Foster Dawn W, Hoff Rani A, Pilver Corey E, Yau Yvonne H C, Steinberg Marvin A, Wampler Jeremy, Krishnan-Sarin Suchitra, Potenza Marc N
Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States; Connecticut Mental Health Center, New Haven, CT, United States.
Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States.
Addict Behav. 2015 Dec;51:57-64. doi: 10.1016/j.addbeh.2015.07.006. Epub 2015 Jul 17.
This study examined adolescent gambling on school grounds (GS+) and how such behavior was associated with gambling-related attitudes. Further, we examined whether GS+ moderated associations between at-risk problem-gambling (ARPG) and gambling behaviors related to gambling partners.
Participants were 1988 high-school students who completed survey materials. Demographic, perceptions, attitudes, and gambling variables were stratified by problem-gambling severity (ARPG versus recreational gambling) and GS+ status. Chi-square and adjusted logistic regression models were used to examine relationships among study variables.
Nearly 40% (39.58%) of students reported past-year GS+, with 12.91% of GS+ students, relative to 2.63% of those who did not report gambling on school grounds (GS-), meeting DSM-IV criteria for pathological gambling (p<0.0001). In comparison to GS- students, GS+ students were more likely to report poorer academic achievement and more permissive attitudes towards gambling behaviors. Weaker links in GS+ students, in comparison with GS-, students, were observed between problem-gambling severity and gambling with family members (interaction odds ratio (IOR)=0.60; 95% CI=0.39-0.92) and gambling with friends (IOR=0.21; 95% CI=0.11-0.39).
GS+ is common and associated with pathological gambling and more permissive attitudes towards gambling. The finding that GS+ (relative to GS-) youth show differences in how problem-gambling is related to gambling partners (friends and family) warrants further investigation regarding whether and how peer and familial interactions might be improved to diminish youth problem-gambling severity. The high frequency of GS+ and its relationship with ARPG highlights a need for school administrators and personnel to consider interventions that target school-based gambling.
本研究调查了校园内青少年赌博行为（GS+）及其与赌博相关态度的关联。此外，我们还研究了GS+是否调节了风险问题赌博（ARPG）与与赌博伙伴相关的赌博行为之间的关联。
参与者为1988名完成调查问卷的高中生。人口统计学、认知、态度和赌博变量按问题赌博严重程度（ARPG与娱乐性赌博）和GS+状态进行分层。使用卡方检验和调整后的逻辑回归模型来研究研究变量之间的关系。
近40%（39.58%）的学生报告过去一年有GS+行为，其中12.91%的GS+学生符合DSM-IV病理性赌博标准，而未报告校园赌博行为（GS-）的学生中这一比例为2.63%（p<0.0001）。与GS-学生相比，GS+学生更有可能报告学业成绩较差，对赌博行为的态度更宽容。与GS-学生相比，GS+学生在问题赌博严重程度与与家庭成员赌博（交互比值比（IOR）=0.60；95%置信区间=0.39-0.92）以及与朋友赌博（IOR=0.21；95%置信区间=0.11-0.39）之间的联系较弱。
GS+行为很常见，且与病理性赌博及更宽容的赌博态度相关。GS+（相对于GS-）青少年在问题赌博与赌博伙伴（朋友和家人）的关系上表现出差异，这一发现值得进一步研究，以探讨是否以及如何改善同伴和家庭互动，以减轻青少年问题赌博的严重程度。GS+的高发生率及其与ARPG的关系凸显了学校管理人员和工作人员需要考虑针对校园赌博的干预措施。
