1. Adverse Childhood Experiences (aces) in Delaware: Data from the
2018 State Epidemiological Profile
Prepared by the: University of Delaware
Center for Drug and Health Studies on behalf of the
Strategic Prevention Framework – Partnerships for Success Project

2. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Delaware adults who have experienced one or more ACE in their lifetime (in percentages)
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Source: “2015 Delaware Household Health Survey (DHHS).” The Delaware Public Health Institute.
2018 Delaware State Epidemiological Profile

3. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Percent of Delaware Adults 18 and Older Who Indicated Having a Dysfunctional Household, 2015
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Source: “2015 Delaware Household Health Survey (DHHS).” The Delaware Public Health Institute.
2018 Delaware State Epidemiological Profile

4. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Breakdown of Adverse Childhood Experience
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Source: “2015 Delaware Household Health Survey (DHHS).” The Delaware Public Health Institute.
2018 Delaware State Epidemiological Profile

5. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Adverse Childhood Experiences Among Children 0-17 Years of Age in the U.S. and Delaware, 2016
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Source: National Survey of Children's Health (NSCH), 2016.
2018 Delaware State Epidemiological Profile

6. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Adverse Childhood Experiences Among Children 0-17 Years of Age in the U.S. and In Delaware, 2016
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Source: National Survey of Children's Health (NSCH), 2016.
2018 Delaware State Epidemiological Profile

7. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Adverse Childhood Experiences (ACE) Among Children 0-17 Years of Age in Delaware by Race and Ethnicity, 2016
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Source: National Survey of Children's Health (NSCH), 2016.
2018 Delaware State Epidemiological Profile

8. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Adverse Childhood Experiences (ACE) Among Children 0-17 Years of Age in Delaware by Poverty Status, 2016
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Source: National Survey of Children's Health (NSCH), 2016.
2018 Delaware State Epidemiological Profile

9. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Homelessness: where do you typically sleep at night? (in percentages)
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Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

10. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Homelessness and past month substance use
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Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

11. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Homelessness and past year mental health
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Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

12. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Incarceration: In the past year has either your mother or father been incarcerated? (in percentages)
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Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

13. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Incarcerated parent and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

14. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Incarcerated parent and past month mental health
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

15. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Exposure to violence indicators (in percentages)
Note: Unweighted data
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Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

16. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Fighting and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

17. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Fighting and past month mental health
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

18. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Threatened at School and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

19. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Threatened at school and past month mental health
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

20. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Bullying and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

21. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Bullying and past month mental health
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

22. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Teen dating violence (TDV) and sexual violence indicators (in percentages)
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

23. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Emotional teen dating violence and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

24. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Emotional teen dating violence and past month mental health
Table copied as image (cannot be altered)
Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

25. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Physical teen dating violence and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

26. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Physical teen dating violence and past month mental health
Table copied as image (cannot be altered)
Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

27. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Sexual teen dating violence and past month substance use
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Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

28. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Sexual teen dating violence and past month mental health
Table copied as image (cannot be altered)
Note: Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

29. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Forced sexual intercourse and contact (in percentages)
Note: Unweighted data; sexual things refer to kissing, touching, or being physically forced to have sexual intercourse
Table copied as image (cannot be altered)
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

30. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Forced sexual contact (TDV) and past month substance use
Table copied as image (cannot be altered)
Note: Unweighted data; sexual things refer to kissing, touching, or being physically forced to have sexual intercourse
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

31. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Forced sexual contact (TDV) and past month mental health
Table copied as image (cannot be altered)
Note: Unweighted data; sexual things refer to kissing, touching, or being physically forced to have sexual intercourse
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

32. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Forced sexual contact (general) and past month substance use
Table copied as image (cannot be altered)
Note: Unweighted data; sexual things refer to kissing, touching, or being physically forced to have sexual intercourse
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

33. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Forced sexual contact (general) and past month mental health
Table copied as image (cannot be altered)
Note: Unweighted data; sexual things refer to kissing, touching, or being physically forced to have sexual intercourse
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

34. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Aggregated adverse childhood experiences (in percentages)
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Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

35. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Aggregated ACEs by county and state
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Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

36. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) ACEs and past month substance use (in percentages)
Table copied as image (cannot be altered)
Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

37. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Aggregated ACEs and past month substance use
Table copied as image (cannot be altered)
Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

38. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) ACEs and past year mental health – self-report (in percentages)
Table copied as image (cannot be altered)
Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

39. 2018 Delaware State Epidemiological Profile
Adverse Childhood Experiences (ACES) Aggregated ACEs and past month mental health
Table copied as image (cannot be altered)
Notes: Students who confirmed experiencing any of the events above such as homelessness, incarcerated parent, fighting, being threatened, being bullied, or teen dating violence or sexual violence, were placed in either “1 ACE” or “2 or More ACEs” category depending on the number of different experiences they reported. Unweighted data
Source: “2017 Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware).
2018 Delaware State Epidemiological Profile

40. 2018 DELAWARE STATE EPIDEMIOLOGICAL PROFILE: SUBSTANCE USE AND RELATED ISSUES
This data chapter is an excerpt from the 2018 Delaware Epidemiological Profile. For more information about the Profile, please visit Delaware Epidemiological Reports
Prepared by the University of Delaware Center for Drug and Health Studies & Its State Partners for The Delaware SPF-PFS Program, The Delaware Division of Substance Abuse and Mental Health, & The State Epidemiological Outcomes Workgroup (SEOW, formerly the Delaware Drug and Alcohol Tracking Alliance/DDATA) Sponsored by Award SP to the Division of Substance Abuse and Mental Health, Delaware Health and Social Services, from the Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration. Please address all inquiries to: Laura Rapp, PhD, University of Delaware Center for Drug and Health Studies, Department of Sociology and Criminal Justice: