-3Valdez-Cordova CA**27
2-3Wrangell City and Borough**9
2-3Yakutat City and Borough**10
2-3Yukon-Koyukuk CA17.5%10.4%28.0%26116
4+Aleutians East Borough**43
4+Aleutians West CA**39
4+Anchorage Municipality28.6%21.3%37.2%60208
4+Bethel CA24.9%17.3%34.5%49202
4+Bristol Bay Borough**33
4+Denali Borough**3
4+Dillingham CA26.4%15.4%41.3%2592
4+Fairbanks North Star Borough36.4%27.0%46.9%45140
4+Haines Borough**12
4+Hoonah-Angoon CA**15
4+Juneau City and Borough36.7%24.7%50.7%2771
4+Kenai Peninsula Borough33.0%22.7%45.2%2995
4+Ketchikan Gateway Borough**41
4+Kodiak Island Borough**36
4+Kusilvak CA20.6%12.3%32.5%20103
4+Lake and Peninsula Borough**48
4+Matanuska-Susitna Borough32.4%21.6%45.5%42133
4+Nome CA34.5%22.6%48.7%35110
4+North Slope Borough13.5%6.8%24.9%1458
4+Northwest Arctic Borough27.6%17.5%40.7%2595
4+Petersburg Borough**8
4+Prince of Wales-Hyder CA**39
4+Sitka City and Borough**27
4+Skagway Municipality**1
4+Southeast Fairbanks CA**34
4+Valdez-Cordova CA**27
4+Wrangell City and Borough**9
4+Yakutat City and Borough**10
4+Yukon-Koyukuk CA22.4%13.6%34.5%28116

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by tribal health organization Regions, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 48
0Aleutians and Pribilofs41.7%30.3%54.0%85225
0Anchorage/Mat-Su33.6%31.5%35.7%1,3663,753
0Arctic Slope40.6%27.8%54.8%34108
0Bristol Bay30.5%23.0%39.2%120356
0Copper R/Prince William Snd.39.2%31.6%47.4%98251
0Interior36.0%33.3%38.7%8932,257
0Kenai Peninsula33.2%29.8%36.8%3971,171
0Kodiak Area38.0%30.3%46.4%90240
0Northwest Arctic28.7%20.1%39.1%49151
0Norton Sound32.8%24.2%42.8%74202
0Southeast33.4%30.4%36.4%5891,648
0Yukon-Kuskokwim38.3%31.7%45.4%182485
1Aleutians and Pribilofs22.1%12.4%36.4%45225
1Anchorage/Mat-Su22.5%20.6%24.6%8043,753
1Arctic Slope24.2%14.2%38.0%22108
1Bristol Bay20.3%14.6%27.5%81356
1Copper R/Prince William Snd.17.2%12.5%23.2%48251
1Interior22.8%20.4%25.4%5102,257
1Kenai Peninsula22.6%19.7%25.7%2861,171
1Kodiak Area22.4%16.1%30.2%56240
1Northwest Arctic17.2%10.5%26.8%27151
1Norton Sound16.8%10.9%24.9%36202
1Southeast21.8%19.2%24.6%3621,648
1Yukon-Kuskokwim18.4%13.8%24.0%98485
2-3Aleutians and Pribilofs19.3%12.4%28.8%56225
2-3Anchorage/Mat-Su24.3%22.3%26.3%9223,753
2-3Arctic Slope22.1%13.3%34.3%27108
2-3Bristol Bay32.2%22.0%44.5%97356
2-3Copper R/Prince William Snd.24.4%18.2%31.9%61251
2-3Interior22.1%19.9%24.5%5112,257
2-3Kenai Peninsula23.1%20.1%26.3%2601,171
2-3Kodiak Area23.8%17.9%30.8%60240
2-3Northwest Arctic30.7%21.1%42.3%43151
2-3Norton Sound23.1%15.8%32.6%46202
2-3Southeast26.3%23.5%29.4%4031,648
2-3Yukon-Kuskokwim23.1%18.1%29.0%113485
4+Aleutians and Pribilofs16.9%10.6%25.9%39225
4+Anchorage/Mat-Su19.7%17.8%21.7%6613,753
4+Arctic Slope13.2%7.9%21.2%25108
4+Bristol Bay17.0%11.6%24.1%58356
4+Copper R/Prince William Snd.19.2%13.3%26.9%44251
4+Interior19.1%16.8%21.6%3432,257
4+Kenai Peninsula21.2%18.3%24.4%2281,171
4+Kodiak Area15.8%9.8%24.5%34240
4+Northwest Arctic23.5%15.4%34.1%32151
4+Norton Sound27.3%18.8%37.8%46202
4+Southeast18.5%16.2%21.1%2941,648
4+Yukon-Kuskokwim20.2%15.3%26.2%92485

Data Notes

Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who experienced adverse childhood experiences prior to age 18, total counts, crude rates, by tribal health organization regions, Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

