Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia.
Faculty of Business and Law, University of Wollongong, Wollongong, Australia.
BMC Public Health. 2022 May 12;22(1):956. doi: 10.1186/s12889-022-13201-0.
The normalisation of gambling for young people has received considerable recent attention in the public health literature, particularly given the proliferation of gambling marketing aligned with sport. A range of studies and reports into the health and wellbeing of young people have recommended that they should be consulted and engaged in developing public health policy and prevention strategies. There are, however, very few opportunities for young people to have a say about gambling issues, with little consideration of their voices in public health recommendations related to gambling. This study aimed to address this gap by documenting young people's perceptions about strategies that could be used to counter the normalisation of gambling and prevent gambling related harm.
This study took a critical qualitative inquiry approach, which acknowledges the role of power and social injustice in health issues. Qualitative interviews, using a constructivist approach, were conducted with 54 young people (11-17 years) in Australia. Reflexive thematic analysis was used to interpret the data.
Five overall strategies were constructed from the data. 1) Reducing the accessibility and availability of gambling products; 2) Changing gambling infrastructure to help reduce the risks associated with gambling engagement; 3) Untangling the relationship between gambling and sport; 4) Restrictions on advertising; and 5) Counter-framing in commercial messages about gambling.
This study demonstrates that young people have important insights and provide recommendations for addressing factors that may contribute to the normalisation of gambling, including strategies to prevent gambling related harm. Young people hold similar views to public health experts about strategies aimed at de-normalising gambling in their local communities and have strong opinions about the need for gambling to be removed from sport.
年轻人赌博的正常化在公共卫生文献中受到了相当多的关注,尤其是考虑到与体育相关的赌博营销的泛滥。一系列关于年轻人健康和福利的研究和报告建议,应该咨询年轻人并让他们参与制定公共卫生政策和预防策略。然而,年轻人几乎没有机会就赌博问题发表意见,在与赌博有关的公共卫生建议中很少考虑他们的声音。本研究旨在通过记录年轻人对可能用于对抗赌博正常化和预防赌博相关伤害的策略的看法来解决这一差距。
本研究采用批判性定性探究方法,承认权力和社会不公正在健康问题中的作用。在澳大利亚,对 54 名 11-17 岁的年轻人进行了使用建构主义方法的定性访谈。使用反思性主题分析对数据进行解释。
从数据中构建了五个总体策略。1)降低赌博产品的可及性和可用性;2)改变赌博基础设施,以帮助降低与赌博参与相关的风险;3)解开赌博和体育之间的关系;4)限制广告;5)对赌博的商业信息进行反框定。
本研究表明,年轻人对可能导致赌博正常化的因素有重要的见解,并提供了一些建议来解决这些因素,包括预防赌博相关伤害的策略。年轻人对旨在使他们当地社区赌博正常化的策略与公共卫生专家持有相似的观点,并强烈认为需要将赌博从体育中移除。