Breen Helen, Gainsbury Sally
School of Tourism and Hospitality Management, Centre for Gambling Education and Research, Southern Cross University, PO Box 157, Lismore, 2480 New South Wales Australia.
Int J Ment Health Addict. 2013;11(1):75-96. doi: 10.1007/s11469-012-9400-7.
The prevention of gambling-related problems amongst Aboriginal communities has been neglected by most public health strategies which concentrate on mainstream populations. Research indicates that rates of problem gambling are higher for Aboriginal groups than the general population. Specific cultural, familial, and social patterns influence gambling by Aboriginal groups, which are individually different, making it difficult to implement a cohesive strategy to address gambling-related harms. Because of this complexity, a thorough literature review is necessary to identify gaps in policy and research. This paper uses a public health framework to consider multi-dimensional influences (personal, environmental, economic, cultural and social) that affect gambling uptake. Such analysis is also important for identifying risk factors which facilitate the development and maintenance of problem gambling and potentially for underpinning protection, prevention and treatment programs. It is advised that strategies be developed in consultation with Aboriginal peoples to guide public health policy and research to minimise any gambling-related harms.
大多数针对主流人群的公共卫生策略忽视了原住民社区中与赌博相关问题的预防。研究表明，原住民群体中问题赌博的发生率高于普通人群。特定的文化、家庭和社会模式影响着原住民群体的赌博行为，这些模式各不相同，使得难以实施一项连贯的策略来解决与赌博相关的危害。由于这种复杂性，有必要进行全面的文献综述，以找出政策和研究中的差距。本文运用公共卫生框架来考量影响赌博行为的多方面因素（个人、环境、经济、文化和社会因素）。这种分析对于识别促成问题赌博发展和持续存在的风险因素以及可能为支持保护、预防和治疗项目奠定基础也很重要。建议与原住民协商制定策略，以指导公共卫生政策和研究，将与赌博相关的危害降至最低。