ACEs total countPercentage of adults,Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 48
0Aleutians and Pribilofs28.5%14.7%47.9%2482
0Anchorage/Mat-Su24.5%18.8%31.4%81341
0Arctic Slope36.0%20.0%55.8%1651
0Bristol Bay25.4%17.4%35.5%50176
0Copper R/Prince William Snd.**29
0Interior24.2%17.8%31.8%73286
0Kenai Peninsula13.7%7.9%22.7%1495
0Kodiak Area**36
0Northwest Arctic25.0%15.8%37.0%30101
0Norton Sound29.2%18.6%42.7%32110
0Southeast23.0%17.2%30.1%62233
0Yukon-Kuskokwim36.3%29.1%44.2%107308
1Aleutians and Pribilofs32.6%14.9%57.3%2282
1Anchorage/Mat-Su16.3%11.9%22.0%56341
1Arctic Slope27.2%12.7%49.0%1051
1Bristol Bay23.7%15.5%34.5%42176
1Copper R/Prince William Snd.**29
1Interior21.3%15.9%27.9%63286
1Kenai Peninsula19.2%11.5%30.4%1995
1Kodiak Area**36
1Northwest Arctic15.8%8.5%27.6%17101
1Norton Sound13.4%7.5%22.8%17110
1Southeast20.6%14.8%27.9%44233
1Yukon-Kuskokwim19.6%14.0%26.8%61308
2-3Aleutians and Pribilofs23.2%10.9%42.8%1982
2-3Anchorage/Mat-Su29.3%22.9%36.6%102341
2-3Arctic Slope22.4%11.2%39.9%1151
2-3Bristol Bay29.2%19.8%40.7%48176
2-3Copper R/Prince William Snd.**29
2-3Interior25.3%19.1%32.6%75286
2-3Kenai Peninsula34.0%23.9%45.8%3395
2-3Kodiak Area**36
2-3Northwest Arctic32.6%21.2%46.4%29101
2-3Norton Sound22.9%13.8%35.6%26110
2-3Southeast22.7%16.7%30.0%50233
2-3Yukon-Kuskokwim20.2%14.9%26.7%69308
4+Aleutians and Pribilofs15.7%8.0%28.4%1782
4+Anchorage/Mat-Su29.8%23.6%36.9%102341
4+Arctic Slope14.4%7.2%26.6%1451
4+Bristol Bay21.7%14.1%31.9%36176
4+Copper R/Prince William Snd.**29
4+Interior29.3%22.6%37.0%75286
4+Kenai Peninsula33.0%22.7%45.2%2995
4+Kodiak Area**36
4+Northwest Arctic26.7%16.9%39.4%25101
4+Norton Sound34.5%22.6%48.7%35110
4+Southeast33.7%26.6%41.6%77233
4+Yukon-Kuskokwim23.9%17.9%31.1%71308

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention (CDC). Adverse Childhood Experiences (ACE) Study. [http://www.cdc.gov/violenceprevention/acestudy/index.html]. Updated April 1, 2016. Accessed April 26, 2016. 2. Gilbert LK, Breiding MJ, Merrick MT, Thompson WW, et al. Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia, 2010. Am J Prev Med 2015;48(3):345-9. 3. Sidmore P. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Economic costs of adverse childhood experiences in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsEconomicCosts-AK.pdf]. Accessed April 26, 2016. 4. U.S. Centers for Disease Control and Prevention (CDC). Adverse childhood experiences reported by adults - five states, 2009. MMWR 2010;59(49):1609-13. [https://www.cdc.gov/mmwr/pdf/wk/mm5949.pdf] Accessed October 31, 2017. 5. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Adverse childhood experiences - overcoming ACEs in Alaska. [http://dhss.alaska.gov/abada/aceak/Documents/ACEsReportAlaska.pdf]. Published January 2015. Accessed April 26, 2016. 6. Alaska Department of Health and Social Services. Healthy Alaskans 2020. [http://hss.state.ak.us/ha2020/]. Accessed April 26, 2016. 7. Alaska Native Tribal Health Consortium. Getting together - teen relationship safety card. [http://www.anthctoday.org/epicenter/healthyfamilies/teenCard_111014.pdf]. Accessed April 26, 2016. 8. Teens Acting Against Violence. Tundra Women's Coalition - Crisis Line - 1-800-478-7799 or 907-543-3456 website. [http://tundrapeace.org/programs/taav/]. Accessed April 26, 2016. 9. Child Welfare Information Gateway. Trauma-focused cognitive behavioral therapy for children affected by sexual abuse or trauma. https://www.childwelfare.gov/pubPDFs/trauma.pdf. Accessed April 26, 2016. 10. Alaska Department of Health and Social Services. Alaska Mental Health Board and the Advisory Board on Alcoholism and Drug Abuse. Investing in prevention: working together in early childhood for healthy Alaskan children, families, and communities 2015. [http://dhss.alaska.gov/abada/ace-k/Documents/State_Interagency_Prevention_2015.pdf]. Accessed April 26, 2016. 11. Alaska Department of Health and Social Services. Office of Children's Services. Strengthening families. [http://dhss.alaska.gov/ocs/Pages/families/default.aspx]. Accessed April 26, 2016.

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 10/31/2017, Published on 10/31/2017
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 September 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 31 Oct 2017 10:27:54 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 September 2019 18:16:07 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Tue, 31 Oct 2017 10:27:54 AKDT