Mason Kylie, Arnold Richard
Public Health Intelligence, Ministry of Health, Wellington.
N Z Med J. 2007 Jun 29;120(1257):U2604.
To investigate the extent of current problem gambling in New Zealand, and the risk factors, addictive behaviours, and self-rated health status associated with problem gambling.
Analysis of the gambling questions from the 2002/03 New Zealand Health Survey, which interviewed 12,529 people aged 15 years and over, and included increased sampling of Maori, Pacific, and Asian people.
Approximately 1.2% (95% confidence interval: 1.0-1.5) of the New Zealand adult population were found to be current problem gamblers, representing an estimated 32,800 (26,200-39,400) people. Risk factors for problem gambling included being of Maori or Pacific ethnicity, being aged 25-34 years, living alone, being employed, and being less qualified. Problem gambling was significantly associated with potentially hazardous drinking behaviour, daily cigarette smoking, and worse self-rated health, as measured on several SF-36 health domains.
Maori and Pacific peoples were at significantly greater risk of being problem gamblers than other people, particularly among those people who gambled. Associations between gambling problems and health problems and/or risk behaviours suggest compounded problems from comorbidity. This evidence may be useful in informing policy and public health programmes to reduce the harmful impact of problem gambling on individuals and communities, and in addressing the inequalities evident in gambling-related harm.
调查新西兰当前问题赌博的程度，以及与问题赌博相关的风险因素、成瘾行为和自评健康状况。
对2002/03年新西兰健康调查中的赌博问题进行分析，该调查采访了12529名15岁及以上的人，并增加了对毛利人、太平洋岛民和亚洲人的抽样。
发现新西兰成年人口中约1.2%（95%置信区间：1.0 - 1.5）为当前问题赌徒，估计有32800人（26200 - 39400）。问题赌博的风险因素包括毛利人或太平洋岛民种族、年龄在25 - 34岁、独居、就业以及学历较低。问题赌博与潜在有害饮酒行为、每日吸烟以及在几个SF - 36健康领域测量的较差自评健康状况显著相关。
毛利人和太平洋岛民成为问题赌徒的风险明显高于其他人，尤其是在那些赌博的人群中。赌博问题与健康问题和/或风险行为之间的关联表明合并症会带来复合问题。这一证据可能有助于为政策和公共卫生项目提供信息，以减少问题赌博对个人和社区的有害影响，并解决与赌博相关危害中明显存在的不平等问题。
