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Background <p>Traumatic distress is a major global public health concern requiring cross-cultural understanding.</p> Methods <p>Using nationally representative data from the Global Flourishing Study (<i>N</i> = 202,898; 22 countries), we estimated country-specific prevalence of traumatic distress and examined 9 sociodemographic and 13 childhood predictors. Random-effects meta-analyses assessed cross-country variation and associations.</p> Results <p>Here we show that the prevalence of traumatic distress ranges from 16% (Poland) to 53% (Egypt). Higher prevalence of distress is observed among younger individuals, gender-diverse groups, those separated from partners, unemployed, less educated, those born outside their country and those who attend religious services regularly. Several childhood experiences at age 12 are associated with a higher risk of traumatic distress, including abuse, family financial insecurity, feeling like an outsider, parental divorce, and poor health. Childhood abuse is a significant predictor in 21 countries.</p> Conclusions <p>Traumatic distress prevalence and predictors vary across countries and are shaped by both current sociodemographic and early-life factors.</p>

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A cross-national study of demographic variation and childhood predictors of traumatic distress

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月22日

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  • Meekang Sung,
  • Seth A. Mattson,
  • Richard G. Cowden,
  • Renae Wilkinson,
  • R. Noah Padgett,
  • Christy Denckla,
  • Koichiro Shiba,
  • Byron R. Johnson,
  • Tyler J. VanderWeele

摘要

Background

Traumatic distress is a major global public health concern requiring cross-cultural understanding.

Methods

Using nationally representative data from the Global Flourishing Study (N = 202,898; 22 countries), we estimated country-specific prevalence of traumatic distress and examined 9 sociodemographic and 13 childhood predictors. Random-effects meta-analyses assessed cross-country variation and associations.

Results

Here we show that the prevalence of traumatic distress ranges from 16% (Poland) to 53% (Egypt). Higher prevalence of distress is observed among younger individuals, gender-diverse groups, those separated from partners, unemployed, less educated, those born outside their country and those who attend religious services regularly. Several childhood experiences at age 12 are associated with a higher risk of traumatic distress, including abuse, family financial insecurity, feeling like an outsider, parental divorce, and poor health. Childhood abuse is a significant predictor in 21 countries.

Conclusions

Traumatic distress prevalence and predictors vary across countries and are shaped by both current sociodemographic and early-life factors.