{
  "abstract": "Background: Adverse childhood experiences (ACEs) have been associated with multiple adult physical-health, mental-health and behavioural indicators. This study identified adult-reported health and behavioural-risk profiles in an Abu Dhabi convenience sample and examined their associations with alternative operationalisations of retrospectively reported ACEs.\n\nMethods: Among 922 adults, 918 contributed to latent class analysis of 18 physical-condition, mental-health-condition and behavioural indicators. ACE exposure was represented by a standardised version of the archived 13-domain available-item count and by three re-estimated classes. In the count, unobserved domains were treated as unendorsed when at least one domain was observed; otherwise, the count was missing. Multinomial models used 200 pseudo-class draws to propagate adult-profile uncertainty and, for ACE-class models, uncertainty in both classifications. Unadjusted and age-, gender- and nationality-adjusted relative risk ratios (RRRs) were reported.\n\nResults: The retained four-class solution comprised Low burden, Substance/prescription vulnerability, Cardiometabolic burden and Mental health and multi-burden. Their modal-assignment proportions were 57.1%, 15.9%, 11.5% and 15.5%, respectively. Each one-standard-deviation increase in ACE count was most strongly associated with Mental health and multi-burden versus Low burden (unadjusted RRR 2.94, 95% confidence interval 2.38–3.63; adjusted 2.86, 2.30–3.55). Adjusted count associations with Substance/prescription vulnerability (1.51, 1.15–2.00) and Cardiometabolic burden (1.39, 1.03–1.86) had unadjusted intervals including 1. Versus Low adversity, Household/interpersonal adversity was associated with Mental health and multi-burden (adjusted 7.21, 4.12–12.60); Polyvictimisation/high violence was associated with Mental health and multi-burden (21.31, 8.74–51.95) and Cardiometabolic burden (3.92, 1.21–12.72), but estimates were imprecise.\n\nConclusions: Retrospectively reported ACEs were associated most consistently with membership in the Mental health and multi-burden profile. Several smaller adjusted associations were specification-sensitive, and estimates involving Polyvictimisation/high violence were imprecise.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "Anthony Murphy"
    },
    {
      "name": "Neal Horen"
    },
    {
      "name": "Toby Long"
    },
    {
      "name": "Timothy G. Edgemon"
    },
    {
      "name": "Iffat Elbarazi"
    },
    {
      "name": "Dawn England"
    },
    {
      "name": "Cairo Arafat"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b97bz8qvd9eat.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-29611-3",
  "fulltext_url": null,
  "id": "b97bz8qvd9eat",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://link.springer.com/article/10.1186/s12889-026-29611-3",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3203|Child Abuse and Trauma"
    ]
  ],
  "openalex": "W7221986339",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-15",
  "publisher": "Springer Science and Business Media LLC",
  "ris": "https://research.draconitic.com/paper/b97bz8qvd9eat.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:54Z",
      "native_id": "10.1186/s12889-026-29611-3",
      "source": "crossref",
      "url": "https://link.springer.com/article/10.1186/s12889-026-29611-3"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Child Abuse and Trauma",
      "subfield": "psychiatry"
    }
  ],
  "title": "Patterns of adversity, patterns of burden: a person-centred analysis of adult health and behavioural-risk profiles in Abu Dhabi",
  "title_text": "Patterns of adversity, patterns of burden: a person-centred analysis of adult health and behavioural-risk profiles in Abu Dhabi",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:54Z",
  "url": "https://research.draconitic.com/paper/b97bz8qvd9eat",
  "venue": "BMC Public Health",
  "versions": []
}