Type of ACEs Questions Operational Definition
Abusive 1) How often did a parent or adult in your home ever swear at you, insult you, or put you down? Never vs. At least once
2) How often did anyone at least 5 years older than you or an adult, ever touch you sexually? Never vs. At least once
3) How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? Never vs. At least once
4) How often did anyone at least 5 years older than you or an adult, force you to have sex? Never vs. At least once
5) Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Do not include spanking. Never vs. At least once
Nonabusive 1) Did you live with anyone who was depressed, mentally ill or suicidal? No vs. Yes
2) Did you live with anyone who was a problem drinker or alcoholic? No vs. Yes
3) Did you live with anyone who used illegal street drugs or who abused prescription medications? No vs. Yes
4) Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? No vs. Yes
5) Were your parents separated or divorced? No vs. Yes
6) How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? Never vs. At least once
Table 1: Types of ACEs, related BRFSS questions and operational definitions.