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中国、韩国和美国白人大学生中的赌博问题及与酒精使用障碍的共病情况。

Gambling problems and comorbidity with alcohol use disorders in Chinese-, Korean-, and White-American college students.

作者信息

Luczak Susan E, Wall Tamara L

机构信息

University of Southern California, Los Angeles, California.

University of California, San Diego, San Diego, California.

出版信息

Am J Addict. 2016 Apr;25(3):195-202. doi: 10.1111/ajad.12350. Epub 2016 Mar 3.

DOI:10.1111/ajad.12350
PMID:26935871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5319422/
Abstract

BACKGROUND AND OBJECTIVES

This study examined gambling behaviors and the relationship between gambling problems and alcohol use disorders (AUDs) among Chinese-, Korean-, and White-American college students.

METHODS

Participants were 678 (179 Chinese, 194 Korean, and 305 White; 50% female) 21-26 year-old (M = 22.0 ± 1.36) students attending one university in California. The South Oaks Gambling Screen was administered to assess gambling behavior and the Semi-Structured Assessment for the Genetics of Alcoholism was administered to diagnose lifetime AUDs. Chi-squares and multinomial logistic regressions were conducted to test our hypotheses.

RESULTS

Rates of lifetime ever gambling and weekly gambling were similar across the three ethnic groups, but participation in five types of gambling behavior differed. Chinese had the highest rates of gambling problems followed by Koreans and then Whites. Univariate odds ratios determined being Chinese or Korean, being male, and having an AUD were risk factors for gambling problems. When stratified by gender and ethnicity, having an AUD was not related to gambling problems in women, but was strongly associated with gambling problems in Chinese and White men and modestly associated in Korean men. This was true despite low rates of AUDs in Chinese men.

DISCUSSION AND CONCLUSIONS

Gambling problems were strongly comorbid with AUDs in Chinese- and White-American men, and moderately comorbid in Korean-American men. No relationship of AUD with gambling problems was found in women.

SCIENTIFIC SIGNIFICANCE

The results highlight the importance of assessing disaggregated Asian-American subgroups with respect to addictive behaviors and their comorbidity.

摘要

背景与目的

本研究调查了华裔、韩裔和美国白人大学生的赌博行为以及赌博问题与酒精使用障碍（AUDs）之间的关系。

方法

参与者为678名年龄在21 - 26岁（平均年龄M = 22.0 ± 1.36）的学生（其中华裔179名、韩裔194名、白人305名；50%为女性），他们就读于加利福尼亚的一所大学。采用南橡树赌博筛查量表评估赌博行为，并使用酒精中毒遗传学半结构化评估量表诊断终生AUDs。进行卡方检验和多项逻辑回归以检验我们的假设。

结果

三个种族群体中终生曾赌博和每周赌博的比例相似，但参与五种赌博行为的情况有所不同。华裔的赌博问题发生率最高，其次是韩裔，然后是白人。单因素优势比确定华裔或韩裔、男性以及患有AUD是赌博问题的危险因素。按性别和种族分层后，患有AUD与女性的赌博问题无关，但与华裔和白人男性的赌博问题密切相关，与韩裔男性的赌博问题有适度关联。尽管华裔男性中AUDs的发生率较低，但情况依然如此。

讨论与结论

赌博问题在华裔和美国白人男性中与AUDs高度共病，在美籍韩裔男性中中度共病。在女性中未发现AUD与赌博问题之间的关系。

科学意义

研究结果凸显了针对成瘾行为及其共病情况评估细分的亚裔美国亚群体的重要性。