Jeannot Emilien, Dickson Cheryl, Zumwald Coralie, Simon Olivier
Centre Du Jeu Excessif, Addiction Medicine, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Institute of Global Health, Faculty of Medicine, Chemin de Mines 9, 1202 Geneva, Switzerland.
Healthcare (Basel). 2023 Jan 5;11(2):166. doi: 10.3390/healthcare11020166.
Recent changes in the Swiss gambling context include the introduction of a new gambling policy (Swiss Federal Act on Gambling; GA), and the associated opening of the online gambling market. Within this context it is important to observe evolving trends in gambling behavior. This study therefore aims to identify the gambling behavior and clinical characteristics of a treatment-seeking population over an 18-year period (2001 to 2018). Specifically, the proportion of referrals relating to the three most popular game-types; VLT play, slot machines and online gambling, and associated socio-demographic characteristics, gambling-related spending and clinical features. The results indicate the high addictive potential for VLT and slot-machine use, over the 18-year period with an increasing use of online gambling from 2012 to 2018 (even before the official opening of the market). Problem-gambling vulnerability factors such as low income, unemployment and debts as well as self-reported suicidal ideation, were also over-represented in the sample. This longitudinal overview provides a detailed picture of treatment-seeking referrals, for future comparisons and can be used to tailor clinical interventions.
瑞士赌博环境最近的变化包括出台了一项新的赌博政策（《瑞士联邦赌博法》；GA）以及随之而来的在线赌博市场开放。在此背景下，观察赌博行为的演变趋势很重要。因此，本研究旨在确定18年期间（2001年至2018年）寻求治疗人群的赌博行为和临床特征。具体而言，涉及三种最受欢迎游戏类型（视频彩票终端游戏、老虎机和在线赌博）的转诊比例，以及相关的社会人口统计学特征、与赌博相关的支出和临床特征。结果表明，在18年期间，视频彩票终端游戏和老虎机使用具有很高的成瘾潜力，2012年至2018年期间在线赌博的使用呈上升趋势（甚至在市场正式开放之前）。样本中低收入、失业和债务等问题赌博脆弱因素以及自我报告的自杀意念也占比过高。这一纵向概述提供了寻求治疗转诊的详细情况，以供未来比较，并可用于定制临床干预措施。
