Broman Niroshani, Prever Fulvia, di Giacomo Ester, Jiménez-Murcia Susana, Szczegielniak Anna, Hansson Helena, Håkansson Anders
Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.
Gambling Disorder Unit, Malmö Addiction Center, Region Skåne, Malmö, Sweden.
Front Psychol. 2022 Apr 11;12:707645. doi: 10.3389/fpsyg.2021.707645. eCollection 2021.
Addictive behavior of gambling, gaming and internet activity is partly a new research domain and has not been well investigated with regard to sexual minority populations. Although health disparities between sexual minorities and the general population are well documented, there is a lack of inclusion of sexual minorities in both research and clinic. Among lesbian, gay and bisexual populations certain features could be present that play a role for the development of addictive behaviors, such as social isolation and increased risk of other psychiatric problems. The aim of this study was to investigate problem gambling, problem gaming and problematic internet behavior in a European context and if it is affected by sexual orientation status.
An online web-survey was distributed among web-panels in England, Poland, Switzerland, Italy, Spain, Denmark, and Sweden in 2017-2018.
10 983 complete answers were collected. 7.1% of the participants had a sexual minority status ( = 774). Regression models found that there was no difference in gambling, gaming and internet behavior among heterosexual and sexual minority men. Sexual minority women were associated with problematic gambling and gaming behavior, when also controlling for age and nationality. When also controlling for psychological distress, women defining as having another sexual minority status than lesbian and bisexual remained significant for having a problematic gaming behavior (AOR = 2.3).
An awareness of female sexual minority perspectives is relevant in facilities treating behavioral addiction as well as in future research in behavioral addiction. More research is needed in problematic gambling and gaming behavior in different sexual minority populations with regard to psychiatric comorbidity and living conditions. An inclusion of sexual minority groups defining as other than gay and bisexual is needed in future research. No significant differences were found between heterosexual and sexual minority men in adjusted analysis in this study.
赌博、游戏和网络活动成瘾行为部分属于一个新的研究领域，在性少数群体方面尚未得到充分研究。尽管性少数群体与普通人群之间的健康差异已有充分记录，但在研究和临床中都缺乏对性少数群体的纳入。在女同性恋、男同性恋和双性恋人群中，某些特征可能会对成瘾行为的发展起作用，比如社会隔离以及其他精神问题风险增加。本研究的目的是在欧洲背景下调查问题赌博、问题游戏和问题网络行为，以及它是否受性取向状况的影响。
2017 - 2018年在英格兰、波兰、瑞士、意大利、西班牙、丹麦和瑞典的网络小组中开展了一项在线网络调查。
共收集到10983份完整答案。7.1%的参与者具有性少数群体身份（n = 774）。回归模型发现，异性恋男性和性少数群体男性在赌博、游戏和网络行为方面没有差异。在控制年龄和国籍后，性少数群体女性与问题赌博和游戏行为相关。在控制心理困扰后，被定义为具有除女同性恋和双性恋之外的其他性少数群体身份的女性在有问题游戏行为方面仍具有显著性（调整后比值比 = 2.3）。
在治疗行为成瘾的机构以及未来行为成瘾研究中，了解女性性少数群体的观点很重要。对于不同性少数群体中问题赌博和游戏行为在精神共病和生活条件方面，还需要更多研究。未来研究需要纳入被定义为除同性恋和双性恋之外的性少数群体。在本研究的调整分析中，异性恋男性和性少数群体男性之间未发现显著差异。
