Table 3.

Odds of Believing It is Very Important for Providers to Ask about Adverse Childhood Experiences (n = 24,441)

AOR95%CI
Variable
Ever screened for ACEs by a health professional
 No
 Yes3.25(2.78, 3.81)
Number of ACEs
 0ReferenceReference
 1 to 31.02(0.94, 1.10)
 4 or more1.27(1.16, 1.41)
Race and Ethnicity
 Non-Hispanic WhiteReferenceReference
 Hispanic/Latinx1.23(1.11, 1.36)
 Black or African American1.21(1.00, 1.48)
 American Indian or Alaska Native1.35(0.70, 2.62)
 Asian0.82(0.74, 0.92)
 Other race or two or more races1.02(0.85, 1.24)
Gender
 ManReferenceReference
 Woman1.35(1.23, 1.48)
Age
 18 to 39ReferenceReference
 40 to 640.73(0.67, 0.81)
 65 and over0.70(0.53, 0.92)
Sexual orientation
 HeterosexualReferenceReference
 Gay, lesbian or homosexual1.19(0.97, 1.47)
 Bisexual1.30(1.10, 1.53)
 Don't know or other1.98(1.42, 2.77)
Gender identity
 CisgenderReferenceReference
 Transgender or gender non-conforming1.04(0.67, 1.61)
Marital status
 MarriedReferenceReference
 Living as married1.17(1.02, 1.34)
 Widowed, separated or divorced1.12(1.01, 1.23)
 Never married1.00(0.90, 1.12)
Citizenship status
 US-born citizenReferenceReference
 Naturalized citizen1.19(1.06, 1.35)
 Non-citizen1.35(1.17, 1.57)
Household income
 Under 100% of federal poverty levelReferenceReference
 100% and above the federal poverty level0.89(0.79, 1.00)
Educational attainment
 Less than high schoolReferenceReference
 High school0.78(0.66, 0.92)
 Some college0.76(0.65, 0.89)
 College degree or above0.90(0.76, 1.07)
Current insurance
 Medicaid or other public coverageReferenceReference
 Employer sponsored coverage1.10(0.96. 1.25)
 Uninsured1.01(0.82, 1.24)
 Medicare alone or in combination1.02(0.79, 1.30)
 Privately purchased insurance0.90(0.75, 1.08)
Visited doctor in past 12 months
 NoReferenceReference
 Yes1.17(1.06, 1.28)
Health status
 Good, very good or excellentReferenceReference
 Fair or poor0.96(0.84, 1.08)
Psychological distress in past year
 NoReferenceReference
 Yes1.26(1.11, 1.42)
  • Abbreviations: ACEs, adverse childhood experiences; AOR, adjusted odds ratio; CI, confidence interval.

  • Significant associations in bold.