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美国青年期赌博行为的起始年龄及由此产生的赌博行为

Age of gambling onset and resultant gambling behavior during young adulthood in the United States.

作者信息

Quinn Anthony, Chamberlain Samuel R, Grant Jon E

机构信息

Department of Psychiatry, Faculty of Medicine, University of Southampton, Southampton, UK.

Southern Health NHS Foundation Trust, Southampton, UK.

出版信息

Am J Addict. 2023 May;32(3):268-273. doi: 10.1111/ajad.13368. Epub 2022 Dec 22.

Abstract

BACKGROUND AND OBJECTIVES

Previous research has examined how the age at which an individual first gambles (age of gambling onset) correlates with problematic behavior later in life, such as problematic alcohol or substance use; however, much less is known about how age of gambling onset, particularly as a child or as a young adult, might influence future gambling. We assessed how self-reported age of gambling onset may have shaped more recent gambling and propensity to take risks.

METHODS

We analyzed questionnaire data and neurocognitive assessment data collected from young adults in the United States (n = 579) and conducted ordinal logistic regression to model our study variables.

RESULTS

Upon examining three distinct age categories (under 18, 18-20, 21, and over), we found that earlier age of gambling onset was significantly associated with betting a higher overall proportion during a neurocognitive task. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Gambling more points on a laboratory-based task was correlated to earlier age of gambling onset. There were no statistically significant associations between age of gambling onset and severity of recent pathological gambling, nor gambling expenditure in the past year, nor gambling frequency in the past week. Future longitudinal study should discern the causality of these findings in both directions and ascertain whether these findings can be extended to older and clinical populations. Future work should explore other variables, such as ethnicity and socioeconomic background, that may be relevant to understanding variations in age of gambling onset and its repercussions.

摘要

背景与目的

以往的研究探讨了个体首次赌博的年龄(赌博起始年龄)与日后的问题行为,如酒精或药物使用问题之间的关联;然而,对于赌博起始年龄,尤其是儿童或青少年时期的赌博起始年龄如何影响未来的赌博行为,我们所知甚少。我们评估了自我报告的赌博起始年龄如何影响近期的赌博行为和冒险倾向。

方法

我们分析了从美国年轻人(n = 579)收集的问卷数据和神经认知评估数据,并进行了有序逻辑回归以对研究变量进行建模。

结果

在考察三个不同的年龄类别(18岁以下、18 - 20岁、21岁及以上)时,我们发现较早的赌博起始年龄与在神经认知任务中投注更高的总体比例显著相关。

结论与科学意义

在基于实验室的任务中更多地参与赌博与较早的赌博起始年龄相关。赌博起始年龄与近期病理性赌博的严重程度、过去一年的赌博支出或过去一周的赌博频率之间没有统计学上的显著关联。未来的纵向研究应从两个方向辨别这些发现的因果关系,并确定这些发现是否可以推广到老年人群和临床人群。未来的工作应探索其他变量,如种族和社会经济背景,这些变量可能与理解赌博起始年龄的差异及其影响有关。

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