provided a way to use the most recent BRFSS ACEs data to analyze all states and include more respondents. There was further support for this approach in a recent analysis of state-level BRFSS ACEs data spanning 2011-2020 (the minimum timeline to include data from all states), which reported that respondents who skipped some ACEs questions (27% of respondents) had a higher prevalence of individual ACEs compared with survey respondents who answered all ACE questions.16 Estimated proportions of US adults with ACEs by count including small area estimates (unpublished study by M.V.A. et al) were applied to 2019 US Census Bureau population counts.21
