Adverse Childhood Experiences have been associated with poor health outcomes later in life. The objective of the study was to determine the relationship between cumulative ACEs, risky health behaviors, chronic diseases, and mental health among a large-scale sample from the Emirate of Abu Dhabi. A retrospective cross-sectional study was performed with 922 participants over the age of 18, living in Abu Dhabi. The Adverse Childhood Experiences International Questionnaire (ACE-IQ) was used to assess ACEs, alongside a survey of adult health outcomes, mental health outcomes, and risk-taking behaviors. Logistic regression models examined the association between retrospective ACEs and these outcomes. The respondents reported an average of 1.74 ACEs. The most prevalent ACEs were household violence, parental death or divorce, and community violence. The accumulation of ACEs significantly predicts increases in the risk of a variety of adult-onset health morbidities, all measured mental health morbidities, and all measured risk-taking behaviors, with evidence of thresholds of ACE accumulation dictating risk. The baseline presence of ACEs among this Abu Dhabi sample, along with the associated risks of physical and mental health morbidities, and risk-taking behaviors play a significant role in understanding the extent, nature, and associated sequalae of ACEs in this population; providing nuanced context for early intervention. Our findings will inform the planning and implementation of specific prevention and awareness raising programs while promoting safe environments where children are healthy and can thrive.

中文翻译：

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阿拉伯联合酋长国阿布扎比酋长国不良童年经历的发生率及其与终生健康结果相关的累积影响

不良的童年经历与以后的健康状况不佳有关。该研究的目的是确定阿布扎比酋长国大规模样本中累积 ACE、危险健康行为、慢性疾病和心理健康之间的关系。对居住在阿布扎比的 922 名 18 岁以上参与者进行了回顾性横断面研究。不良童年经历国际问卷 (ACE-IQ) 用于评估 ACE，以及​​对成人健康结果、心理健康结果和冒险行为的调查。逻辑回归模型检查了回顾性 ACE 与这些结果之间的关联。受访者报告平均 1.74 个 ACE。最常见的 ACE 是家庭暴力、父母死亡或离婚以及社区暴力。 ACE 的积累可显着预测各种成人发病的健康疾病、所有测量的心理健康疾病以及所有测量的冒险行为的风险增加，并有证据表明 ACE 积累的阈值决定风险。阿布扎比样本中 ACE 的基线存在情况，以及身心健康发病的相关风险以及冒险行为，对于了解该人群中 ACE 的程度、性质和相关后遗症发挥着重要作用；为早期干预提供细致入微的背景。我们的研究结果将为具体预防和提高认识计划的规划和实施提供信息，同时促进儿童健康成长的安全环境。