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赌博是否成为英国威尔士的一个新的公共卫生问题?

Is gambling an emerging public health issue for Wales, UK?

机构信息

Welsh Government, Directorate for Health Policy, Cathay's Park, Cardiff CF10 3NQ, UK.

Public Health Wales, 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ, UK.

出版信息

J Public Health (Oxf). 2019 Dec 20;41(4):858-863. doi: 10.1093/pubmed/fdy164.

Abstract

BACKGROUND

Not all gambling exposes people to the same level of harm. Harm from gambling is found at the individual, social (family and friends) and community levels. This includes financial hardship, psychological distress and interpersonal conflict or relationship breakdown. The harm from gambling to wider society includes fraud, theft, loss of productivity in the workforce and the cost of treating this addiction. The annual estimated excess cost of gambling for Wales is between £40 and £70 million.

METHODS

This study reviews the existing data sources and literature to ascertain if gambling is an emerging public health issue in Wales.

RESULTS

In Wales 61% of adults had gambled in the last year (1.5 million people). And 1.1% of the population (30 000 people) self-report as having a problem with gambling using either the Problem Gambling Severity Index or the Diagnostic and Statistical Manual of American Psychiatric Association tools. The 'ripple effect' of gambling harm can mean friends and family are highly impacted.

CONCLUSION

The existing data and literature together with the rapidly evolving developments in infrastructure demonstrate that gambling is an emerging public health issue in Wales. The impact on families and society warrants population level interventions to tackle this public health issue.

摘要

背景

并非所有赌博都会使人们面临相同程度的危害。赌博带来的危害可在个人、社会(家庭和朋友)以及社区层面显现。这包括经济困难、心理困扰以及人际冲突或关系破裂。赌博对更广泛的社会造成的危害包括欺诈、盗窃、劳动力生产力下降以及治疗这种成瘾的成本。威尔士每年因赌博造成的额外成本估计在 4000 万至 7000 万英镑之间。

方法

本研究回顾了现有的数据源和文献,以确定赌博是否是威尔士的一个新出现的公共卫生问题。

结果

在威尔士,61%的成年人在过去一年中(150 万人)赌博过。并且,有 1.1%的人口(3 万人)使用《赌博问题严重程度指数》或《美国精神病学会诊断和统计手册》工具,自我报告存在赌博问题。赌博危害的“连锁反应”意味着朋友和家人也受到高度影响。

结论

现有数据和文献,以及基础设施的快速发展表明,赌博是威尔士的一个新出现的公共卫生问题。对家庭和社会的影响需要采取人口层面的干预措施来解决这一公共卫生问题。

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