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新墨西哥州成年人中问题赌博的患病率及预测因素:一项社会人口学分析。

The Prevalence and Predictors of Problem Gambling Among Adults in New Mexico: A Sociodemographic Analysis.

作者信息

Rodríguez Monique N, Goodrich Kristopher M, Bell Lindsey M, Waller Martha W, Zhang Lei, Lilliott Elizabeth

机构信息

Department of Individual, Family, and Community Education, College of Education and Human Sciences, University of New Mexico, Simpson Hall MSC053042, 504 Campus, Blvd., Albuquerque, NM, 87131, USA.

Pacific Institute for Research and Evaluation, Chapel Hill, NC, USA.

出版信息

J Gambl Stud. 2025 Mar 8. doi: 10.1007/s10899-025-10380-4.

DOI:10.1007/s10899-025-10380-4
PMID:40057641
Abstract

This study investigated the prevalence and potential factors of problem gambling among adults in New Mexico. The state has a diverse population and a well-established gambling industry. The study used data from a survey of 19,202 adults in 2018 and 2019 and found that problem gambling rates (3.1-3.9%) were significantly higher than the national average. The study revealed significant differences in problem gambling prevalence based on sociodemographic factors, with higher rates among males, younger adults, and racial/ethnic minorities, particularly Native American/American Indian respondents. Substance use behaviors and adverse childhood experiences (ACEs) showed strong associations with problem gambling. Logistic regression analyses showed that being male, identifying as Latinx or Native American/American Indian, having lower educational attainment, experiencing housing instability, engaging in substance use, and reporting multiple ACEs significantly increased the odds of problem gambling. A risk score index indicated that the likelihood of problem gambling increased considerably with the accumulation of risk factors. These findings highlight the complex and multifaceted nature of problem gambling in New Mexico, underscoring the need for culturally sensitive interventions. The study offers valuable insights for policymakers, healthcare providers, and community organizations to develop evidence-based strategies to address problem gambling in this specific demographic context.

摘要

本研究调查了新墨西哥州成年人中问题赌博的患病率及潜在因素。该州人口多样,赌博产业发达。研究使用了2018年和2019年对19202名成年人的调查数据,发现问题赌博率(3.1%-3.9%)显著高于全国平均水平。研究揭示了基于社会人口学因素的问题赌博患病率存在显著差异,男性、年轻人和少数族裔/种族群体,尤其是美国原住民/印第安受访者的患病率更高。物质使用行为和童年不良经历(ACEs)与问题赌博表现出强烈关联。逻辑回归分析表明,男性、认定为拉丁裔或美国原住民/印第安人、教育程度较低、经历住房不稳定、从事物质使用以及报告有多种童年不良经历会显著增加问题赌博的几率。一个风险评分指数表明,问题赌博的可能性会随着风险因素的累积而大幅增加。这些发现凸显了新墨西哥州问题赌博的复杂性和多面性,强调了采取具有文化敏感性干预措施的必要性。该研究为政策制定者、医疗保健提供者和社区组织提供了宝贵的见解,以便在这一特定人口背景下制定基于证据的策略来解决问题赌博问题。

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本文引用的文献

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Age-related patterns in high-risk alcohol and cannabis use and their associations with positive and negative affect in young adulthood.年龄相关的高危酒精和大麻使用模式及其与年轻人积极和消极情绪的关联。
Addict Behav. 2024 Mar;150:107909. doi: 10.1016/j.addbeh.2023.107909. Epub 2023 Nov 14.
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Gambling and homelessness in older adults: a qualitative investigation.
老年人赌博和无家可归问题:一项定性研究。
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Increased Demographic Representation in Randomized Control Trials for Gambling Disorder in the United States is Needed: A Systematic Review.需要增加美国赌博障碍随机对照试验中的人口统计学代表性:系统评价。
J Gambl Stud. 2021 Sep;37(3):1025-1041. doi: 10.1007/s10899-021-10055-w. Epub 2021 Jul 13.
5
Risky Gambling Behaviors: Associations with Mental Health and a History of Adverse Childhood Experiences (ACEs).风险赌博行为:与心理健康和不良童年经历(ACEs)的关联。
J Gambl Stud. 2022 Sep;38(3):699-716. doi: 10.1007/s10899-021-10040-3. Epub 2021 Jun 23.
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Relationship between Adverse Childhood Experiences and Gambling in Nevada.内华达州不良童年经历与赌博之间的关系。
Am J Health Behav. 2021 Mar 1;45(2):246-255. doi: 10.5993/AJHB.45.2.5.
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An Exploratory Analysis of Predictors of Course in Older and Younger Adults with Pathological Gambling: A Non-Treatment Sample.病理性赌博中老年和年轻成年人病程预测因素的探索性分析:非治疗样本。
J Gambl Stud. 2021 Dec;37(4):1231-1243. doi: 10.1007/s10899-021-10003-8. Epub 2021 Jan 25.
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Online Gambling in the Midst of COVID-19: A Nexus of Mental Health Concerns, Substance Use and Financial Stress.新冠疫情下的在线赌博:心理健康问题、物质使用与经济压力的交织
Int J Ment Health Addict. 2022;20(1):362-379. doi: 10.1007/s11469-020-00366-1. Epub 2020 Jul 13.
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Prog Neuropsychopharmacol Biol Psychiatry. 2020 Apr 20;99:109852. doi: 10.1016/j.pnpbp.2019.109852. Epub 2019 Dec 24.
10
A systematic review of gambling-related findings from the National Epidemiologic Survey on Alcohol and Related Conditions.一项对《国家酒精相关状况和流行病学调查》中与赌博相关发现的系统综述。
J Behav Addict. 2019 Dec 1;8(4):625-648. doi: 10.1556/2006.8.2019.64. Epub 2019 Dec 13.