Following the methodology of Merrick and colleagues [11], states that included ACE items in their optional modules were contacted to establish data use agreements. The ACEs data from each state were merged (along with demographic and weighting variables) from 2009 to 2017 (see Table 1 and Fig. 2). Survey weights, which were included in the acquired data, were used to adjust the data to conform to population parameters provided by the CDC. Table 1Shows the study breakdown by state and year2009 New Mexico2011 Maine Minnesota Montana Nebraska Vermont Washington2014 Florida North Carolina West Virginia2015 Alaska California Kentucky Ohio Texas2016 Arizona Arkansas Georgia Hawaii Louisiana Michigan New York Oklahoma Pennsylvania South Carolina2017 Connecticut Illinois Iowa Nevada Oregon South Dakota Tennessee Virginia Wisconsin