Cowlishaw Sean, Kessler David
School of Social and Community Medicine, University of Bristol, Bristol, UK.
Eur Addict Res. 2016;22(2):90-8. doi: 10.1159/000437260. Epub 2015 Sep 8.
BACKGROUND/AIMS: Research indicates that rates of gambling problems are increasing in the UK, but has provided limited consideration of possible implications for individuals, families and communities. This study examines the associations involving problem gambling and indicators of mental and physical health, as well as psychosocial adjustment and health care usage, in a representative sample from England.
Data were derived from the 2007 Adult Psychiatric Morbidity Survey, which is a representative study of adults (n = 7,403). Regression models evaluated the correlates of problem gambling.
There were associations with problem gambling and mental health (anxiety, neurotic symptoms and substance use problems) and psychosocial maladjustment (suicidality, financial difficulties and social support). There were limited influences on physical health that were beyond socioeconomic factors and substance use problems. Notwithstanding, the results demonstrated over-representation of gambling problems in certain health-care settings.
Findings support recognition of problem gambling as a public health concern in the UK, and initiatives for intervening in health-care services where conditions are over-represented.
背景/目的：研究表明，英国赌博问题的发生率正在上升，但对其对个人、家庭和社区可能产生的影响考虑有限。本研究在来自英格兰的代表性样本中，考察了问题赌博与心理健康和身体健康指标、心理社会适应以及医疗保健使用之间的关联。
数据来源于2007年成人精神病患病率调查，这是一项针对成年人（n = 7403）的代表性研究。回归模型评估了问题赌博的相关因素。
问题赌博与心理健康（焦虑、神经症症状和物质使用问题）以及心理社会适应不良（自杀倾向、经济困难和社会支持）之间存在关联。除社会经济因素和物质使用问题外，对身体健康的影响有限。尽管如此，结果表明在某些医疗保健环境中，赌博问题的发生率过高。
研究结果支持将问题赌博视为英国的一个公共卫生问题，并支持在问题发生率过高的医疗保健服务中采取干预措施。
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