Bray Bethany C, Lee Grace P, Liu Weiwei, Storr Carla L, Ialongo Nicholas S, Martins Silvia S
The Methodology Center, The Pennsylvania State University, University Park, Pennsylvania.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Adolesc Health. 2014 Aug;55(2):188-94. doi: 10.1016/j.jadohealth.2014.02.001. Epub 2014 Mar 18.
The purpose of this study was to examine transitions in gambling participation from late adolescence into emerging adulthood and to identify factors (i.e., gender, race, intervention status, lunch status, conduct disorder, parental monitoring, neighborhood environment, and substance use) that might influence these transitions.
Markov modeling was used to describe the movement between past-year gambling states (i.e., nongambling and gambling) across 5 years. Annual data on the past-year gambling behavior and substance use were collected from 515 young men and women starting at the age of 17 years.
Past-year gambling declined from 51% prevalence at the age of 17 years to 21% prevalence at the age of 22 years. Participants who reported no past-year gambling at a particular annual assessment had more than an 80% probability of also reporting no past-year gambling at the following assessment. Men were 1.07-2.82 times more likely than women to transition from past-year nongambling to gambling year to year, and women were 1.27-5.26 times more likely than men to transition from past-year gambling to nongambling year to year. In addition, gender and past-year tobacco use interacted such that men who used tobacco were most likely (and men who did not use tobacco least likely) to gamble at baseline.
Transition rates between gambling states appear to be relatively stable over time from late adolescence into emerging adulthood; however, men and those who engage in substance use may be at an increased risk of gambling participation.
本研究旨在探讨从青少年晚期到成年早期赌博参与情况的转变,并确定可能影响这些转变的因素(即性别、种族、干预状态、午餐状况、品行障碍、父母监督、邻里环境和物质使用情况)。
采用马尔可夫模型来描述5年间过去一年赌博状态(即不赌博和赌博)之间的变化。从515名17岁开始的年轻男性和女性中收集了关于过去一年赌博行为和物质使用情况的年度数据。
过去一年赌博的发生率从17岁时的51%下降到22岁时的21%。在某一特定年度评估中报告过去一年未赌博的参与者,在下一次评估中报告过去一年未赌博的概率超过80%。男性每年从过去一年不赌博转变为赌博的可能性是女性的1.07至2.82倍,而女性每年从过去一年赌博转变为不赌博的可能性是男性的1.27至5.26倍。此外,性别与过去一年的烟草使用存在交互作用,即使用烟草的男性在基线时最有可能赌博(而不使用烟草的男性最不可能赌博)。
从青少年晚期到成年早期,赌博状态之间的转变率似乎随时间相对稳定;然而男性和那些使用物质者参与赌博的风险可能会增加。