Korn David, Gibbins Roger, Azmier Jason
University of Toronto, Toronto, Ontario, Canada.
J Gambl Stud. 2003 Summer;19(2):235-56. doi: 10.1023/a:1023685416816.
This paper examines the public policy value of looking at gambling from a public health perspective. The manner in which social issues are framed will either expand or curtail public policy debates. The existing and traditional frames for gambling (e.g. gambling as a matter of individual freedom, gambling as a form of recreation) fail to consider research on the social and economic impacts of gambling. Because a public health frame offers a broad viewpoint of society, it encompasses a number of social and economic impacts not considered in traditional frames. However, the existing gambling frames enjoy varying degrees of cultural, economic, and political support and, as a result, creating a higher profile for a public health framework will encounter a number of barriers. Research can play a decisive role in overcoming these barriers, as it has in a number of related fields (e.g., tobacco use, addiction and product liability, the epidemiology of AIDS). The paper concludes that research that identifies and quantifies the public health factors of gambling will substantially contribute to a public shift toward a public health frame.
本文探讨了从公共卫生角度审视赌博的公共政策价值。对社会问题的界定方式会扩大或限制公共政策辩论。现有的传统赌博界定框架（如将赌博视为个人自由问题、将赌博视为一种娱乐形式）未考虑赌博对社会和经济影响的研究。由于公共卫生框架提供了一个广阔的社会视角，它涵盖了传统框架中未考虑的一些社会和经济影响。然而，现有的赌博框架获得了不同程度的文化、经济和政治支持，因此，提高公共卫生框架的关注度会遇到一些障碍。研究在克服这些障碍方面可以发挥决定性作用，正如其在许多相关领域（如烟草使用、成瘾与产品责任、艾滋病流行病学）所起的作用一样。本文得出结论，识别并量化赌博公共卫生因素的研究将极大地推动公众向公共卫生框架转变。
