Prevalence of gambling problems among adolescents in the Nordic countries: an overview of national gambling surveys 1997–2009

Kristiansen S, Jensen SM. Prevalence of gambling problems among adolescents in the Nordic countries: an overview of national gambling surveys 1997–2009 Int J Soc Welfare 2011: 20: 75–86 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. The study presents an overview of prevalence studies focusing on problem and pathological gambling among adolescent populations in the Nordic countries. Past‐year prevalence of problem gambling among adolescents in the Nordic countries ranges from 0.4 per cent (Denmark) to 4.2 per cent (Sweden). Past‐year prevalence of pathological gambling ranges from 0.1 per cent (Denmark) to 1.76 per cent (Norway). Results from the Nordic countries also show that boys gamble more than girls, older adolescents gamble more than younger adolescents and that, as shown in adult prevalence surveys, problem gambling is more widespread among adolescents than among adults. It is concluded that investigations of gambling problems among adolescents in the Nordic countries differ regarding age groups, sampling procedures, response rates, nomenclature and screening instruments, all of which complicates valid comparisons. More collaboration between researchers from different countries is urged in order to improve comparability between national studies.     

Gambling and problem/pathological gambling among ex-offenders in Hong Kong

This paper considers the issue of ex-offenders who can be identified as having an addiction to gambling; one that has been long-neglected in Hong Kong. It reports on a study in which 378 ex-offenders were asked to assess their gambling involvement. The paper identifies the importance of social workers developing a better understanding of this issue in their work with ex-offenders and the findings suggest there is further scope for research and analysis about the extent of this problem and its management.     

Prevalence and correlates of problematic gambling among Danish adolescents

This study reports the findings from a national survey on gambling behaviour among Danish primary school children. A questionnaire was administered to 2,223 primary school students ranging in age from 11 to 17 years. The questionnaire contained a gambling screen (SOGS‐RA) and items that measure gambling behaviour, social network and cognitive perceptions. The prevalence of problem gambling was 1.29 per cent, while 4.5 per cent were categorised as at‐risk gamblers. The three most frequently reported reasons for gambling were to win money, to have fun and to socialise with family and friends. It is suggested that gambling may be linked to a masculine universe and that at‐risk gambling behaviour patterns may be part of a normal adolescent life in which gambling serves recreational or leisure purposes. Implications for further research and preventive measures are discussed.     

Alcohol-related problems among adolescents and the role of a sense of coherence

Alcohol abuse is generally regarded as a major risk factor for antisocial problem behaviour among adolescents. On the other hand, personal coping strategies hypothetically can be seen as protective of alcohol-related behaviour problems. The aim of this study was to examine the influence of sense of coherence (SOC) on alcohol-related behavioural problems in an SOC-alcohol intoxication model. The method of study was a cross-sectional, school-based questionnaire study of 4,305, 16- and 19-year-old adolescents. We found that both a SOC and the frequency of alcohol intoxication were independently associated with alcohol-related behavioural problems. Our model shows that the combination of these two independent factors amplifies them considerably, and adolescents with a strong SOC, despite frequent intoxication, were protected to a large degree from experiencing alcohol-related problems.     

A Person‐Oriented Analysis of Social Withdrawal in Chinese Children

The goal of this study was to compare the socio‐emotional and academic adjustment of different subtypes of socially withdrawn (shy, unsociable, avoidant) school‐age children in mainland China. Participants were N = 1344 children ages 10–12 years from public elementary schools in Shanghai, People's Republic of China. Multi‐source assessment included: child self‐reports of social withdrawal subtypes and internalizing difficulties (e.g., depression, social anxiety); peer nominations of children's peer relations (e.g., peer victimization, peer preference); and teacher ratings of children's school adjustment (e.g., academic success, internalizing problems). Results from person‐oriented analyses indicated that socially avoidant (i.e., shy‐unsociable) children reported the most pervasive internalizing difficulties compared to other groups. However, in contrast to findings among Western samples, unsociable children were as likely to have peer and academic difficulties as their shy and socially avoidant peers. Findings are discussed in terms of the implications of different subtypes of social withdrawal among children in collectivistic societies such as China.     

