A population-level metric for gambling-related harm

Prior estimates of the population-level impact of gambling have relied on economic costings. Recent work has derived disability weights for the Problem Gambling Severity Index, which measure per-person impact of gambling on quality of life on a scale of zero to one. This provided scope for the present study to calculate the ‘burden of gambling harm’, which captures the aggregate impact of harms arising from gambling on quality of life in a population. Gambling-related harm was associated with 101,675 years of life lost in Victoria, Australia: approximately two-thirds that of alcohol use and dependence, and major depressive disorder. Problem gamblers suffer more individually (disability weight = .44) compared to those in moderate (.29) and low (.13) risk categories. Nevertheless, moderate and low-risk gamblers account for 85% of population-level harm, due to greater prevalence of these groups. Overall, the scale of gambling-related harm is large relative to other significant health issues, with milder yet non-negligible harm accruing to a relatively broad segment of the gambling population. The article suggests that the tendency to conflate the (typically low) prevalence of problem gambling with total gambling impact is misleading, and argues for a broader population-health based measure.     

Traditional and innovated gambling products: an exploration of player preferences

There is concern that recent innovations of traditional face-to-face gambling products may lead to increased harm because of the tendency for innovated products to share certain structural features with electronic gaming machines (EGMs). The VICES framework focusses on several mechanisms known to influence gambling behaviour: visual and auditory enhancements, illusions of control, cognitive complexity, expedited play and social customization. The current study applied the VICES framework to an investigation of player experiences with both traditional and innovated gambling products. Through a series of six focus groups (N = 40) with regular bingo, poker and casino table game players and sports bettors, we examined the characteristics of innovated gambling products and their influences on player experience and the risk of gambling harm. Findings suggest that traditional games are perceived as more social, more enjoyable and less harmful. This was largely attributed to the low social interaction, expedited play and increased potential for consumption that is associated with EGM-type gambling activity. Further, we suggest that VICES, pending some revision, is a valid and applicable framework by which to identify characteristics of innovated products that influence player experience and behaviour.     

A typical problem gambler affects six others

While the financial and psychological burden on problem gamblers can be severe, at least some of the ill effects are also passed on to family or other close social ties. The present study estimated the number of affected-others for the typical problem gambler. Australian members of an online panel with gambling problems (N = 3076) and panel members who indicated that they had been affected by someone else’s gambling (N = 2129) were asked to estimate the number of other people who were negatively affected by their gambling. Using robust statistics to analyse this data, the study found lower estimates made by problem gamblers (four affected people) compared to estimates made by affected others (six affected people, including the respondent). It was concluded that a point-estimate of six people affected is a more accurate figure since it does not suffer from self-presentation effects of problem gamblers. Low-risk and moderate-risk gamblers, unsurprisingly, affected far fewer other people (one and three, respectively). Both gamblers and affected-others most often identified close family members, including spouses and children, as the people impacted by others’ gambling problems. These results provide an approximate measure of the number of people affected, per problem gambler, to facilitate accurate accounting of the harms accruing from gambling problems.     

Gambling is not a capitalist conspiracy: a critical commentary of literature on the ‘industry state gambling complex’

Research into the political economy of gambling, arising particularly from the fields of sociology and geography, has made many much-needed contributions to gambling studies. It has highlighted the association between gambling and social disadvantage and also highlighted the conflict of interest that arises when governments who liberalize gambling also benefit from the resultant taxation revenue. This has led a number of authors to argue that the global gambling industry, as well as many governments and academics, are party to a modern capitalist conspiracy that (a) redistributes wealth and subjugates the disadvantaged and (b) pathologizes problem gamblers to deflect blame from the industry. This article provides a critical appraisal of these arguments with reference to papers from some of the leading authors in this area. It argues that the important contributions of this area have been tarnished by the overuse of politicized and polemical language in academic/scientific contexts, by the use of conspiracy-style arguments and by unjustified criticism of the behavioural and medical sciences. It also argues that the field of gambling studies is strengthened when generalizations about the role of industry are always supported by tangible examples and evidence at each stage of the critique.     

Gambling,geographical variations and deprivation: findings from the adult psychiatric morbidity survey

Gambling problems are prevalent in the UK, especially in the most deprived boroughs of the country. Individual-level characteristics may exist alongside a social and geographical gradient. The study aimed to establish whether living in specific geographic areas increases problem gambling likelihood. It used data from the 2007 Adult Psychiatric Morbidity Survey. It adopted a twofold categorization distinguishing recreational from problem/pathological gambling. It used the 2004 Overall Index of Multiple Deprivation to measure deprivation of the district of residence, and primary sampling units, based on postcode sectors, to take into account area characteristics in multi-level mixed-effects regression models. The determinants of recreational gambling operated solely at the individual level. These included male sex, stable relationship and employment, though a number of clinical variables were also important: impulsivity, hazardous use or dependency on alcohol, and current smoking. In contrast, an appreciable proportion of the variance in problem/pathological gambling was explained by area-level clustering. Unlike recreational gamblers, problem/pathological gamblers appear to cluster in specific areas. Thus, there are grounds for restricting the location and density of gambling opportunities and for providing selective prevention programmes targeting geographic areas characterized by contextual determinants.     

