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芬兰 18-29 岁男女的义务教育成就与赌博。

Compulsory school achievement and gambling among men and women aged 18-29 in Finland.

机构信息

1 Alcohol, drugs and addictions unit, Department of Public Health Solutions, National Institute for Health and Welfare, Finland.

2 The Finnish Foundation for Alcohol Studies, Finland.

出版信息

Scand J Public Health. 2018 Jul;46(5):505-513. doi: 10.1177/1403494817726621. Epub 2017 Aug 28.

Abstract

AIMS

This study aims to explore the associations between final compulsory school grades and gambling and their relation to substance use and perceived mental health among people aged 18-29 in Finland (N = 831).

METHODS

Cross-sectional random sample data, weighted on the basis of age, gender and region of residence, were collected in 2015. The data were analysed using logistic regression models adjusted for sociodemographic variables, risky alcohol use, daily smoking, and perceived mental health.

RESULTS

Weekly gambling and at-risk and problem gambling (ARPG) were more common among men. Weekly gambling was linked to smoking and risky alcohol use among men and smoking among women. Additionally, ARPG was linked to risky alcohol use among men. ARPG was associated with moderate/poor mental health among men and women, but this was not the case with weekly gambling. Among men, low and average final school grades at age 16 were associated with weekly gambling later in life, even when adjusting for other variables. Among women, low and average final school grades were not associated with weekly gambling when adjusting for substance use. Lower final school grades were associated with ARPG among women but not among men when all potential confounders were adjusted for.

CONCLUSIONS

Adolescents with lower final school grades are more likely to gamble weekly later in life. Lower final school grades are also linked with ARPG among women. It is important therefore for schools to have clear policies on gambling and to implement early prevention programmes.

摘要

目的

本研究旨在探讨芬兰 18-29 岁人群的最终必修学校成绩与赌博之间的关联,以及与物质使用和心理健康感知的关系(N=831)。

方法

2015 年收集了基于年龄、性别和居住地区进行加权的横断面随机抽样数据。使用调整了社会人口统计学变量、危险饮酒、每日吸烟和心理健康感知的逻辑回归模型对数据进行分析。

结果

每周赌博和高危及问题赌博(ARPG)在男性中更为常见。每周赌博与男性的吸烟和危险饮酒有关,与女性的吸烟有关。此外,ARPG 与男性的危险饮酒有关。ARPG 与男性和女性的中等/较差心理健康有关,但每周赌博则不然。对于男性,16 岁时的低和中等最终学校成绩与以后的每周赌博有关,即使在调整了其他变量后也是如此。对于女性,在调整了物质使用因素后,低和中等最终学校成绩与每周赌博无关。在调整了所有潜在混杂因素后,较低的最终学校成绩与女性的 ARPG 有关,但与男性无关。

结论

最终学校成绩较低的青少年以后更有可能每周赌博。较低的最终学校成绩也与女性的 ARPG 有关。因此,学校制定明确的赌博政策并实施早期预防计划非常重要。

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