Relations among Sadness Regulation,Peer Acceptance,and Social Functioning in Early Adolescence: The Role of Gender

Using a multi‐informant approach, this study examined emotion regulation within the social context of White and Black adolescent peer groups by assessing two aspects of sadness expression management (i.e., inhibition, disinhibition) and their linkages to peer acceptance and social functioning as a function of gender and ethnicity. Seventh‐ and eighth‐grade adolescents (N = 155, 52 percent female, 54.8 percent Black) completed self‐reports and peer nominations of sadness management and sociometric ratings of peer acceptance. Parents rated their child's social competence and social problems. Results revealed specific patterns of sadness regulation across informants that were associated with social functioning and varied by gender, but not ethnicity. Boys were more likely than girls to minimize sadness displays; boys who violated this pattern had lower peer acceptance and higher parent‐rated social problems. In contrast, although girls were rated as displaying overt sadness more frequently than boys, this was unrelated to peer acceptance.     

Family, Neighborhood, and Peer Characteristics as Predictors of Child Adjustment: A Longitudinal Analysis of Additive and Mediation Models

The purpose of this study was to test direct, additive, and mediation models involving family, neighborhood, and peer factors in relation to emerging antisocial behavior and social skills. Neighborhood danger, maternal depressive symptoms, and supportive parenting were assessed in early childhood. Peer group acceptance was measured in middle childhood, and data on antisocial behavior and social skills were collected when boys were 11 and 12 years old. Results were consistent with an additive effects model of child antisocial behavior. In contrast, peer relationships were stronger predictors of social skills than were family factors. Support for mediation was found in models involving neighborhood danger and supportive parenting. However, only peer group acceptance predicted change in antisocial and prosocial behavior. Implications for family and peer relations as socialization contexts are discussed.     

Regulatory Self‐efficacy as a Moderator of Peer Socialization Relating to Italian Adolescents' Alcohol Intoxication

The present study investigated regulatory self‐efficacy (RSE) as a predictor of friendship and adolescent alcohol intoxication and as a moderator of peer socialization processes related to alcohol intoxication. The longitudinal sample included 457 Italian adolescents (262 females and 195 males) ranging in age of 14 to 20 years (M = 16.1 years of age). Sociometric and behavioral data were collected at the beginning and end of the academic school year. Actor‐based models were applied to simultaneously estimate selection and socialization processes accounting for interdependencies among friends' drinking behaviors. The results indicated that adolescents did not select friends with similar levels of alcohol intoxication or RSE, but adolescents did adopt their friends' drinking behaviors. RSE was negatively associated with adolescent drinking behaviors and moderated socialization processes related to alcohol use, with adolescents reporting higher levels of RSE being less likely to adopt their friends' drinking behaviors than adolescents with lower levels of RSE.     

Sociocultural Perceptions and Patterns of Cigarette and Alcohol Use among College Students in Vietnam

This empirical study was conducted in the Socialist Republic of Vietnam to investigate cross‐sectionally the influences of sociocultural contexts on the patterns of addictive substance use cigarette, alcohol, and illicit drugs. A sample of 202 monolingual adults who were enrolled in college courses at the University of Hanoi in Vietnam responded to a self‐reported questionnaire in their native language on the frequency, quantity, and occasions of addictive behavior. The project staff were fluent in English and Vietnamese. The questionnaire was critically reviewed for its face validity and cultural appropriateness before being translated into Vietnamese. In addition to patterns of use, this research explored the central role of drinking alcohol and smoking cigarettes in peer socialization among college adults. Vietnam, like other Asian cultures, emphasizes initiation and conformity to social traditions and norms. The empirical findings provide invaluable knowledge of the complex roles of cigarette and alcohol in the social processes and relationship‐building among college adults in Vietnam. Further knowledge will assist in identifying intervention approaches and health prevention that is more focused and congruent with cultural and social beliefs about this behavior and these substances. Its implications for research into culturally appropriate intervention and prevention are also discussed.     

