Adverse childhood experiences and adult health
Everything on the California State Explorer comes from the state-published sources below, loaded as published. The dashboard computes nothing from them; it carries each publisher's own confidence intervals and suppression.
UCLA Center for Health Policy Research, AskCHIS. California Health Interview Survey. Direct estimate. Retrieved 2026-10-27 (tool export; sha256 aeccfb886cba…). Publisher's page
The direct county series. AskCHIS answers one variable, geography set and year selection per query and exports each as an .xlsx; the raw file is those exports flattened by scripts/substate/askchis-xlsx.ts (one row per cell, with each export's sha256). Twenty exports of the 8-point variable on 2026-10-27: all 44 counties and county groups for 2024+2025 and for 2022+2023; the seven regions and the state for those two pooled windows and each single year 2021 to 2025; and the regions by age, sex, race, education and poverty level for both windows (those cross-tabs are not loaded: AskCHIS publishes no breakdowns below the regions, so on a map of counties they would show for Los Angeles County alone). One export of the 11-item variable is in the raw folder for reference and is not loaded. The 'Los Angeles County' region column is loaded as Los Angeles County. Only periods with a county export are loaded (2022+2023 and 2024+2025), so the map shows the same 44 areas in every period it offers; the single-year region tables stay in the raw file until counties are exported for them.
| Survey years and pooling | Two pooled windows, survey years 2022+2023 and 2024+2025, for the counties, the regions and the state alike. AskCHIS pools years as population-weighted averages of each year's estimate and variance. |
| Weighting and estimation | CHIS's own survey weights, raked to California's population by county: the sample is drawn and weighted at the county level, with small counties sampled as three multi-county groups. Estimates are direct weighted tabulations of respondents, not modeled. |
| Suppression rule | AskCHIS prints '-' with the footnote '- suppressed due to small sample size' (its technical note: a cell whose population estimate is below 500). Those cells are loaded as suppressed. It prints an asterisk and the footnote '* statistically unstable' on a cell whose coefficient of variation is 30% or more and 'recommends against reporting or relying on' such estimates; the dashboard follows that advice and loads flagged cells as suppressed too, with the flag as the reason. No loaded cell is flagged or withheld; both occur only in the regional breakdowns, which are not loaded. |
| Reliability | A 95% confidence interval and a weighted population estimate accompany every published cell. Unweighted sample sizes are not shown by the tool. |
| Population | California adults 18 and older (the CHIS adult universe); every respondent is asked the module, so there is no module non-response split. No demographic breakdowns are loaded: AskCHIS publishes them for the seven regions and the state, not for counties. |
| Measures and buckets | The 8-point scale combines CHIS's eleven ACE questions (which mirror the 2009 to 2020 BRFSS module) into the dashboard's eight categories, so 0 and 4 or more match the dashboard's bands and 1, 2 and 3 are its exact score groups. No demographic buckets are loaded, so none map onto the dashboard's members. |
| Comparability | A different survey from BRFSS: CHIS interviews by web and telephone from an address-based sample, so levels differ from the dashboard's CDC-derived California values and should not be compared with them or shown as a trend against them. AskCHIS publishes the ACE score groups only; the individual adverse experiences are not published below the state in any public California product, so this state has no counterpart to the per-item measures the dashboard shows elsewhere. CHIS revised its 2021 to 2023 files in October 2026; these exports post-date that revision. |
| Citation | Source: 2022, 2023, 2024 and 2025 California Health Interview Survey. UCLA Center for Health Policy Research, AskCHIS, extracted 2026-10-27. CHIS asks that AskCHIS data be cited as the California Health Interview Survey with the survey years. |
