Child Study Center, Yale University School of Medicine, New Haven, CT, USA ; Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, CT, USA.
Department of Biostatistics, Yale University School of Public Health, New Haven, CT, USA.
J Behav Addict. 2014 Jun;3(2):90-101. doi: 10.1556/JBA.3.2014.009. Epub 2014 Apr 5.
Gambling is common in adolescents and at-risk and problem/pathological gambling (ARPG) is associated with adverse measures of health and functioning in this population. Although ARPG commonly co-occurs with marijuana use, little is known how marijuana use influences the relationship between problem-gambling severity and health- and gambling-related measures.
Survey data from 2,252 Connecticut high school students were analyzed using chi-square and logistic regression analyses.
ARPG was found more frequently in adolescents with lifetime marijuana use than in adolescents denying marijuana use. Marijuana use was associated with more severe and a higher frequency of gambling-related behaviors and different motivations for gambling. Multiple health/functioning impairments were differentially associated with problem-gambling severity amongst adolescents with and without marijuana use. Significant marijuana-use-by-problem-gambling-severity-group interactions were observed for low-average grades (OR = 0.39, 95% CI = [0.20, 0.77]), cigarette smoking (OR = 0.38, 95% CI = [0.17, 0.83]), current alcohol use (OR = 0.36, 95% CI = [0.14, 0.91]), and gambling with friends (OR = 0.47, 95% CI = [0.28, 0.77]). In all cases, weaker associations between problem-gambling severity and health/functioning correlates were observed in the marijuana-use group as compared to the marijuana-non-use group.
Some academic, substance use, and social factors related to problem-gambling severity may be partially accounted for by a relationship with marijuana use. Identifying specific factors that underlie the relationships between specific attitudes and behaviors with gambling problems and marijuana use may help improve intervention strategies.
赌博在青少年中很常见，且高危和问题/病理性赌博（ARPG）与该人群的健康和功能的不良指标有关。尽管 ARPG 通常与大麻使用同时发生，但对于大麻使用如何影响问题赌博严重程度与健康和赌博相关措施之间的关系知之甚少。
使用卡方检验和逻辑回归分析对来自康涅狄格州 2252 名高中生的调查数据进行了分析。
在有终身大麻使用史的青少年中，发现 ARPG 的发生率高于否认大麻使用的青少年。大麻使用与更严重和更高频率的赌博相关行为以及不同的赌博动机有关。在有和没有大麻使用的青少年中，多种健康/功能障碍与问题赌博严重程度的相关性不同。在有和没有大麻使用的青少年中，都观察到了大麻使用与问题赌博严重程度之间存在显著的交互作用，具体表现为：平均成绩较低（OR = 0.39，95% CI = [0.20，0.77]）、吸烟（OR = 0.38，95% CI = [0.17，0.83]）、当前饮酒（OR = 0.36，95% CI = [0.14，0.91]）和与朋友赌博（OR = 0.47，95% CI = [0.28，0.77]）。在所有情况下，与大麻非使用者相比，大麻使用者中问题赌博严重程度与健康/功能相关因素之间的关联较弱。
一些与问题赌博严重程度相关的学业、物质使用和社会因素可能部分归因于与大麻使用的关系。确定导致特定态度和行为与赌博问题和大麻使用之间关系的具体因素，可能有助于改善干预策略。
