Yale School of Medicine, 34 Park Street, New Haven, CT 06519, USA.
J Am Acad Child Adolesc Psychiatry. 2011 Feb;50(2):150-159.e3. doi: 10.1016/j.jaac.2010.11.006. Epub 2010 Dec 31.
The Internet represents a new and widely available forum for gambling. However, relatively few studies have examined Internet gambling in adolescents. This study sought to investigate the correlates of at-risk or problem gambling in adolescents acknowledging or denying gambling on the Internet.
Survey data from 2,006 Connecticut high school student gamblers were analyzed using χ(2) and logistic regression analyses.
At-risk/problem gambling was found more frequently in adolescent Internet gamblers than in non-Internet gamblers. Compared with at-risk/problem gambling in the non-Internet gambling group, at-risk/problem gambling in the Internet gambling group was more strongly associated with poor academic performance and substance use (particularly current heavy alcohol use; odds ratio 2.99; p = .03) and less strongly associated with gambling with friends (odds ratio 0.32; p = .0003). At-risk/problem gambling in the Internet and non-Internet gambling groups, respectively, was associated at p < .05, each with multiple adverse measurements including dysphoria/depression (odds ratios 1.76 and 1.96), getting into serious fights (odds ratios 2.50 and 1.93), carrying weapons (odds ratios 2.11 and 1.90), and use of tobacco (odds ratios 2.05 and 1.88 for regular use), marijuana (odds ratios 2.02 and 1.39), and other drugs (odds ratios 3.24 and 1.67).
Clinically, it is important to assess for teenagers' involvement in Internet gambling, particularly because adolescent at-risk/problem Internet gambling appears specifically associated with non-peer involvement, heavy alcohol use, and poor academic functioning.
互联网是一个新的、广泛可用的赌博论坛。然而,很少有研究调查青少年的互联网赌博。本研究旨在调查承认或否认在互联网上赌博的青少年中,有风险或有问题赌博的相关因素。
使用 χ(2)和逻辑回归分析对来自 2006 名康涅狄格州高中生赌徒的调查数据进行了分析。
在承认或否认在互联网上赌博的青少年中,有风险/有问题赌博的青少年比非互联网赌博者更为常见。与非互联网赌博组的有风险/有问题赌博相比,互联网赌博组的有风险/有问题赌博与学业成绩差和物质使用(特别是当前大量饮酒;比值比 2.99;p =.03)更密切相关,与与朋友赌博的相关性较弱(比值比 0.32;p =.0003)。分别在互联网和非互联网赌博组中,有风险/有问题赌博分别与多个不良指标相关,包括抑郁/沮丧(比值比 1.76 和 1.96)、发生严重争吵(比值比 2.50 和 1.93)、携带武器(比值比 2.11 和 1.90)以及使用烟草(比值比 1.88 和 1.71)、大麻(比值比 1.39 和 1.24)和其他药物(比值比 1.67 和 1.33)。
在临床上,评估青少年是否参与互联网赌博非常重要,特别是因为青少年有风险/有问题的互联网赌博似乎与非同伴参与、大量饮酒和学业成绩不佳特别相关。