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少数民族中的问题赌博:一项流行病学研究的结果

Problem gambling among ethnic minorities: results from an epidemiological study.

作者信息

Caler Kyle R, Vargas Garcia Jose Ricardo, Nower Lia

机构信息

Center for Gambling Studies, School of Social Work, Rutgers University, 536 George Street, New Brunswick, NJ 08901 USA.

出版信息

Asian J Gambl Issues Public Health. 2017;7(1):7. doi: 10.1186/s40405-017-0027-2. Epub 2017 Sep 7.

DOI:10.1186/s40405-017-0027-2
PMID:28944157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5589834/
Abstract

A few studies have examined gambling behavior and problem gambling among minorities and reported higher rates of both participation and gambling problems among particular minority groups in comparison to Whites who gamble. The present study utilized a representative, epidemiological sample of adults in New Jersey to explore gambling behavior, gambling problem severity, substance use, problem behavior, and mental health issues among minorities. Univariate analyses were conducted, comparing Whites (n = 1341) to respondents who identified as Hispanic (n = 394), Black (n = 261), or Asian/other (n = 177). Overall, the highest proportion of Hispanics were high-risk problem gamblers. Hispanic participants were also significantly more likely than other groups to use and abuse substances and to report mental health problems in the past month, behavioral addictions, and/or suicidal ideation in the past year. Primary predictors of White high risk problem gamblers were being young and male with friends or family who gambled, fair to poor health status, substance use, gambling once a week or more both online and in land-based venues, and engaging in a number of gambling activities. In contrast, gender was not a predictor of minority high risk problem gamblers, who were characterized primarily by having friends or family who gambled, gambling online only, having a behavioral addiction and playing instant scratch-offs and gaming machines. Implications for research and practice are discussed.

摘要

一些研究调查了少数族裔中的赌博行为和问题赌博情况,并报告称,与参与赌博的白人相比,特定少数族裔群体的参与率和赌博问题发生率更高。本研究利用新泽西州具有代表性的成年流行病学样本,探讨少数族裔中的赌博行为、赌博问题严重程度、物质使用、问题行为和心理健康问题。进行了单变量分析,将白人(n = 1341)与自称西班牙裔(n = 394)、黑人(n = 261)或亚裔/其他族裔(n = 177)的受访者进行比较。总体而言,西班牙裔中高风险问题赌徒的比例最高。在过去一个月内,西班牙裔参与者使用和滥用物质以及报告心理健康问题、行为成瘾和/或在过去一年中有自杀念头的可能性也显著高于其他群体。白人高风险问题赌徒的主要预测因素包括年轻、男性、有赌博的朋友或家人、健康状况一般或较差、物质使用、每周在网上和实体场所赌博一次或更多,以及参与多种赌博活动。相比之下,性别不是少数族裔高风险问题赌徒的预测因素,这些赌徒的主要特征是有赌博的朋友或家人、只在网上赌博、有行为成瘾以及玩即时刮刮乐和游戏机。文中讨论了该研究对研究和实践的启示。

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本文引用的文献

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Gambling in a National U.S. Veteran Population: Prevalence, Socio-demographics, and Psychiatric Comorbidities.美国退伍军人中的赌博行为:患病率、社会人口统计学特征及精神疾病共病情况
J Gambl Stud. 2017 Dec;33(4):1099-1120. doi: 10.1007/s10899-017-9678-2.
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A large-scale national study of gambling severity among immigrant and non-immigrant adolescents: The role of the family.一项关于移民和非移民青少年赌博严重程度的全国性大规模研究:家庭的作用。
Addict Behav. 2017 Mar;66:125-131. doi: 10.1016/j.addbeh.2016.11.020. Epub 2016 Nov 24.
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Predictors of Problem Gambling in the U.S.美国问题赌博的预测因素
J Gambl Stud. 2017 Jun;33(2):327-342. doi: 10.1007/s10899-016-9639-1.
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Racial-ethnic related clinical and neurocognitive differences in adults with gambling disorder.患有赌博障碍的成年人中与种族相关的临床和神经认知差异。
Psychiatry Res. 2016 Aug 30;242:82-87. doi: 10.1016/j.psychres.2016.05.038. Epub 2016 May 27.
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Gambling problems and comorbidity with alcohol use disorders in Chinese-, Korean-, and White-American college students.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。
Am J Addict. 2016 Apr;25(3):195-202. doi: 10.1111/ajad.12350. Epub 2016 Mar 3.
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Differences in the associations between gambling problem severity and psychiatric disorders among black and white adults: findings from the National Epidemiologic Survey on Alcohol and Related Conditions.黑人和白人成年人中赌博问题严重程度与精神障碍之间关联的差异:来自国家酒精相关情况和态度调查的发现。
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J Psychiatr Res. 2011 Mar;45(3):404-11. doi: 10.1016/j.jpsychires.2010.07.010. Epub 2010 Aug 30.