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AHA improves the health and well-being of Wake County residents by facilitating and supporting community initiatives.

Adverse Childhood Experiences (ACEs)

The CDC-Kaiser Permanente ACEs study included more than 17,000 middle class Americans in San Diego from 1995-1997. Nearly 2/3 of adults reported at least one ACE.

Adverse Childhood Experiences (ACEs) have a significant impact on health, quality of life, economics and education. Research shows ACEs are common, they affect all socioeconomic levels, and their impact on health and well-being is significant. (See What Are ACEs and How Do They Impact Health?)

Ten adverse childhood experiences are categorized in three areas: abuse, neglect and household challenges.

 “The child may not remember, but the body remembers.”–from the documentary Resilience

While ACEs significantly increase the likelihood of disease and illness, there are opportunities for prevention and mitigation. Research shows that the presence of one stable, caring adult in a child’s life is key to building resilience.

Together we as a community can work to prevent ACEs and mitigate their impact for a healthy, thriving and economically strong Wake County.


AHA launched a Wake County discussion on ACEs and building resilience on April 6, 2017; a follow-up community conversation will be held in fall 2017.

Communities Addressing ACEs: Model Programs


Resources: Understanding & Mitigating ACEs

ACEs Prevention

Building Resilience: Interventions














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