Price Alex, Hilbrecht Margo, Billi Rosa
Centre for the Advancement of Best Practices, The Responsible Gambling Council, 205-411 Richmond Street East, Toronto, Ontario M5A 3S5 Canada.
Gambling Research Exchange, 214A-55 Wyndham Street North, Guelph, Ontario N1H 7T8 Canada.
Z Gesundh Wiss. 2021;29(1):37-53. doi: 10.1007/s10389-020-01437-2. Epub 2021 Jan 7.
Gambling harm is a serious public health issue affecting the health, financial security, and social well-being of millions of people and their close relations around the world. Despite its population health implications, gambling harm is not typically viewed and treated as a public health policy issue. This paper critically reviews the evolution of the public health perspective on gambling harm. It also considers how gambling harm can be operationalized within a public health model.
A critical historical review of the emerging public health perspective on gambling harm was conducted. Key documents covering three decades of development were reviewed and appraised through a process of deliberation and debate over source impact in the fields of research, policy, and programming internationally.
The first decade mainly focused on identifying gambling harm and framing the public health issue. The second decade featured the expansion of health assessment and emerging areas of policy and program development. The third decade saw an increased focus on public health frameworks that advanced understanding of harm mechanics and impact. As reflected by the of a general public health model, gambling harm prevention efforts emphasize health promotion over other key functions like health assessment and surveillance.
Gambling harm is a public health issue requiring greater attention to health assessment and surveillance data development.
赌博危害是一个严重的公共卫生问题，影响着全球数百万人及其亲密关系者的健康、金融安全和社会福祉。尽管其对人群健康有影响，但赌博危害通常不被视为也未作为公共卫生政策问题来对待。本文批判性地回顾了公共卫生视角下赌博危害的演变。它还探讨了如何在公共卫生模式中实施赌博危害防控。
对新兴的公共卫生视角下赌博危害进行了批判性历史回顾。通过对国际研究、政策和规划领域的来源影响进行审议和辩论的过程，对涵盖三十年发展的关键文件进行了审查和评估。
第一个十年主要侧重于识别赌博危害并界定公共卫生问题。第二个十年的特点是健康评估的扩展以及政策和项目发展的新兴领域。第三个十年更加关注促进对危害机制和影响理解的公共卫生框架。正如一般公共卫生模式所反映的那样，赌博危害预防工作更强调健康促进，而不是健康评估和监测等其他关键功能。
赌博危害是一个公共卫生问题，需要更加关注健康评估和监测数据的发展。
