Finnish Institute for Health and Welfare, Health and Well-being Promotion Unit, P.O. Box 30, FI-00271 Helsinki, Finland.
Finnish Institute for Health and Welfare, Health and Well-being Promotion Unit, P.O. Box 30, FI-00271 Helsinki, Finland; University of Turku, Social Sciences Department of Psychology and Speech-Language Pathology Turku, Finland; University of Helsinki, Department of Medicine, Helsinki, Finland.
Addict Behav. 2022 Jun;129:107263. doi: 10.1016/j.addbeh.2022.107263. Epub 2022 Feb 1.
This study investigates the prevalence of being an affected other (AO) of a person with problem gambling; and the associations between being an AO and socio-demographics, gambling behaviour, health-related correlates and the amount and type of gambling-related harm (GRH) for the AOs. Furthermore, perspectives of the affected family members (AFMs) and close friends (ACFs) were acknowledged. Cross-sectional, random sample Finnish Gambling population-based survey data (n = 3,994) were collected in 2019. AOs were identified using a question with seven options. Information on GRH was sought using structured questions. One-fifth (21.2 %) of all respondents were AOs, men being typically ACFs and women being more often AFMs. Being an AO was associated with younger age, gambling participation, having a gambling problem of their own and health barriers such as psychological distress. AFMs experienced GRH more often and the amount of different GRHs was greater among the AFMs. The most common harm category experienced by the AOs was emotional harm. Both health-related issues and the amount of GRHs was largest among the AFMs. A substantial amount of GRH was also experienced by ACFs. The study suggests that support could be tailored for AFMs and ACFs, based on their AO status and individual needs. A public health approach for effective harm prevention in primary, secondary and tertiary levels are discussed.
本研究调查了作为一个有问题赌博者的受影响者（AO）的普遍程度；以及作为 AO 与社会人口统计学、赌博行为、与健康相关的因素以及 AO 遭受的赌博相关伤害（GRH）的数量和类型之间的关联。此外，还承认了受影响的家庭成员（AFMs）和亲密朋友（ACFs）的观点。2019 年，收集了横断面、随机抽样的芬兰基于人群的赌博者调查数据（n=3994）。使用一个有七个选项的问题来确定 AO。使用结构化问题来寻求关于 GRH 的信息。所有受访者中有五分之一（21.2%）是 AO，男性通常是 ACFs，女性则更多是 AFMs。作为 AO 与年龄较小、参与赌博、自身存在赌博问题以及心理困扰等健康障碍有关。AFMs 更经常经历 GRH，并且 AFMs 经历的不同类型的 GRH 数量更多。AO 最常见的伤害类别是情感伤害。AFMs 的健康相关问题和 GRH 的数量最多。ACFs 也经历了相当数量的 GRH。研究表明，可以根据 AFMs 和 ACFs 的 AO 状况和个人需求，为他们提供量身定制的支持。讨论了在初级、中级和三级预防中采取公共卫生方法来有效预防伤害的问题。