| Measure | Explore counterpart | Periods | Cells | Withheld |
|---|---|---|---|---|
| No ACEs (score 0) | Percent of adults with 0 ACEs | 2022 to 2023, 2024 to 2025 | 102 | 0 |
| 4 or more ACEs | Percent of adults with 4+ ACEs | 2022 to 2023, 2024 to 2025 | 102 | 0 |
| Exactly 1 ACE | Explore maps cumulative bands (1 or more, 2 or more, ...), not single scores; the exact group is the difference of two bands and is not offered as a map metric. | 2022 to 2023, 2024 to 2025 | 102 | 0 |
| Exactly 2 ACEs | Explore maps cumulative bands (1 or more, 2 or more, ...), not single scores; the exact group is the difference of two bands and is not offered as a map metric. | 2022 to 2023, 2024 to 2025 | 102 | 0 |
| Exactly 3 ACEs | Explore maps cumulative bands (1 or more, 2 or more, ...), not single scores; the exact group is the difference of two bands and is not offered as a map metric. | 2022 to 2023, 2024 to 2025 | 102 | 0 |
| Area | Kind | Counties (FIPS) |
|---|---|---|
| California | Statewide | |
| Alameda County | County | 06001 |
| Alpine County | County | 06003 |
| Amador County | County | 06005 |
| Butte County | County | 06007 |
| Calaveras County | County | 06009 |
| Colusa County | County | 06011 |
| Contra Costa County | County | 06013 |
| Del Norte County | County | 06015 |
| El Dorado County | County | 06017 |
| Fresno County | County | 06019 |
| Glenn County | County | 06021 |
| Humboldt County | County | 06023 |
| Imperial County | County | 06025 |
| Inyo County | County | 06027 |
| Kern County | County | 06029 |
| Kings County | County | 06031 |
| Lake County | County | 06033 |
| Lassen County | County | 06035 |
| Los Angeles County | County | 06037 |
| Madera County | County | 06039 |
| Marin County | County | 06041 |
| Mariposa County | County | 06043 |
| Mendocino County | County | 06045 |
| Merced County | County | 06047 |
| Modoc County | County |
| 06049 |
| Mono County | County | 06051 |
| Monterey County | County | 06053 |
| Napa County | County | 06055 |
| Nevada County | County | 06057 |
| Orange County | County | 06059 |
| Placer County | County | 06061 |
| Plumas County | County | 06063 |
| Riverside County | County | 06065 |
| Sacramento County | County | 06067 |
| San Benito County | County | 06069 |
| San Bernardino County | County | 06071 |
| San Diego County | County | 06073 |
| San Francisco County | County | 06075 |
| San Joaquin County | County | 06077 |
| San Luis Obispo County | County | 06079 |
| San Mateo County | County | 06081 |
| Santa Barbara County | County | 06083 |
| Santa Clara County | County | 06085 |
| Santa Cruz County | County | 06087 |
| Shasta County | County | 06089 |
| Sierra County | County | 06091 |
| Siskiyou County | County | 06093 |
| Solano County | County | 06095 |
| Sonoma County | County | 06097 |
| Stanislaus County | County | 06099 |
| Sutter County | County | 06101 |
| Tehama County | County | 06103 |
| Trinity County | County | 06105 |
| Tulare County | County | 06107 |
| Tuolumne County | County | 06109 |
| Ventura County | County | 06111 |
| Yolo County | County | 06113 |
| Yuba County | County | 06115 |
| Tehama, Glenn, Colusa counties | Combined counties | 6103, 6021, 6011 |
| Tuolumne, Calaveras, Amador, Inyo, Mariposa, Mono, Alpine counties | Combined counties | 6109, 6009, 6005, 6027, 6043, 6051, 6003 |
| Del Norte, Siskiyou, Lassen, Trinity, Modoc, Plumas, Sierra counties | Combined counties | 6015, 6093, 6035, 6105, 6049, 6063, 6091 |
| Northern / Sierra Counties | Region | 6007, 6023, 6045, 6103, 6021, 6011, 6115, 6109, 6009, 6005, 6027, 6043, 6051, 6003, 6089, 6015, 6093, 6035, 6105, 6049, 6063, 6091, 6033, 6101, 6057 |
| Bay Area Counties | Region | 6085, 6013, 6081, 6095, 6055, 6001, 6075, 6097, 6041 |
| Sacramento Area Counties | Region | 6067, 6113, 6061, 6017 |
| San Joaquin Valley | Region | 6019, 6077, 6107, 6031, 6029, 6099, 6047, 6039 |
| Central Coast Counties | Region | 6111, 6087, 6053, 6083, 6079, 6069 |
| Other Southern California Counties | Region | 6059, 6071, 6025, 6073, 6065 |