Centre for Research on Addiction, Control and Governance (CEACG), Faculty of Social Sciences, University of Helsinki, Finland.
Department of Community Medicine, University of Connecticut School of Medicine Connecticut, USA.
Addiction. 2021 Jan;116(1):32-40. doi: 10.1111/add.15241. Epub 2020 Oct 20.
The gambling industry has grown into a global business in the 21st century. This has created the need for a new emphasis on problem prevention. This article highlights the core themes of the book Setting Limits: Gambling, Science and Public Policy, taking a broad view of the consequences of gambling for society as a burden on health, well-being and equality. The book covers the extent of gambling and gambling-related problems in different societies and presents a critical review of research on industry practices, policy objectives and preventive approaches, including services to people suffering from gambling and its consequences. It discusses the developments in game characteristics and gambling environments and provides evidence on how regulation can affect those. Effective measures to minimize gambling harm exist and many are well supported by scientific evidence. They include restrictions on general availability as well as selective measures to prevent gamblers from overspending. The revenue generated from gambling for the industry, governments, and providers of public services funded from gambling returns presents an obstacle to developing policies to implement harm-reduction measures. A public interest approach must weigh these interests against the suffering and losses of the victims of gambling.
在 21 世纪,赌博业已发展成为一项全球性业务。这就需要更加重视预防问题。本文重点介绍了《设定界限:赌博、科学和公共政策》一书的核心主题,从赌博对社会健康、福利和平等造成负担的角度,广泛探讨了赌博的后果。该书涵盖了不同社会中赌博的程度和与赌博相关的问题,并对行业实践、政策目标和预防方法的研究进行了批判性评估,包括为赌博者及其后果提供服务。它讨论了游戏特点和赌博环境的发展,并提供了有关监管如何影响这些因素的证据。已经存在最小化赌博危害的有效措施,其中许多措施都得到了科学证据的充分支持。这些措施包括限制一般可用性以及有针对性的措施,以防止赌徒超支。从行业、政府和从赌博中获得资金的公共服务提供者的角度来看,赌博产生的收入对制定实施减少危害措施的政策构成了障碍。公共利益方法必须权衡这些利益与赌博受害者的痛苦和损失。