Adverse Childhood Experience Index

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Definitions:

            Adverse Childhood Experience (ACE) Indicators are composed of seven key factors weighted to replicate for Oklahoma the ten adverse childhood experiences referenced in the ACE Study conducted by the Center for Disease Control (CDC) and Department of Preventive Medicine at Kaiser Permanente (KP) in San Diego.  For the purpose of the ACE Study half (five) of the adverse childhood experiences measure household or family dysfunction and half (five) measured child maltreatment.  For the purpose of Oklahoma’s ACE Indicators, half of each county’s overall rank is generated by that county’s rank on one of five household or family dysfunction indicators: Absent Family Indicators (Parental Separation or Divorce and Incarcerated Household Member) and Mental Illness/Substance Abuse Indicators (Mentally Ill Household Member and Substance Abusing Household Member) and Violence Against Mother. Each individual indicator contributes 10% to each county’s overall rank.  The other half of each county’s overall rank is generated by that country’s rank on one of two child maltreatment indicators: Abuse (Psychological, Physical & Sexual) and Neglect (Emotional & Physical), weighted at 30% and 20% respectively to replicate the three Abuse indicators and the two Neglect indicators referenced in the ACE Study.  Taken together the data items provide one way to measure adverse childhood experience for Oklahoma and each county in a manner that can be ranked and compared.  The worse the county rank, the more likely its children are at risk of poor adult health status and early death.  

Data Source:  

Absent Family data provided by Oklahoma State Department of Health (OSDH).  Incarcerated Household Member data provided by Oklahoma State Bureau of Investigation. (2002). Crime in Oklahoma: 2002 Uniform Crime Report. Oklahoma City, OK; Oklahoma State Bureau of Investigation. (2003). Crime in Oklahoma: 2003 Uniform Crime Report. Oklahoma City, OK; and Oklahoma State Bureau of Investigation. (2004). Crime in Oklahoma: 2004 Uniform Crime Report. Oklahoma City, OK.  Mentally Ill Household Member data is from Department of Health and Human Services (August 2006). Substate Estimates from the 2002-2004 National Surveys on Drug Use and Health. SAMHSA, Office of Applied Studies, Rockville, MD.   Substance Abusing Household Member data is from Department of Health and Human Services (August 2006). Substate Estimates from the 2002-2004 National Surveys on Drug Use and Health. SAMHSA, Office of Applied Studies, Rockville, MD.   Violence Against Mother data is from the Oklahoma Criminal Justice Resource Center (September 2003 - September 2004). A Multi-Disciplinary Analysis by the Oklahoma Domestic Violence Fatality Review Board. Oklahoma City, OK. www. ocjrc.net/dvfrbHome.aspChild Abuse and Child Neglect data is provided by the Oklahoma Department of Human Services (OKDHS).  Population data provided by the Oklahoma State Data Center, Research and Policy, Oklahoma Department of Commerce (ODOC), using U.S. Bureau of the Census, Population Estimates Division for 2003.

Footnotes: NOTE:  Since indexes rank counties only, a state index is not developed.