Impact of Visiting an Onsite Casino Information Centre on Perceptions about Randomness and Gambling Behaviours

At the beginning of 2000, some educational initiatives in the field of responsible gambling resulted in the implementation of Onsite Casino Information Centres (OCICs). However, no study has yet empirically evaluated the impact of visiting an OCIC. This paper includes two studies evaluating the OCIC Au Centre du Hasard, located in Montreal, Quebec. The goal of the first study was to identify the profile of the visitors and to assess their appreciation. After a visit, 336 patrons accepted to complete a pen and paper questionnaire. The goal of the second study was to evaluate the impact of a visit on the perceptions about randomness and the gambling behaviours of the visitors. For this study, 67 visitors were evaluated before, after, and 3 months following a visit and their results were compared to a control group. Data showed that most visitors were seniors, occasional slot machine gamblers, and in control of their gambling activities. The majority of guests greatly appreciated their visit. A visit to Au Centre du Hasard seemed to modify the misconceptions towards the notion of randomness but not the gambling behaviours. These gains were maintained at 3-month follow-up. Results with respect to other prevention programs are discussed, and future research avenues are suggested.

Pathological Gambling in Estonia: Relationships with Personality,Self-Esteem,Emotional States and Cognitive Ability

Due to changes in gambling accessibility during the last decade gambling has become more widespread in Estonia and the prevalence of pathological gambling has sharply increased. The present study attempts to identify psychological characteristics of Estonian pathological gamblers. It has been shown that a wide range of social, economic, and individual factors (e.g. personality traits and emotional states) predict the likelihood of becoming a pathological gambler. In the present study, pathological gamblers’ (N = 33) personality traits, self-esteem, self-reported emotional states and cognitive ability were compared to the respective characteristics in a non-gambling control group (N = 42) matched for age, gender and educational level. It was found that compared to controls, pathological gamblers had higher scores on Neuroticism (especially on its immoderation facet) and lower scores on Conscientiousness (especially on its dutifulness and cautiousness facets) and on self-esteem scale. They reported more negative emotional states during the previous month (especially depression and anxiety). Finally, pathological gamblers had lower general cognitive ability. In a logistic regression model, the likelihood of being a pathological gambler was best predicted by high immoderation score and low cognitive ability.

收益宽幅现象与中国“对赌经济”的治理

刺激经济增长实施宽松的货币政策和扩张的财政政策,导致了低利率与高投资回报率的差,反应在会计收益上就会形成收益的宽幅现象,收益的宽幅现象为财务杠杆的使用提供了空间,财务杠杆的过分使用就会催生资产泡沫,会计上采用公允价值计价把资产的泡沫当作收益进一步吹大了资产的泡沫,非理性投资热充斥市场,在市场上表现为炒作和对赌,专注金融分配而不注重生产。因此,中国经济表现为明显的对赌特征,严重影响了中国的产业结构调整,治理收益的宽幅现象是实现产业结构调整的重要环节。     

How does the stigma of problem gambling influence help-seeking,treatment and recovery? a view from the counselling sector

Problem gambling attracts considerable public stigma and can cause significant self-stigma. However, little research has investigated the role of stigma during treatment-assisted recovery from problem gambling. This study aimed to examine gambling counsellors’ perspectives on whether and how the stigma associated with problem gambling influences problem acknowledgement, help-seeking, treatment and recovery. In-depth interviews with nine gambling counsellors from Victoria, Australia, were analysed to extract shared meanings of experiences using interpretative phenomenological analysis. Counsellors indicated that the burden of problem gambling is typically increased by the addition of stigma and its impacts. This stigma is created and maintained by a lack of public understanding about problem gambling and its causes, and internalization of self-stigmatizing beliefs, leading to delayed help-seeking, anxiety about attending treatment, concerns about counsellor attitudes, and fear of relapse. Counsellors maintained that, before effective gambling treatment could occur, they needed to help clients overcome their self-stigmatizing beliefs to establish confidence and trust in the counsellor, restore self-esteem, enhance stigma coping skills and foster a belief that recovery is possible. Harnessing support from significant others and preparing clients for relapse were also important inclusions to lower stigma. Addressing stigma early in treatment can help to improve treatment adherence and recovery.     

Visitor suicide risk in casino resort areas

In a well-publicized analysis of visitor suicides in three casinoareas (Atlantic City, Las Vegas, and Reno), elevated suicide risk among interstate visitors was attributed to the presence of legalized gambling. A fundamental limitation of the analysis, however, was the absence of estimatesfor at-risk populations. In the present paper, an analysis of 1995 visitor-suicide rates (incorporating estimates for at-risk population) for 310 large UScounties, including places both with and without gambling casinos, yields no evidence to support a gambling-suicide relationship.