Trajectory and Predictors of Early Adolescent Alcohol Use

The aim of this study was to identify the developmental trajectory and predictors of Korean early adolescents’ alcohol use. The sample comprised 2844 adolescents who participated in the five‐wave longitudinal Korea Youth Panel Study, in which students were assessed annually from grade 4 (aged 11 years) in 2004 to grade 8 (aged 15 years) in 2008. Latent growth curve (LGC) modeling was conducted and a quadratic (J‐shaped) LGC model was supported. Personality‐ and environment‐system predictors, based on problem‐behavior theory, were specified to account for variation in intra‐individual changes in alcohol use. Self‐control, depressive affect, parental abuse, number of drinking friends, and gender significantly predicted the initial level of alcohol use. Self‐control, depressive affect, parental abuse, peer attachment, gender, and family structure predicted the quadratic slope that was associated with the rate of acceleration of alcohol use. These findings suggest that more effort needs to be directed toward the implementation of alcohol prevention programs early in elementary schools and practitioners who are involved in effective alcohol‐prevention and intervention programs that are aimed at delaying the initiation of alcohol use and reducing drinking during adolescence should consider various psychosocial factors.     

Outcomes of the ON FIRE peer support programme for children and adolescents in families with mental health problems

Children in families with mental health problems may encounter multiple risks to their well‐being. General aims of peer support programmes for these children include fostering resilience and effective coping strategies, and enhancing self‐esteem and social skills. This study aimed to evaluate outcomes from a pilot multi‐site implementation of the ON FIRE peer support programme. The purpose of ON FIRE is to cultivate hope, resilience and well‐being in children and adolescents aged 8–17 years living in families affected by sibling or parental mental health problems. We employed a pre‐post test (baseline and 4 months) evaluation using a suite of outcome measures. The Strengths and Difficulties Questionnaire (SDQ), Children's Hope Scale, Kids Connections Scale and Positive and Negative Affect Scale for Children (PANAS‐C) were completed for 64 child/adolescent participants. At baseline, participants had significantly greater difficulties compared with Australian norms. At 4 months, there were significant differences in children's hope and in connections outside the family. There were no significant differences in the SDQ or the PANAS‐C.     

The internalising and externalising problems of adolescents in Croatia: Socio‐demographic and family victimisation factors

This study assessed Croatian adolescents' problems in relation to socio‐demographic characteristics and experienced family violence in early and late adolescence. A national representative sample of 1,780 Croatian students (45.3% males) in two age groups representing early (M = 13.20; SD = 0.42) and late adolescence (M = 18.14; SD = 0.38) participated. The questionnaire included the Youth Self‐Report, modified version of ISPCAN Child Abuse Screening Tool – Children's Version, and socio‐demographic data. Results show that internalising problems were more present in female adolescents, in adolescents who perceived family financial hardship and in those whose biological parents did not live together. More externalising problems were reported in late adolescence by students who were living in large cities and whose families had either low, or above‐average, financial status. Adolescents who have experienced family violence were at higher risk of developing internalising and/or externalising problems.     

Risk and resilience factors for substance use among street adolescents: Assessment and development of an integrative model

In this study, risk and protective factors for substance use were explored to develop an intervention program and test its efficacy among male street‐based adolescents. Twenty expert interviews and key informant interviews were conducted. In addition, 30 street adolescents (15 substance‐users and 15 non‐users) participated in four focus group discussions for needs assessment, wherein risk and protective factors were discussed. Based on the identified needs, an intervention package was developed and validated by experts. The package was implemented in a natural environment of 50 street adolescents. After the intervention, about 60% of the respondents quit or cut down on their substance use substantially, and approximately 40% of the respondents agreed to reunite with their respective families, while 20% did not change their substance use habits. The results showed that if several protective factors were present, there was a lower risk of substance use. Many factors contribute to substance use and protective factors need to be strengthened in order to make interventions effective.     

Health and living conditions of Samis compared with other citizens based on representative surveys in three Swedish regions

This is the first general health survey of Samis compared with other Swedes to be based on randomised samples. In three regions, Samis were compared with respondents to the Public Health Investigation (n = 613 Samis and 6,309 respondents). Samis were also compared as to gender and membership in reindeer‐herding Sami villages (SVs). The survey shows that Samis of today have better education, work situation and health, and a healthier lifestyle than other Swedish citizens living in the same regions. There are, however, great differences among the Samis themselves. Members of SVs have weaker finances, and they report having less societal trust and worse health than non‐members do. Male members have lower education, are less involved in social activities and report worse overall health, but do not have a higher incidence of psychiatric problems, than other Samis. Samis, in general, have similar or better health and social situation than non‐Samis, but male SV‐members face greater problems and higher risks than other Samis. Key Practitioner Message: ? Health and welfare authorities in cooperation with the Sami parliament and the Sami villages should develop special strategies to assist the herding communities in culturally sensitive ways.