Research Associate, Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba.
Can J Psychiatry. 2010 Jan;55(1):21-8. doi: 10.1177/070674371005500104.
Canada experienced large-scale growth of the gambling industry during the 1990s. Clinical data have indicated that substantial proportions of people seeking help for gambling problems in Canada are women. A population health model was used to understand the relation between types and frequency of gambling activities and problem gambling among women in Canada.
Data used for the analysis were from the nationally representative Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2; n = 10,056, women aged 15 years and older; data collected in 2002).
The types of gambling associated with the highest odds of problem gambling among women in Canada were video lottery terminals (VLTs) outside the casino (OR 2.37 to 53.73; P < 0.01), VLTs inside the casino (OR 2.84 to 36.19; P < 0.001), and other casino games (OR 4.01 to 24.15; P < 0.001).
These observations further our understanding of problem gambling among women in Canada and confirm that problem gambling among women is an important public health concern. Frequent VLT gambling, both outside and inside casinos, and other casino games are associated with the largest odds of problem gambling, which highlights an area of gambling in Canada that needs to be reassessed if problem gambling is to be prevented or reduced. Evidence-based research is necessary to inform healthy public policies on gambling in Canada. Findings from the current research have important research and policy implications.
20 世纪 90 年代，加拿大的赌博业经历了大规模的发展。临床数据表明，在加拿大寻求赌博问题帮助的人群中，相当大比例是女性。本研究采用人群健康模型来理解加拿大女性参与不同类型和频率的赌博活动与赌博问题之间的关系。
本分析使用的数据来自全国代表性的加拿大社区健康调查：心理健康和幸福感（CCHS 1.2；n = 10056，年龄在 15 岁及以上的女性；数据收集于 2002 年）。
与加拿大女性中赌博问题发生风险最高相关的赌博类型包括：赌场外的视频彩票终端机（VLT）（OR 2.37 至 53.73；P < 0.01）、赌场内的 VLT（OR 2.84 至 36.19；P < 0.001）和其他赌场游戏（OR 4.01 至 24.15；P < 0.001）。
这些观察结果进一步加深了我们对加拿大女性中赌博问题的理解，并证实了女性中赌博问题是一个重要的公共卫生关注点。经常参与赌场内外的 VLT 赌博和其他赌场游戏与赌博问题发生的最大风险相关，这突出了加拿大需要重新评估的一个赌博领域，如果要预防或减少赌博问题的话。需要进行基于证据的研究，为加拿大的赌博健康公共政策提供信息。本研究的结果具有重要的研究和政策意义。
