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8 from the Department of Health and Human Services and (4) clinic patients from the health department. OCHD staff developed an aggregate indicator measuring the likelihood of a neighborhood being low- income, scoring from 0 to 4 (most likely low-income neighborhood). This score is calculated for every 1/4 mile block in Orange County, for blocks with more than 30 residential addresses of any type. From this analysis, six poverty zones were identified based on 1) the concentration of areas scoring high on the Poverty Index and 2) proximity to schools. The age and gender distribution of Orange County and NC populations living below the poverty level are considerably lower compared to data expressed from 2010. In all categories, except 18 to 64 years, Orange County shows the percent of the population living below the poverty level is lower than NC (see table 4). EplRa 7.5% of residents in the civilian labor force are unemployed compared to 10.5% of the civilian labor force in NC. vMga The Health Department, community leaders, and families know that health is not just what happens inside a clinic. A child’s health is linked directly to their earliest family and community experiences, how well they do in school, and their health and income decades after graduation. Decades of research show that the more adverse events a child experiences in their earliest years, the more likely they are to experience chronic diseases, mental health issues, and behaviors that lead to teen pregnancy or the contraction of sexually transmitted diseases later in life10. Adverse experiences range from physical, emotional, or sexual abuse to parental divorce or substance abuse by a parent11. Over half of North Carolinians surveyed during the 2012 Behavioral Risk Factor Surveillance System Survey reported experiencing ACEs, and those who reported higher numbers of ACEs were more likely to be low-income, have less than a high-school education, and be unemployed12. Tabl 4:OagadN plaLvgBlw hvLvl %BlwvLvl Oag Nhala Population for whom poverty status is determined 16.8% 17.6% Ag Under 18 years 15.7% 25% 18 to 64 years 19% 16.5% 65 years and over 5.9% 9.9% Gd Male 14.9% 16.1% Female 18.6% 18.9% “Children living in poverty are much more likely to experience adverse childhood events such as abuse, neglect, or a general category of household dysfunction. - Dr. Colleen Bridger, Orange County Health Director