Research, Sport New Zealand, Wellington 6011, New Zealand.
Aust N Z J Public Health. 2012 Apr;36(2):153-9. doi: 10.1111/j.1753-6405.2012.00847.x. Epub 2012 Feb 23.
To describe survey findings which measure broader gambling harms and provide benchmark data to evaluate an awareness and education program to minimise harm; part of NZ's public health approach to problem gambling. To assess whether previously reported ethnic and socio-economic disparities are evident when researching broader gambling harms.
An in-home, nationwide survey captured data from a multi-stage, random probability sample of 1,774 adults and 199 15-17-year-olds. Oversampling Māori (NZ's indigenous people), Pacific and Asian peoples, and people in areas of deprivation, allowed analysis by ethnicity and socio-economic status.
Data show high participation levels; around 8 out of 10 people took part in at least one gambling activity in the previous 12 months. Type and frequency of activities was used to define four groups: infrequent gamblers (60.9%); frequent, non-continuous gamblers (17.6%); frequent, continuous gamblers (4%); and non-gamblers (17.5%). Self-reported knowledge of the signs of gambling harm was high. Arguments about gambling and people going without/unpaid bills provided two indicators of broader gambling harm. Around one-sixth of New Zealanders experienced each of these harms. Impacts were greatest for low-income groups, Māori, and Pacific peoples.
The proportion of New Zealander's experiencing broader gambling harms is much higher than the prevalence for problem gambling. Consistent with other research, results show the flow-on impacts of problem gambling - on family, friends and communities.
Measures can be developed to benchmark the wider harms of gambling and evaluate public health programs addressing harm at population and sub-population levels.
描述衡量更广泛赌博危害的调查结果,并提供基准数据,以评估旨在减轻危害的意识和教育计划;这是新西兰解决赌博问题的公共卫生方法的一部分。评估在研究更广泛的赌博危害时,是否存在先前报告的族裔和社会经济差异。
一项全国性的入户调查,从一个多阶段的、随机概率样本中获取了 1774 名成年人和 199 名 15-17 岁青少年的数据。对毛利人(新西兰的土著人)、太平洋岛民和亚洲人以及贫困地区的人进行了超额抽样,这使得可以按族裔和社会经济地位进行分析。
数据显示,参与率很高;大约 8 个人中有 10 个人在过去 12 个月中至少参加了一次赌博活动。活动的类型和频率被用来定义四个群体:不频繁的赌徒(60.9%);频繁、非连续的赌徒(17.6%);频繁、连续的赌徒(4%);不赌的人(17.5%)。自我报告的对赌博危害迹象的了解程度很高。关于赌博的争论以及人们因赌博而不付账单或未付账单,这两个指标都表明了更广泛的赌博危害。大约六分之一的新西兰人经历过这些危害中的每一种。低收入群体、毛利人和太平洋岛民受到的影响最大。
经历更广泛赌博危害的新西兰人的比例远远高于问题赌博的流行率。与其他研究结果一致,这些结果显示了问题赌博的连锁影响——对家庭、朋友和社区的影响。
可以制定措施来衡量赌博的更广泛危害,并评估针对人口和亚人群体的公共卫生计划减轻危害的效果。