The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. 

Those with an ACE score of 4 or higher are:

• 3x more likely to be current smokers 
• 4x more likely to have a depressive disorder 
• 2x more likely to have asthma 
• 2x more likely to be obese 
• 4x more likely to have COPD 
• 3x more likely to have a stroke

Here are a few other highlights from the six-page report, "Adverse Childhood Experiences (ACEs): California Update, 2011-2013 Data". (The report is attached to this blog post.) 

People who have lower incomes have higher ACE scores.

The report also noted "significant differences" among racial/ethnic groups in California. As you can see, below, the Aleutian, Eskimo, and American Indian subgroup had the highest percentage of 4+ ACEs, with the lowest percentage of 4+ ACEs were in the Asian/Pacific Islander subgroup.

Here are the results of the individual ACE questions:

You'll note that there are only eight questions, instead of 10, as in the original CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study). Physical and emotional neglect were only included in the 2013 survey, not the 2011 survey. Since the data from both years have been combined in this report, the neglect questions were left out.

This survey is part of the national Behavioral Risk Factor Surveillance System (BRFSS), a survey system developed by the CDC that is done by telephone in all U.S. states. California is among 32 states that collect ACEs data using the BRFSS ACE module.