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The number of ACE experienced (zero, one, two-three,\u2009\u2265\u2009four) included questions assessing exposure to physical, emotional, and sexual household member substance misuse, incarceration, mental illness, parental divorce, or witnessing intimate partner violence before age 18\u00a0years. The outcome is self-reported history of depression (yes\/no). Three weighted multivariable logistic regression models were used to examine the association between ACE and depression for each race group: non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this sample of cancer survivors, 41%, 22%, 21%, and 16% reported having experienced zero, one, two-three, and\u2009\u2265\u20094 ACEs, respectively. In the adjusted models, among NHW survivors, those who experienced\u2009\u2265\u20094 ACEs (aOR 4.20; 95% CI 3.32\u20135.32) had higher odds of depression diagnosis compared with those with zero ACEs. Among NHB survivors, those who experienced\u2009\u2265\u20094 ACEs had higher odds of depression diagnosis (aOR 2.98; 95% CI 1.45\u20136.14) compared with those with zero ACEs. Similarly, among Hispanic survivors, those who experienced\u2009\u2265\u20094 ACEs had higher odds of depression diagnosis (aOR 10.74; 95% CI 5.01\u201323.00) compared with those with zero ACEs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Individuals with ACEs may constitute a key group for targeted prevention efforts to mitigate the risk of depression in cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>Development of personalized and targeted screening methods for patients diagnosed with cancer who have experienced adverse childhood experiences and depression is critical to improving their long-term well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-025-01965-4","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T21:17:03Z","timestamp":1768598223000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial disparities in the association between adverse childhood experiences and history of self-reported depression among cancer survivors"],"prefix":"10.1007","author":[{"given":"Vincent J.","family":"Colucciello","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwole A.","family":"Babatunde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngozi","family":"Adaralegbe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie S.","family":"Jefferson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swann A.","family":"Adams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chanita","family":"Hughes Halbert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anusuiya","family":"Nagar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nosayaba","family":"Osazuwa-Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Adjei Boakye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"issue":"1","key":"1965_CR1","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.amepre.2010.03.015","volume":"39","author":"RF Anda","year":"2010","unstructured":"Anda RF, Butchart A, Felitti VJ, Brown DW. 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