Exploring the Hidden Nature of Gambling Problems among People Who Are Homeless

Abstract

Although people with gambling problems are now recognised to be among those groups of people at increased risk of homelessness, little research has explored their experiences. This qualitative interpretive study explored the experiences of people who were homeless and had gambling problems, and the housing and gambling service providers assisting them. In-depth interviews were conducted with 17 service users and 18 service providers. A key finding was that gambling problems among those experiencing homelessness are often hidden; few people presented to housing services admitting to gambling problems. Shame, stigma, and identity issues were described as the main reasons service users did not disclose their gambling activities. The research highlighted that the relationship between service providers and service users was infused with power imbalances and shaped by social discourses and policies that demand self-responsibility and hinder information sharing between service providers and service users.     

The Health Belief Model and the Contraceptive Behavior of College Women: Implications for Health Education

Abstract

“The Incidence of Primary Cardiac Arrest During Vigorous Exercise,” David S. Siscovick, et al. To examine the risk of primary cardiac arrest during vigorous exercise, we interviewed the wives of 133 men without known prior heart disease who had had primary cardiac arrest. Cases were classified according to their activity at the time of cardiac arrest and the amount of their habitual vigorous activity. From interviews with wives of a random sample of healthy men, we estimated the amount of time members of the community spent in vigorous activity.

Among men with low levels of habitual activity, the relative risk of cardiac arrest during exercise compared with that of other times was 56 (95% confidence limits, 23 to 131). The risk during exercise among men at the highest level of habitual activity was also elevated, but only by a factor of 5 (95% confidence limits, 2 to 14). However, among the habitually vigorous men, the overall risk of cardiac arrest—i.e., during and not during vigorous activity—was only 40% that of the sedentary men (95% confidence limits, 0.23 to 0.67).

Although the risk of primary cardiac arrest is transiently increased during vigorous exercise, habitual vigorous exercise is associated with an overall decreased risk of primary cardiac arrest. (New England Journal of Medicine 1984;311:874-7.)

“Osteoporosis in Women with Anorexia Nervosa,” Nancy A. Rigotti, et al. Because estrogen deficiency predisposes to osteoporosis, we assessed the skeletal mass of women with anorexia nervosa, using direct photon absorptiometry to measure radial bone density in 18 anorectic women and 28 normal controls. The patients with anorexia had significantly reduced mean bone density as compared with the controls (0.64 ±0.06 vs. 0.72 ±0.04 g per square centimeter, P < 0.001). Vertebral compression fractures developed in two patients, and bone biopsy in one of them demonstrated osteoporosis. Bone density in the patients was not related to the estradiol level (r = 0.02). Levels of parathyroid hormone, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D were normal despite low calcium intakes.

The patients with anorexia who reported a high physical activity level had a greater bone density than the patients who were less active (P < 0.001); this difference could not be accounted for by differences in age, relative weight, duration of illness, or serum estradiol levels. The bone density of physically active patients did not differ from that of active or sedentary controls.

We conclude that women with anorexia nervosa have a reduced bone mass due to osteoporosis, but that a high level of physical activity may protect their skeletons. (New England Journal of Medicine 1984;311:1601-6.)     

Exploring psychological need satisfaction from gambling participation and the moderating influence of game preferences

ABSTRACT

Psychological needs are satisfied through leisure participation, which in turn influences subjective well-being. The present study explored the psychological needs reported to be satisfied through gambling participation and examined associations between need satisfaction, game preferences and subjective well-being. A heterogeneous, self-selected sample of 1446 participants was recruited, through the Internet gambling provider Kindred Group Plc, for an online questionnaire survey. Five psychological need dimensions of gambling were identified, using exploratory and confirmatory factor analyses on calibration and validation samples, respectively: mastery, detachment, self-affirmation, risk and excitement, and affiliation. Challenge and mastery need satisfaction was higher for poker than for sports betting, horse racing, slots or casino table games; both self-affirmation and affiliation were also higher for poker than for sports betting and slots. By comparison, detachment was higher for slots than for sports gambling. While there were no significant variations in stress levels between the different forms of gambling, happiness ratings were lower for slots compared with sports betting and poker. This study provides insight into how distinctive patterns of play may satisfy different psychological needs and provides preliminary insights into how gambling patterns may prove adaptive or maladaptive as leisure choices.     

