School of Population Health, University of Auckland, Auckland, New Zealand.
Addiction. 2012 Jun;107(6):1051-6. doi: 10.1111/j.1360-0443.2012.03800.x.
This paper provides a critical overview a decade after the New Zealand Government announced its intention to formally incorporate a public health approach into its comprehensive revision of gambling legislation.
The initial enthusiasm and the subsequent disillusionment with this approach are tracked. Four reasons for its lack of success are examined.
The New Zealand experiment with a public health approach to gambling is seen to have floundered in a network of vested interests. The pathways for influence included inappropriate industry input as well as community and government sector reliance on gambling profits. The new legislation neglected to set up systems for strong independent accountability, and this weakened the potential of public health initiatives.
As with tobacco control, the policy integrity of a public health approach to gambling requires close attention to ways of reducing vested interests in both government and community sectors and to establishing strong points of independent accountability.
本文对新西兰政府宣布将公共卫生方法正式纳入其全面修订赌博立法十年后进行了批判性回顾。
追踪了最初的热情和随后的失望。检查了其失败的四个原因。
新西兰在赌博方面采取公共卫生方法的实验在利益网络中受挫。影响的途径包括不适当的行业投入以及社区和政府部门对赌博利润的依赖。新立法未能建立强大独立问责制的系统，这削弱了公共卫生措施的潜力。
与烟草控制一样，赌博的公共卫生方法的政策完整性需要密切关注如何减少政府和社区部门既得利益的方式，并建立强大的独立问责点。
