Lee Hyun Jung, Lee Gyungjoo
Department of Nursing, Jeonbuk Science College of Korea, Jeongeup, Republic of Korea.
College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
BMC Public Health. 2025 Jun 10;25(1):2144. doi: 10.1186/s12889-025-23213-1.
Gambling among youth is attracting the attention of health experts worldwide. A need has arisen for more research on the pathways to the development of adolescent problem gambling behavior and related factors.
A cross-sectional study was conducted, and structure equation modeling was used to analyze data from the Korea Problem Gambling Agency to predict problem gambling among 1,474 adolescents aged 13-18 years.
Structural equation modeling showed that gambling accessibility and media exposure are associated with heightened sensation-seeking tendencies, which are related to stronger irrational gambling beliefs. The mediating associations of these factors play a significant role in predicting adolescent problem gambling. Additionally, ecological influences, including gambling accessibility and media exposure, show associations with the reinforcement of irrational gambling beliefs among adolescents. Although impulsivity was increased due to media exposure, it was not a significant mediator among gambling accessibility and media exposure, irrational gambling beliefs and problem gambling.
Understanding adolescent problem gambling requires a comprehensive approach that considers both ecological and individual factors. To effectively reduce adolescent problem gambling, collaboration among researchers, policymakers, schools, parents, and adolescents is essential.
青少年赌博正引起全球健康专家的关注。对于青少年问题赌博行为的发展途径及相关因素，有必要开展更多研究。
进行了一项横断面研究，并使用结构方程模型分析来自韩国问题赌博机构的数据，以预测1474名13 - 18岁青少年中的问题赌博情况。
结构方程模型显示，赌博的可及性和媒体曝光与增强的寻求刺激倾向相关，而寻求刺激倾向又与更强的非理性赌博信念有关。这些因素的中介关联在预测青少年问题赌博中起重要作用。此外，包括赌博可及性和媒体曝光在内的生态影响，显示出与青少年非理性赌博信念的强化存在关联。尽管媒体曝光会增加冲动性，但它在赌博可及性和媒体曝光、非理性赌博信念及问题赌博之间并非显著的中介因素。
理解青少年问题赌博需要一种综合考虑生态和个体因素的方法。为有效减少青少年问题赌博，研究人员、政策制定者、学校、家长和青少年之间的合作至关重要。
