Mehanović Emina, Renna Mariaelisa, Viola Erica, Giraudi Giulia, Ginechesi Maria, Vullo Claudia, Sciutto Alberto, Martorana Marco, Ceccano Adalgisa, Casella Pietro, Faggiano Fabrizio, Vigna-Taglianti Federica
Eur Addict Res. 2025 May 24:1-13. doi: 10.1159/000546587.
Gambling behaviour among adolescents is a serious public health concern. Adolescents' involvement in gambling is often related with substance use and antisocial behaviours. This study aims to examine the association of substance use and antisocial behaviours with gambling among Italian early adolescents.
The analytical sample of the present study included 1822 students attending 29 secondary schools in nine NHS districts of Piedmont region and the city of Rome who participated in the baseline survey of the experimental controlled trial "GAPUnplugged". The association of lifetime cigarette smoking, alcohol drinking, drunkenness, illicit drug use, violence and stealing with the probability of any gambling and regular gambling was estimated through multilevel mixed-effect regression models.
The prevalence of any gambling and regular gambling in the last 30 days was 36.4% and 12.7%, respectively. After adjustment for potential confounders, cigarette smoking, alcohol drinking, drunkenness, violence and stealing were significantly associated with an increased probability of both gambling outcomes. The link of gambling outcomes with alcohol drinking and drunkenness was higher for females, whereas the association with violence and stealing was higher for males.
Due to the association of gambling with other problem behaviours during early adolescence, school-based health promotion and prevention interventions should address multiple risk behaviours simultaneously. Prevention of one risk behaviour may contribute to the prevention of other risk behaviours.
青少年的赌博行为是一个严重的公共卫生问题。青少年参与赌博往往与物质使用和反社会行为有关。本研究旨在探讨意大利青少年早期物质使用和反社会行为与赌博之间的关联。
本研究的分析样本包括皮埃蒙特地区九个国民保健服务（NHS）区和罗马市29所中学的1822名学生，他们参与了实验对照试验“GAPUnplugged”的基线调查。通过多层次混合效应回归模型估计终生吸烟、饮酒、醉酒、非法药物使用、暴力和偷窃与任何赌博及经常赌博可能性之间的关联。
过去30天内任何赌博和经常赌博的患病率分别为36.4%和12.7%。在对潜在混杂因素进行调整后，吸烟、饮酒、醉酒、暴力和偷窃与两种赌博结果的可能性增加均显著相关。赌博结果与饮酒和醉酒的关联在女性中更高，而与暴力和偷窃的关联在男性中更高。
由于青少年早期赌博与其他问题行为之间存在关联，基于学校的健康促进和预防干预措施应同时解决多种风险行为。预防一种风险行为可能有助于预防其他风险行为。
