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What does my ACE score mean?

As your ACE score increases, the risk of disease and social and emotional problems increases. Think about your ACE score as measuring the amount of toxic stress you endured as a child and alerting yourself to some statistical indicators of health risks.

Chance of depression symptoms within the last year. For ACE score 0 the chance is 14% and for an ACE score of 4-10 the chance is 50.7%.
Chance of illegal drug usage. For ACE score 0 the chance is 6.4% and for an ACE score of 4-10 the chance is 28.4%.
Chance of poor health, self-reported. For ACE score 0 the chance is 16.3% and for an ACE score of 4-10 the chance is 28.7%.
Chance of class 4 drug usage. For ACE score 0 the chance is 0.3% and for an ACE score of 4-10 the chance is 3.4%.

How do ACEs impact health?

The higher your ACE score, the higher your chance of suffering from psychological and medical problems like chronic depression, cancer, or coronary heart disease. The chart below shows the consequences of an ACE score of 4 or higher. From this score, the likelihood of chronic pulmonary lung disease increases by 390%; hepatitis, 240%; depression, 460%; and attempted suicide, 1,220%.

How much do ACEs impact our health?

Our childhood experiences have a tremendous, lifelong impact on our health and the quality of our lives. The ACE study showed dramatic links between adverse childhood experiences and risky behavior, psychological issues, serious illness, and the leading cause of death. People with six or more ACEs die nearly twenty years earlier (on average) than those without ACEs.

Do lower ACE scores still impact our health ?

There are still some severe consequences of a lower score. A quarter of Americans have an ACE score of only one, and their chance of becoming an alcoholic doubled. An ACE score of two means four times the risk of alcoholism, and an ACE score of 3 may explain your chronic depression.

What can be done to prevent ACEs?

Wide-ranging health and social consequences underscore the importance of preventing ACEs. Strategies that address the need of children and their families include:

Parent support programs for teens and teen pregnancy prevention programs
Mental illness and substance abuse treatment
High-quality child care
Sufficient economic support for families with lower incomes
Home visiting to pregnant women and families with newborns
Parenting training programs
Intimate partner violence prevention
Family-friendly work

How do ACEs affect the economy?

The lifetime cost of non-fatal child mistreatment (which covers ONLY 5 of 10 ACEs) incurred annually in the United States is $401 billion. These costs include life expectancy cut short due to long term effects of abuse, special education, health care, child welfare, and criminal justice.

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