Martins Silvia S, Lee Grace P, Santaella Julian, Liu Weiwei, Ialongo Nicholas S, Storr Carla L
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Am J Addict. 2014 Jul-Aug;23(4):386-92. doi: 10.1111/j.1521-0391.2014.12121.x. Epub 2014 Mar 15.
To describe the association between social and problem gambling and first criminal arrest by age 23 in a cohort of urban, mainly African-American youth.
Data for this study were derived from several annual interviews being completed on a community sample of 617 participants during late adolescence until age 23. Information on gambling status, engagement in deviant behaviors, illegal drug use, and arrest history were collected through yearly interviews. Analysis was carried out using Nelson-Aalen cumulative hazard models and simple and adjusted Cox proportional hazards models.
More problem gamblers had been arrested before age 23 than social gamblers and non-gamblers, ie, 65% of problem gamblers were arrested before age 23, compared to 38% of social gamblers and 24% non-gamblers. Social gambling was only significantly associated with the hazard of first arrest by age 23 in the unadjusted model (HR: 1.6, p < .001), but not after adjustment for covariates (HR: 1.1, p = .47). Problem gambling was significantly associated with the hazard of first arrest by age 23 years in the unadjusted (HR: 3.6, p < .001) and adjusted models (HR: 1.6, p = .05).
Problem gambling was significantly associated with earlier age of being arrested. Dilution effects after adjustment for several deviant behaviors and illegal drug use by age 17 suggest that youth exposure to certain common factors may result in engagement in multiple risky behaviors, including problem gambling. Studies are needed to investigate the developmental pathways that lead to these combined behaviors among youth. (Am J Addict 2014;23:386-392).
描述城市中主要为非裔美国青年的队列中,社会赌博和问题赌博与23岁之前首次刑事逮捕之间的关联。
本研究数据来自对617名参与者的社区样本进行的多次年度访谈,这些访谈从青春期后期持续到23岁。通过年度访谈收集了赌博状况、越轨行为参与情况、非法药物使用情况和逮捕历史等信息。使用Nelson-Aalen累积风险模型以及简单和调整后的Cox比例风险模型进行分析。
在23岁之前被捕的问题赌徒比社会赌徒和非赌徒更多,即65%的问题赌徒在23岁之前被捕,相比之下,社会赌徒为38%,非赌徒为24%。在未调整的模型中,社会赌博仅与23岁之前首次被捕的风险显著相关(风险比:1.6,p < .001),但在对协变量进行调整后则不然(风险比:1.1,p = .47)。问题赌博在未调整(风险比:3.6,p < .001)和调整后的模型中均与23岁之前首次被捕的风险显著相关(风险比:1.6,p = .05)。
问题赌博与更早的被捕年龄显著相关。在对17岁时的几种越轨行为和非法药物使用进行调整后的稀释效应表明,青少年接触某些共同因素可能导致参与多种危险行为,包括问题赌博。需要开展研究来调查导致青少年出现这些综合行为的发展路径。(《美国成瘾杂志》2014年;23:386 - 392)