Adverse childhood experiences and adult health
Everything on the Pennsylvania 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.
Pennsylvania Department of Health, Health Informatics Office. Pennsylvania BRFSS. Direct estimate. Retrieved 2026-10-23 (tool export; sha256 3fecd6645413…). Publisher's page
Assembled from EDDIE's own CSV exports: the tool answers one module question per query and one geography when several demographic groups are requested, so the raw file is 99 exports (11 questions x 9 geographies) concatenated with the question as a column. Requested groups: all adults, sex, age, education, income and race/ethnicity (20 of EDDIE's 45).
| Survey years and pooling | Single survey years, never pooled. EDDIE offers 2016, 2019 and 2021 for every question and 2014 as well for seven of the eleven; each question is loaded for the years EDDIE offers it. |
| Weighting and estimation | Direct estimates from Pennsylvania's BRFSS sample, weighted with CDC's raking methodology (2011 to present) to the state's adult population; district figures use the respondents living in that district with the same weights. |
| Suppression rule | EDDIE's rule, quoted: "ND = Not displayed if sample is considered statistically unreliable." Its CSV export prints ND for some of those cells and omits others, so an ND row and every cell of the requested grid that the export lacks are both loaded as suppressed with that reason. |
| Reliability | A 95% confidence interval (lower and upper bound, whole percents) accompanies every published cell; no sample sizes are published. EDDIE also flags a district value that is significantly higher or lower than the state's, which is kept in the cell's published label. |
| Population | Pennsylvania adults 18 and older reached by the landline and cell telephone survey. Allegheny and Philadelphia counties are reported on their own and are excluded from the Southwest and Southeast districts. |
| Measures and buckets | Each of the 11 module questions is reported separately; there are no score groups. Six questions are exactly a dashboard category. The three sexual-abuse and two household substance questions are loaded as single items because the dashboard pools each set into one category. Pennsylvania's age cuts (18-29, 30-44, 45-64, 65+), its lowest education level and most of its income bands differ from the dashboard's and are kept as publisher buckets. |
| Comparability | Direct estimates on the same questions as the dashboard's CDC-derived Pennsylvania values for 2019; 2014, 2016 and 2021 are years CDC's public files do not carry for Pennsylvania. The Department advises that 2011 begins a trend break, which does not affect these years. |
| Citation | Health Informatics Office, Pennsylvania Department of Health. Enterprise Data Dissemination Informatics Exchange (EDDIE), Behavioral Risk Factor Surveillance System, Adverse Childhood Experiences, BRFSS District tables. "These data were provided by the Pennsylvania Department of Health. The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions." |
| Measure | Explore counterpart | Periods | Cells | Withheld |
|---|---|---|---|---|
| Emotional/Verbal Abuse | Emotional/Verbal Abuse | 2014, 2016, 2019, 2021 | 720 | 167 |
| Physical Abuse | Physical Abuse | 2014, 2016, 2019, 2021 | 720 | 169 |
| Witnessed Intimate Partner Violence | Witnessed Intimate Partner Violence | 2014, 2016, 2019, 2021 | 720 | 173 |
| Household Mental Illness | Household Mental Illness | 2014, 2016, 2019, 2021 | 720 | 165 |
| Household Member Incarcerated | Household Member Incarcerated | 2014, 2016, 2019, 2021 | 720 | 173 |
| Parental Separation/Divorce | Parental Separation/Divorce | 2014, 2016, 2019, 2021 | 720 | 168 |
| Someone 5+ years older touched them sexually | One question of a dashboard category that pools several (sexual abuse pools three questions, household substance abuse two), so the category prevalence is at least this and is not the same measure. | 2016, 2019, 2021 | 540 | 133 |
| Someone 5+ years older made them touch them sexually | One question of a dashboard category that pools several (sexual abuse pools three questions, household substance abuse two), so the category prevalence is at least this and is not the same measure. | 2016, 2019, 2021 | 540 | 134 |
| Forced to have sex with someone 5+ years older | One question of a dashboard category that pools several (sexual abuse pools three questions, household substance abuse two), so the category prevalence is at least this and is not the same measure. | 2016, 2019, 2021 | 540 | 136 |
| Lived with a problem drinker or alcoholic | One question of a dashboard category that pools several (sexual abuse pools three questions, household substance abuse two), so the category prevalence is at least this and is not the same measure. | 2014, 2016, 2019, 2021 | 720 | 160 |
| Lived with someone who used street drugs or abused prescriptions |
| Area | Kind | Counties (FIPS) |
|---|---|---|
| Pennsylvania | Statewide | |
| Northwest | Health district | 42023, 42031, 42033, 42039, 42047, 42049, 42053, 42065, 42073, 42083, 42085, 42121, 42123 |
| Southwest (excluding Allegheny County) | Health district | 42005, 42007, 42019, 42021, 42051, 42059, 42063, 42111, 42125, 42129 |
| North Central | Health district | 42015, 42027, 42035, 42037, 42081, 42093, 42097, 42105, 42109, 42113, 42117, 42119 |
| South Central | Health district | 42001, 42009, 42013, 42041, 42043, 42055, 42057, 42061, 42067, 42075, 42087, 42099, 42133 |
| Northeast | Health district | 42025, 42069, 42077, 42079, 42089, 42095, 42103, 42115, 42127, 42131 |
| Southeast (excluding Philadelphia County) | Health district | 42011, 42017, 42029, 42045, 42071, 42091, 42107 |
| Allegheny County | Health district | 42003 |
| Philadelphia County | Health district | 42101 |
| One question of a dashboard category that pools several (sexual abuse pools three questions, household substance abuse two), so the category prevalence is at least this and is not the same measure. |
| 2014, 2016, 2019, 2021 |
| 720 |
| 174 |