Canale Natale, Vieno Alessio, Griffiths Mark D
Department of Developmental and Social Psychology, University of Padova , Italy.
International Gaming Research Unit, Psychology Division, Nottingham Trent University , United Kingdom.
J Behav Addict. 2016 Jun;5(2):204-12. doi: 10.1556/2006.5.2016.023. Epub 2016 May 9.
Objectives To examine whether the "prevention paradox" applies to British individuals in relation to gambling-related harm. Methods Data were derived from 7,756 individuals participating in the British Gambling Prevalence Survey 2010, a comprehensive interview-based survey conducted in Great Britain between November 2009 and May 2010. Gambling-related harm was assessed using an adapted version of the DSM-IV Pathological Gambling criteria. The previous year's prevalence of problem gamblers was examined using the Problem Gambling Severity Index. Gambling involvement was measured by gambling frequency and gambling participation (gambling volume as expressed by time and money spent gambling). Results The prevalence rates for past-year gambling harms were dependence harm (16.4%), social harm (2.2%), and chasing losses (7.9%). Gambling-related harms were distributed across low- to moderate-risk gamblers (and not limited to just problem gamblers) and were reported by the majority of gamblers who were non-high time and spend regular gamblers than high time and spend regular gamblers. Conclusions The prevention paradox is a promising way of examining gambling-related harm. This suggests that prevention of gambling might need to consider the population approach to minimizing gambling harm.
目的 探讨“预防悖论”是否适用于英国与赌博相关危害的个体。方法 数据来源于参与2010年英国赌博流行率调查的7756名个体，该调查是2009年11月至2010年5月在英国进行的一项基于访谈的全面调查。使用DSM-IV病理性赌博标准的改编版本评估与赌博相关的危害。使用问题赌博严重程度指数检查前一年问题赌徒的患病率。通过赌博频率和赌博参与度（以赌博时间和金钱表示的赌博量）来衡量赌博参与情况。结果 过去一年赌博危害的患病率分别为依赖危害（16.4%）、社会危害（2.2%）和追损（7.9%）。与赌博相关的危害分布在低至中度风险的赌徒中（并非仅限于问题赌徒），并且大多数非高时间花费和定期赌博的赌徒比高时间花费和定期赌博的赌徒报告了这些危害。结论 预防悖论是研究与赌博相关危害的一种有前景的方法。这表明预防赌博可能需要考虑采用群体方法来尽量减少赌博危害。
