American Indian and African American Kids More Likely to Experience Multiple Adverse Events - The Annie E. Casey Foundation

American Indian and African American Kids More Likely to Experience Multiple Adverse Events

Posted July 19, 2021
By the Annie E. Casey Foundation
Update adverseexperiences 2021

Nation­al­ly, more than one in three Amer­i­can Indi­an chil­dren and one in four African Amer­i­can chil­dren has had mul­ti­ple adverse expe­ri­ences, accord­ing to new data from the Nation­al Sur­vey of Children’s Health.

What Is an Adverse Child­hood Experience?

Adverse expe­ri­ences are poten­tial­ly trau­mat­ic child­hood events, such as parental death, divorce or incar­cer­a­tion, fam­i­ly or neigh­bor­hood vio­lence, fre­quent socioe­co­nom­ic hard­ship or liv­ing with some­one who was men­tal­ly ill, sui­ci­dal, deal­ing with sub­stance abuse or racial­ly biased. These expe­ri­ences can dis­rupt children’s healthy devel­op­ment and have long-term, harm­ful effects on phys­i­cal health, men­tal health, edu­ca­tion, and oth­er life out­comes. The more adverse and trau­mat­ic events a child expe­ri­ences, the greater the risk of last­ing, neg­a­tive impacts.

The promis­ing news is that adverse child­hood expe­ri­ences and their harm­ful effects are pre­ventable. Pol­i­cy­mak­ers can work to ensure that effec­tive sys­tems, poli­cies, and ser­vices are in place to strength­en under-resourced com­mu­ni­ties, sup­port fam­i­lies, and pro­vide all chil­dren with safe, sta­ble, pos­i­tive rela­tion­ships and environments.

Racial Inequities in Who Expe­ri­ence Adverse Events

While adver­si­ty is com­mon among U.S. chil­dren, with near­ly one in five kids — or more than 13 mil­lion total — hav­ing mul­ti­ple adverse expe­ri­ences, the dis­par­i­ties for Amer­i­can Indi­an and African Amer­i­can chil­dren are stark and have per­sist­ed across all years of data avail­able from this survey.

Children who have experienced two or more adverse experiences by race

The data reveal a need to address the sys­temic inequities dri­ving these dif­fer­ences and to increase sup­port for the nation’s most vul­ner­a­ble chil­dren and fam­i­lies. At the same time, the data also reveal a hope­ful trend, with the per­cent­age of African Amer­i­can chil­dren expe­ri­enc­ing mul­ti­ple adverse events declin­ing from 33% in 201617 to 25% in 201819.

Where Adverse Child­hood Expe­ri­ences Are Occurring

At the state lev­el, data show vary­ing lev­els of child­hood adver­si­ty across the coun­try, from a low of 13% of chil­dren hav­ing two or more adverse expe­ri­ences in New Jer­sey to a high of 29% in Arkansas in 201819. Pre­vi­ous years of data show a sim­i­lar spectrum.

Access fam­i­ly and com­mu­ni­ty data on the KIDS COUNT Data Center: