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澳大利亚成年人大型代表性样本中家庭赌博问题、其他家庭压力源与健康指标之间的关系。

The Relationship Between Family Gambling Problems, Other Family Stressors, and Health Indicators in a Large Population-Representative Sample of Australian Adults.

机构信息

School of Medical, Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia.

出版信息

J Gambl Stud. 2021 Dec;37(4):1139-1162. doi: 10.1007/s10899-020-09990-x. Epub 2020 Nov 27.

Abstract

PURPOSE

Harms due to excessive gambling can be experienced by gamblers and those close to them. Family gambling problems (FGPs) are currently under-researched, particularly in population-representative samples. This study aimed to identify prevalence, risk factors, and the complex of stressors and health-related consequences associated with FGPs, as well as isolating the impact of FGPs on physical and psychological health problems.

METHODS

We analysed data from the National Health Survey 2011-13, a large (N = 15,475) nationally representative sample of Australian adults. Participants reported on the presence of 14 family stressors (including FGPs), self-assessed health status, and risky health behaviours. Psychological impact was measured by the Kessler Psychological Distress Scale-10, as well as several indicators of the presence of mental health problems.

RESULTS

Overall, 1.7% of households reported a FGP. Interviewees in these households reported three times the number of other stressors than those without a FGP. In addition, they were around eight times more likely to be experiencing other addictions (drug and alcohol related problems) and stressors associated with socially deviant behaviours (trouble with police, abuse or violent crime, and witness to violence). Once age, gender, socioeconomic disadvantage, and other stressors were controlled for, FGPs significantly predicted lower self-assessed health and higher psychological distress.

CONCLUSIONS

FGPs occur within a complex of other addictions and stressors, impacting the quality of life of people close to problem gambling. The findings are discussed in relation to their support for General Strain Theory (Agnew, Criminology 30:47-87, 1992).

摘要

目的

过度赌博可能会对赌徒及其亲近的人造成伤害。目前,家庭赌博问题(FGPs)的研究还不够充分,尤其是在代表性人群样本中。本研究旨在确定 FGPs 的患病率、风险因素,以及与 FGPs 相关的压力源和与健康相关的后果的复杂情况,并分离 FGPs 对身心健康问题的影响。

方法

我们分析了 2011-13 年全国健康调查的数据,这是一项针对澳大利亚成年人的大型(N=15475)代表性样本的全国性调查。参与者报告了 14 种家庭压力源(包括 FGPs)、自我评估的健康状况和危险的健康行为。心理影响通过 Kessler 心理困扰量表-10 以及一些心理健康问题的指标来衡量。

结果

总体而言,1.7%的家庭报告存在 FGPs。这些家庭的受访者报告的其他压力源数量是没有 FGPs 的家庭的三倍。此外,他们出现其他成瘾(与药物和酒精相关的问题)和与社会偏差行为相关的压力源(与警察的麻烦、虐待或暴力犯罪以及目睹暴力)的可能性高出近八倍。在控制年龄、性别、社会经济劣势和其他压力源后,FGPs 显著预测了较低的自我评估健康和较高的心理困扰。

结论

FGPs 存在于其他成瘾和压力源的复杂环境中,影响着接近赌博问题的人的生活质量。研究结果与一般应变理论(Agnew,Criminology 30:47-87, 1992)有关。

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