Adverse childhood experiences (ACEs) are events of abuse,
neglect, and household dysfunction occurring between
birth and 17 years of age. Studies have found a direct
correlation between ACEs and risky behaviors, poor
physical health, and poor mental health outcomes in childhood.
Positive childhood experiences (PCEs) include a
nurturing, safe, and supportive environment allowing for
health development and overall wellness. In prior
research, rural-urban differences in PCEs have not been
examined using all 50 states. This brief examines the
types and counts of ACEs and PCEs for rural and urban
children. The study also reports on the differences
between rural and urban ACEs and PCEs across all 50
states and the District of Columbia.