A study by the Darla Moore School of Business at the University of South Carolina estimates that higher medical costs, increased workplace absenteeism, and lower wage levels collectively cause $74.2 billion in annual economic losses across South Carolina. This amount reflects all business activity in the state that is lost, either directly or indirectly, due to the long-term health and employment impacts of child abuse and neglect.

The study used South Carolina data on adverse childhood experiences (ACEs) to measure the frequency of child abuse and neglect. ACEs are direct experiences individuals have before age 18, including violence, abuse, neglect, and indirect experiences such as witnessing family violence or having a parent with substance abuse or mental health issues. Children who experience ACEs face a higher risk of negative outcomes later in life, including chronic health conditions and early death.

The study commissioned by Children’s Trust of South Carolina also highlights the economic power of prevention and intervention efforts. Currently, the study estimates that modest prevention efforts to reduce the number of adverse childhood experiences could save the state $21 billion in statewide economic impact over ten years, due to lower losses from reduced earnings, medical expenses, and workplace absenteeism.

County-level Fact Sheets for the Economic Impact of Child Abuse and Neglect

Explore the county-level fact sheets that share population numbers for adults experiencing one or more ACEs, four or more ACEs, the lost economic activity, and potential prevention impacts.

County-level Profiles ›

State-level Profile (PDF) ›