Centre for Addiction and Mental Health, Suite T527, 33 Russell Street, Toronto, ON, M5S 2S1, Canada.
J Gambl Stud. 2012 Jun;28(2):273-96. doi: 10.1007/s10899-011-9268-7.
A random digit dialing telephone survey was used to interview 8,467 adults in Ontario, Canada. The NODS-CLiP was used to identify a representative sample of 730 gamblers (54.3% male, mean age 45.3 years) with possible past year gambling problems in order to explore factors that might affect disordered gamblers' motivators for seeking gambling-related help. A final sample of 526 gamblers provided useable data on possible reasons for and barriers to seeking help, awareness of services, self-perception of gambling problems and experience with help-seeking. Financial and relationship issues were the most frequently volunteered motivators. However, over two-thirds of the respondents could not think of a reason for seeking help. Gamblers who had self-admitted or more severe problems, who knew how to get help, who were employed and had more education, and who identified possible barriers to seeking help were more likely to suggest motivators, especially financial ones. More research is recommended on gamblers' trajectory towards recognition of a gambling problem, the process of overcoming specific barriers to treatment, and the role of social advantage (e.g., education and employment), in order to devise educational campaigns that will encourage earlier help-seeking among disordered gamblers.
采用随机数字拨号电话调查的方法,对加拿大安大略省的 8467 名成年人进行了访谈。使用 NODS-CLiP 识别了 730 名有潜在过去一年赌博问题的赌徒(54.3%为男性,平均年龄 45.3 岁),以探讨可能影响有问题的赌徒寻求与赌博相关的帮助的动机因素。最终有 526 名赌徒提供了有用的数据,涉及寻求帮助的可能原因和障碍、对服务的认识、对赌博问题的自我认知以及寻求帮助的经验。财务和关系问题是最常被自愿提及的动机。然而,超过三分之二的受访者想不出寻求帮助的理由。那些承认自己有问题或问题更严重、知道如何寻求帮助、有工作和受过更多教育、并能识别出寻求帮助的障碍的赌徒,更有可能提出动机,尤其是财务方面的动机。建议对赌徒对赌博问题的认识轨迹、克服治疗具体障碍的过程以及社会优势(如教育和就业)的作用进行更多研究,以便制定教育活动,鼓励有问题的赌徒更早寻求帮助。