Minneapolis VA Medical Center, Department of Psychiatry, 1935 Summit Avenue, St.Paul, MN 55105, USA.
Am J Addict. 2013 May-Jun;22(3):218-25. doi: 10.1111/j.1521-0391.2012.12011.x.
The aim of the study was to estimate prevalence rates of pathological gambling and problem gambling among veterans receiving VA care, since several studies have suggested that VA patients may be at increased risk to these conditions.
consisted of 1,999 veterans randomly selected from VA centers and community clinics in the Albuquerque and Minneapolis catchment areas. Women and younger veterans were oversampled, due to anticipated low rates in these two groups.
revealed that the lifetime prevalence rate of pathological gambling weighted for current VA patients was 2.0%, twice the general adult population rate. Current 1-year weighted prevalence of pathological gambling was .9%, with an additional .2% having continued problem gambling and .9% recovered. Lifetime weighted problem gambling rate was 8.8%. Altogether, 10.7% had lifetime pathological gambling or problem gambling. Women had higher rates of pathological gambling, but similar rates of problem gambling compared to men. The greater prevalence of pathological gambling for younger veterans aged 20-29 (1.3%) compared to veterans aged 30-39 (.8%) was unusual and warrants further investigation.
Veterans in VA care have higher rates of gambling problems than the general adult population. Female and young veterans have rates higher than those observed in other surveys of women and young adults.
本研究旨在评估接受 VA 护理的退伍军人中病理性赌博和问题赌博的患病率，因为有几项研究表明，VA 患者可能面临更高的患病风险。
该样本由来自新墨西哥州阿尔伯克基和明尼苏达州明尼阿波利斯服务区的 VA 中心和社区诊所中随机选择的 1999 名退伍军人组成。由于预计这两个群体的发病率较低，因此对女性和年轻退伍军人进行了超额抽样。
研究结果表明，对当前 VA 患者进行加权的病理性赌博终身患病率为 2.0%，是普通成年人口率的两倍。当前 1 年加权病理性赌博患病率为 0.9%，另有 0.2%持续存在问题赌博，0.9%已康复。终身加权问题赌博率为 8.8%。总共，10.7%的人有过病理性赌博或问题赌博的经历。女性的病理性赌博率较高，但与男性相比，问题赌博率相似。与 30-39 岁的退伍军人（0.8%）相比，20-29 岁的年轻退伍军人中病理性赌博的患病率更高（1.3%），这很不寻常，需要进一步调查。
接受 VA 护理的退伍军人中赌博问题的发生率高于普通成年人群。女性和年轻退伍军人的发病率高于其他女性和年轻成年人调查中观察到的发病率。
