Huang Jiun-Hau, Boyer Richard
Department of Psychiatry, Faculty of Medicine, University of Montreal, Quebec.
Can J Psychiatry. 2007 Oct;52(10):657-65. doi: 10.1177/070674370705201006.
To describe the epidemiology of gambling problems among youth aged 15 to 24 years in Canada and to examine whether these gambling prevalence patterns differ by sex and (or) by geographic region.
We used data from The Canadian Community Health Survey: Mental Health and Well-Being. Gambling problems were determined according to the Canadian Problem Gambling Index. All prevalence estimates used appropriate sampling weights and bootstrap variance estimation procedures developed by Statistics Canada. Multivariate logistic regression modelling was also employed to supplement the above prevalence comparisons by age, sex, and region.
Among Canadian youth aged 15 to 24 years (n=5666), 61.35% gambled in the past 12 months and the national prevalence of moderate-risk or problem gambling was 2.22% (3.30% in male respondents and 1.10% in female respondents). Male respondents had significantly higher prevalence of gambling problems than female respondents. Regional prevalence estimates of youth moderate-risk or problem gambling were 1.37% in British Columbia, 2.17% in the Prairie provinces, 2.75% in Ontario, 2.12% in Quebec, and 1.71% in the Atlantic provinces.
Youth, particularly young men, are at greater risk for gambling problems than adults. More prevention and research efforts are also needed to address the observed sex differences and interregional variability in the prevalence of gambling problems among youth. The national prevalence estimates from this study provide important baseline data against which future cohorts of Canadians can be monitored and measured.
描述加拿大15至24岁青年赌博问题的流行病学特征，并研究这些赌博流行模式是否因性别和（或）地理区域而异。
我们使用了加拿大社区健康调查：心理健康与幸福的数据。根据加拿大问题赌博指数确定赌博问题。所有患病率估计均使用了加拿大统计局制定的适当抽样权重和自助方差估计程序。还采用多变量逻辑回归模型，以补充按年龄、性别和地区进行的上述患病率比较。
在加拿大15至24岁的青年（n = 5666）中，61.35%在过去12个月内赌博，中度风险或问题赌博的全国患病率为2.22%（男性受访者为3.30%，女性受访者为1.10%）。男性受访者的赌博问题患病率显著高于女性受访者。青年中度风险或问题赌博的地区患病率估计在不列颠哥伦比亚省为1.37%，草原省份为2.17%，安大略省为2.75%，魁北克省为2.12%，大西洋省份为1.71%。
青少年，尤其是年轻男性，比成年人面临更大的赌博问题风险。还需要更多的预防和研究工作来解决青年赌博问题患病率中观察到的性别差异和地区间差异。本研究的全国患病率估计提供了重要的基线数据，可据此对未来的加拿大队列进行监测和衡量。
