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Adverse Childhood Experiences (ACEs)
According to the Centers for Disease Control, Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur in childhood that may put children at risk for violence, chronic health problems, mental illness, and substance abuse in adulthood. Examples of ACEs include experiencing violence, abuse, or neglect, and growing up in a household with parental conflict, substance use or mental health problems. As the number of ACEs increases, so does the risk for negative health outcomes and risk behaviors. There are protective factors that can decrease the possibility of experiencing ACEs, such as creating safe and stable relationships and environments for all children.
This dashboard includes indicators related to ACEs. Select a location using the drop-down list below. Click on an indicator to navigate to the Indicator Detail page where you can read more about the indicator.
View ACEs Graphics:
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Source: Robert Wood Johnson Foundation -
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Source: Fortson, B. L., Klevens, J., Merrick, M. T., Gilbert, L. K., & Alexander, S. P. (2016). Preventing child abuse and neglect: A technical package for policy, norm, and programmatic activities. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
ACEs Resource Collection
View ACEs-related resources in the Resource Library.
Centers for Disease Control ACEs Page
Access ACEs-related information and resources.
Local Efforts
Learn more about the Cuyahoga County Board of Health's ACEs Program.
Indicator Gauge Icon Legend
Legend Colors
Red is bad, green is good, blue is not statistically different/neutral.
Compared to Distribution
the value is in the best half of communities.
the value is in the 2nd worst quarter of communities.
the value is in the worst quarter of communities.
Compared to Target
meets target; 
does not meet target.
Compared to a Single Value
lower than the comparison value;
higher than the comparison value;
not statistically different from comparison value.
Trend
non-significant change over time; 
significant change over time; 
no change over time.
Compared to Prior Value
higher than the previous measurement period;
lower than the previous measurement period;
no statistically different change from previous measurement period.
State: Ohio
Health / Alcohol & Drug Use
Value
Compared to:
State: Ohio Adults who Drink Excessively
State: Ohio Adults who Drink Excessively
20.0%
(2021)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(18.1%)
The regional value is compared to the national value.
Prior Value
(19.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
40.4
Deaths per 100,000 population
(2018-2020)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(23.5)
The regional value is compared to the national value.
Prior Value
(42.0)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
State: Ohio Death Rate due to Drug Poisoning
State: Ohio Death Rate due to Drug Poisoning
42.2
Deaths per 100,000 population
(2019-2021)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(27.2)
The regional value is compared to the national value.
HP 2030 Target
(20.7)
<div>SU-03: Reduce drug overdose deaths <strong>(LEADING HEALTH INDICATOR)</strong></div>
1.3%
(2023)
Compared to:
US Value
(1.3%)
The regional value is compared to the national value.
Prior Value
(1.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Health / Cancer
Value
Compared to:
State: Ohio All Cancer Incidence Rate
State: Ohio All Cancer Incidence Rate
465.3
Cases per 100,000 population
(2016-2020)
Compared to:
U.S. States
The distribution is based on data from 48 U.S. states and the District of Columbia.
US Value
(442.3)
The regional value is compared to the national value.
Prior Value
(471.5)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio Lung and Bronchus Cancer Incidence Rate
State: Ohio Lung and Bronchus Cancer Incidence Rate
64.7
Cases per 100,000 population
(2016-2020)
Compared to:
U.S. States
The distribution is based on data from 48 U.S. states and the District of Columbia.
US Value
(54.0)
The regional value is compared to the national value.
Prior Value
(66.7)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio Oral Cavity and Pharynx Cancer Incidence Rate
State: Ohio Oral Cavity and Pharynx Cancer Incidence Rate
12.6
Cases per 100,000 population
(2016-2020)
Compared to:
U.S. States
The distribution is based on data from 48 U.S. states and the District of Columbia.
US Value
(11.9)
The regional value is compared to the national value.
Prior Value
(12.5)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Health / Health Care Access & Quality
Value
Compared to:
State: Ohio Children with Health Insurance
State: Ohio Children with Health Insurance
95.5%
(2022)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(94.9%)
The regional value is compared to the national value.
Prior Value
(94.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Community / Crime & Crime Prevention
Value
Compared to:
State: Ohio Violent Crime Rate
State: Ohio Violent Crime Rate
359.0
Crimes per 100,000 population
(2023)
Compared to:
US Value
(380.7 in 2022)
The regional value is compared to the national value. The source for the national value is Federal Bureau of Investigation
Prior Value
(361.6)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Community / Social Environment
Value
Compared to:
State: Ohio Substantiated Child Abuse Rate
State: Ohio Substantiated Child Abuse Rate
6.9
Cases per 1,000 children
(2021)
Compared to:
Prior Value
(6.8)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
HP 2030 Target
(8.7)
State: Ohio Children in Single-Parent Households
State: Ohio Children in Single-Parent Households
26.4%
(2018-2022)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(24.9%)
The regional value is compared to the national value.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Economy / Employment
Value
Compared to:
State: Ohio Unemployed Workers in Civilian Labor Force
State: Ohio Unemployed Workers in Civilian Labor Force
4.2%
(January 2024)
Compared to:
U.S. States
The distribution is based on non-seasonally-adjusted data from 50 U.S. states and the District of Columbia.
US Value
(4.1%)
The regional value is compared to the national value.
Prior Value
(3.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Economy / Food Insecurity
Value
Compared to:
State: Ohio Child Food Insecurity Rate
State: Ohio Child Food Insecurity Rate
14.8%
(2021)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(12.8%)
The regional value is compared to the national value.
Prior Value
(15.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Economy / Income
Value
Compared to:
State: Ohio Income Inequality
State: Ohio Income Inequality
0.466
(2018-2022)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(0.483)
The regional value is compared to the national value.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Economy / Poverty
Value
Compared to:
State: Ohio Families Living Below Poverty Level
State: Ohio Families Living Below Poverty Level
9.3%
(2018-2022)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(8.8%)
The regional value is compared to the national value.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
State: Ohio
Education / Student Performance K-12
Value
Compared to:
State: Ohio High School Graduation
State: Ohio High School Graduation
91.6%
(2021-2022)
Compared to:
US Value
(86.5% in 2020)
The regional value is compared to the national value. The source for the national value is National Center for Education Statistics
Prior Value
(91.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
HP 2030 Target
(90.7%)
