{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:18:41Z","timestamp":1788153521946,"version":"build-2803163510"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The interplay between adverse childhood experiences (ACEs) and lifestyles in influencing problematic smartphone use (PSU) remains unclear. Therefore, we aimed to examine the associations between ACEs and PSU across different lifestyles among college students in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The participants from six universities were randomly chosen from 57 universities in Shaanxi province in China, using a multistage, random cluster sampling method. ACEs and lifestyles were evaluated using a structured questionnaire and PSU was assessed using the Mobile Phone Addiction Tendency Scale. Binary logistic regression models and additive interaction models were employed to examine the associations between ACEs and PSU across different lifestyles among college students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 18,649 college students, 5,538 (29.70%) reported having PSU, and 82.59% of participants had encountered at least one ACE, with 10.69% having experienced four or more ACEs. Among college students with unhealthy lifestyles, students experiencing \u2265 4 ACEs (\n                      <jats:italic>OR<\/jats:italic>\n                      , 5.82; 95%\n                      <jats:italic>CI<\/jats:italic>\n                      , 4.30\u20137.92) or any of four ACE categories showed a markedly elevated likelihood of PSU. ACEs and unhealthy lifestyle exerted significant additive effects on the risk of PSU (relative excess risk due to the interaction [\n                      <jats:italic>RERI<\/jats:italic>\n                      ]: 3.19 for \u2265 4 ACEs, 0.84 for household dysfunction, 1.23 for neglect; attributable proportion due to the interaction [\n                      <jats:italic>AP<\/jats:italic>\n                      ]: 0.55 for \u2265 4 ACEs, 0.24 for household dysfunction, 0.34 for neglect).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that the ACEs and unhealthy lifestyles were associated with elevated likelihood of engaging in PSU among college students. Furthermore, there were positive additive interactions between ACEs and lifestyle factors in relation to PSU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1940725","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T04:29:04Z","timestamp":1788150544000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Problematic smartphone use in college students: the interplay of adverse childhood experiences and lifestyle factors"],"prefix":"10.3389","volume":"14","author":[{"given":"Yanling","family":"Shu","sequence":"first","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunyun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, School of Medical Technology, Jiangsu College of Nursing","place":["Huai'an, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhua","family":"Wang","sequence":"additional","affiliation":[{"name":"Shaanxi Medical Association","place":["Xi'an, China"]},{"name":"Shaanxi Provincial Health Industry Association Service Center","place":["Xi'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linfei","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Xiangya School of Public Health, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinghua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Xiangya School of Public Health, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xirennayi","family":"Abudurexiti","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Xiangya School of Public Health, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shaanxi Medical Association","place":["Xi'an, China"]},{"name":"Shaanxi Provincial Health Industry Association Service Center","place":["Xi'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Xiangya School of Public Health, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youjie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1306","DOI":"10.1126\/science.350.6266.1306","article-title":"Mind the phone","volume":"350","author":"Servick","year":"2015","journal-title":"Science"},{"key":"B2","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1177\/2050157914535390","article-title":"Maintaining social connectedness in a fast-changing world: examining the effects of mobile phone uses on loneliness among teens in Tibet","volume":"2","author":"Liu","year":"2014","journal-title":"Mob Media Commun."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1080\/13548506.2024.2447008","article-title":"Does smartphone addiction impact happiness? 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