Researchers are just beginning to look at the supplemental categories on a large scale, but the preliminary data indicates that stressors at the household level (the traditional ACEs) seem to have a greater effect on health than stressors at the community level. This was a surprise to many in the field (myself included), but the data suggests that if a child grows up in a stressful community environment but has a well-supported and healthy caregiver, he or she is much more likely to stay in the tolerable stress zone as opposed to the toxic stress zone.
