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Mental & Physical Health20266 min read

The Long Shadow of Childhood on Adult Health

Childhood experiences and adult self-rated physical health in 22 countries

Notable finding

Childhood abuse was tied to 0.40 points lower adult physical health on the 0–10 scale, significant in 17 of 22 countries.

By
Bradshaw, Matt et al.
Participants
202,898
Countries
22
Journal
BMC Global and Public Health
DOI
10.1186/s44263-026-00253-2
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§1

Key Takeaways

01

In a pooled analysis across 22 countries, nearly all childhood factors studied—including parent-child relations, financial status, abuse, childhood health, religious service attendance, year of birth, and gender—were associated with adult self-rated physical health, with less evidence for parental marital status and immigration status.

02

The strength of associations between childhood characteristics and adult self-rated physical health varied considerably across countries, particularly for childhood health, immigration status, and year of birth, while factors such as parent-child relations, financial status, abuse, and gender showed more consistent patterns across nations.

03

Sensitivity analyses indicated that several associations, especially those involving childhood abuse, childhood health, and financial hardship during childhood, were fairly robust against potential unmeasured confounding.

§2

Why It Matters

The health we experience as adults reflects the society we build for our children.

This research matters because it shows, on a global scale, that childhood experiences are associated with physical health decades later — not just in one country or culture, but across 22 diverse nations. For policymakers, this suggests that programs supporting children — through poverty reduction, abuse prevention, and family support — may relate to better long-term health outcomes for adults. For healthcare providers, it points to the value of understanding patients' childhood experiences as part of their overall health picture. And for anyone who experienced a difficult childhood, it offers context for why health challenges might feel more persistent. The cross-national findings are especially valuable because they show these patterns appearing around the world, though in different ways and with different strengths. Understanding why certain childhood experiences matter more in some countries than others could help each nation identify what best supports children's long-term health.

This research matters because it shows, on a global scale, that childhood experiences are associated with physical health decades later — not just in one country or culture, but across 22 diverse nations. For policymakers, this suggests that programs supporting children — through poverty reduction, abuse prevention, and family support — may relate to better long-term health outcomes for adults. For healthcare providers, it points to the value of understanding patients' childhood experiences as part of their overall health picture. And for anyone who experienced a difficult childhood, it offers context for why health challenges might feel more persistent. The cross-national findings are especially valuable because they show these patterns appearing around the world, though in different ways and with different strengths. Understanding why certain childhood experiences matter more in some countries than others could help each nation identify what best supports children's long-term health.

The health we experience as adults reflects the society we build for our children.

§3

The Story

Think about your childhood for a moment. Were you close with your parents? Did your family have enough money?

Our early years are written on our bodies, shaping our health long into adulthood.

Were you healthy? Did you feel like you belonged? A massive study of over 200,000 people across 22 countries suggests that these childhood experiences may be connected to how healthy you feel as an adult, sometimes decades later. Researchers asked people to rate their physical health on a scale from 0 to 10.

They also asked about many childhood experiences: relationships with parents, family finances, abuse, feeling like an outsider, childhood health, immigration, and religious service attendance. The findings were striking. People who experienced abuse as children rated their adult physical health about 0. 4 points lower on the 0-10 scale. Those who had poor health as kids rated themselves nearly a full point lower.

Growing up in a family that struggled financially was also connected to lower adult health ratings. On the flip side, people who attended religious services regularly as kids tended to rate their physical health higher, even in countries that are quite secular today. Feeling like an outsider in your own family growing up was also connected to lower physical health ratings later in life. And women, on average, rated their physical health lower than men did. But here's what makes this study special: these patterns didn't look the same everywhere. In some countries, certain childhood experiences mattered a lot. In others, they barely made a difference. For example, childhood abuse was tied to lower health ratings in 17 of the 22 countries, but not in all of them. Immigrants reported better physical health in some countries and worse in others. What this tells us is that childhood experiences appear alongside adult physical health, sometimes decades later. But the strength of these patterns varies by country, culture, and available support systems. It's a reminder that what children go through (whether abuse, financial hardship, or feeling left out) may be relevant not just for their childhood but for their health as adults too.

Figure
-0.82 points
Poor Childhood Health Impact

Adults who reported poor health during childhood rated their adult physical health 0.82 points lower on a 0–10 scale compared to those who reported good childhood health.

Figure
+0.70 points
Excellent Childhood Health Benefit

Adults who reported excellent health during childhood rated their adult physical health 0.70 points higher on a 0–10 scale compared to those who reported good childhood health.

Figure
1.62x
Robustness of Abuse Association

An unmeasured confounder would need to be associated with both childhood abuse and adult physical health by risk ratios of 1.62 each to explain away the observed association between abuse and lower adult self-rated physical health.

Figure
2.11x
Robustness of Childhood Health Association

An unmeasured confounder would need to be associated with both poor childhood health and adult physical health by risk ratios of 2.11 each to explain away the observed association between poor childhood health and lower adult self-rated physical health.

Figures
-0.82 points
Poor Childhood Health Impact

Adults who reported poor health during childhood rated their adult physical health 0.82 points lower on a 0–10 scale compared to those who reported good childhood health.

+0.70 points
Excellent Childhood Health Benefit

Adults who reported excellent health during childhood rated their adult physical health 0.70 points higher on a 0–10 scale compared to those who reported good childhood health.

1.62x
Robustness of Abuse Association

An unmeasured confounder would need to be associated with both childhood abuse and adult physical health by risk ratios of 1.62 each to explain away the observed association between abuse and lower adult self-rated physical health.

2.11x
Robustness of Childhood Health Association

An unmeasured confounder would need to be associated with both poor childhood health and adult physical health by risk ratios of 2.11 each to explain away the observed association between poor childhood health and lower adult self-rated physical health.

§4

Reader Questions

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Research Details
& Citation

Chat with this paper
Published
2026
Journal
BMC Global and Public Health
Participants
202,898
Countries
22
Cite this paper
Bradshaw, M., Kent, B. V., Wortham, J. S., Le Pertel, N., VanderWeele, T. J., & Johnson, B. R. (2026). Childhood experiences and adult self-rated physical health in 22 countries. BMC Global and Public Health, 4(1). https://doi.org/10.1186/s44263-026-00253-2
Tags
physical-healthchildhoodfamilyabuseincometrauma
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