--- - |2 Abstract Objective This study described trauma exposure and investigated mediational effects of mental health on the relationships between trauma and pain, sleep, smoking, and general health. Method Participants were 210 low‐income primary care patients. The study used a crosssectional, self‐report survey design. Results Eighty‐five percent of the sample reported adult trauma and 54% reported four or more childhood traumas. Moderate or higher depression and anxiety levels were present in 59% and 48% of participants, respectively. Structural equation model fit was good for sleep, pain, and general health, showing that trauma indirectly affected health variables via mental health. Conclusions Participants endorsed substantial adult and childhood trauma, which likely had cascading effects on mental health and common primary care presenting health issues. - Journal of Clinical Psychology, EarlyView.