Associations between immigration background, adverse childhood experiences, and depressive symptoms in adulthood in immigrants and descendants of immigrants in France: a mediation analysis

In France, 10% of the population are immigrants and another 11% are children of immigrants. Both have worse mental health than the native French. The role of adverse childhood experiences (ACE) in immigrants’ mental health is not well characterized. We aimed to examine associations between immigration background, ACEs, and depressive symptoms. Data came from the baseline and 2020 follow-up questionnaires of the French CONSTANCES study (n = 116,495), a national cohort. The exposure was immigratio