Attitudes towards and perception of gambling among secondary school students in a developing country

ABSTRACT

Gambling is common in Nigeria and over the years has gained wide acceptability among the populace. Improved technology and legalization of gambling have led to increased gambling opportunities among young people. The aim of this study is to determine the attitude towards and perception of gambling among a sample of secondary school students in South East Nigeria. A total of 507 male students from three male-only urban Secondary Schools in Owerri, Imo State participated in the study. Multistage sampling technique was used in sample selection. Data was collected using a self-administered socio-demographic questionnaire and the 9 Item Attitude Towards Gambling Scale. Results showed an overall negative perception of gambling. Majority of the respondents (82.8%) perceived gambling as a risky activity while few (27.3%) perceived it as a good way of earning an income quickly. More than half of the respondents (52.7%) believed that gambling yields a high return. There was a significant association between parental gambling and positive attitude towards gambling (X = 6.27, p = 0.04). Thus, preventive strategies targeted towards changing gambling attitudes in parents may serve a dual role of changing attitudes and perception of gambling in their offspring.     

Something for nothing: A model of gambling behavior

Gambling is an ancient economic activity, but despite its universality and importance, no single explanation for the demand for gambles has gained ascendance among economists. This paper suggests that the demand for gambles is based on the ability to obtain “something for nothing.” That is, the gain from gambling is not merely additional income, but additional income for which the gambler does not need to work. Thus, to fully understand gambling behavior, it must be placed in a labor supply context. The theory is tested empirically using the Survey of Gambling in the U.S. Support for the theory is found.     

Prevalence Estimates of Adolescent Gambling: A Comparison of the SOGS-RA, DSM-IV-J, and the GA 20 Questions

Concerns over the rising prevalence of adolescent gambling problems have become more commonplace. A recent meta analysis of studies examining adolescent prevalence rates by Shaffer and Hall (1996) has suggested that between 77–83% of adolescents are engaging in some form of gambling behavior with between 9.9% and 14.2% of youth remaining at risk for a serious gambling problem. Their results further suggest that between 4.4% and 7.4% of adolescents exhibit serious adverse gambling related problems and/or pathological gambling behavior. Comparisons of studies are often difficult due to the use of alternative measures, differing classification schemes, and nomenclature. The present study examined the gambling behaviors of 980 adolescents who were administered three screening measures used with adolescents; the SOGS-RA, DSM-IV-J, and the GA 20 Questions. The DSM-IV-J was found to be the most conservative measure identifying 3.4% of the population as problem/pathological gamblers while the SOGS-GA identified 5.3% and the GA 20 Questions identified 6% of youth as experiencing serious gambling problems. The degree of concordance amongst the measures, gender differences, and classification systems are discussed.     

Who Plays Bingo in Later Life? The Sedentary Lifestyles of ‘Little Old Ladies’

Abstract Bingo is a popular past time with less than 20% of seniors, but the prevailing stereotype of bingo players describes elderly women with nothing better to do, smoking heavily while gambling away their limited income day after day. Little research has actually explored the lifestyles of seniors who frequent the bingo halls or identified social factors explaining who plays and why. Purpose The purpose of this study was to clarify the social context and lifestyle characteristics of seniors who regularly invest money on bingo. Design and Methods A 30-min telephone survey was conducted randomly with quotas for gender and urban/rural location with 400 Albertans aged 65+. Next, a strategic sample of 44 bingo players was added to the population sample to strengthen the dependent variable for regression analyses. Multiple regression analyses were used to define key characteristics of bingo players among 10 social or contextual factors and 5 lifestyle variables. Results Being female, more elderly, living in rental accommodation, receiving federal income supplements and reporting more health problems were significant predictors of more money typically spent on bingo (18% variance explained), and these findings lend support to the “little old lady” stereotype. However, sedentary living, rather than smoking, was the only significant and predictive lifestyle pattern, suggesting that the lifestyle vices projected about bingo players are not entirely accurate. Conclusions Elderly women of marginal means do dominate the game of bingo in terms of money spent, but their gaming lifestyle apparently has less to do with habits of smoking, eating poorly, drinking alcohol, or having excessive leisure time, and more to do with sedentary recreation that is socially delimited by their gender, age, income and health.     

The Population Mean and the Proportion of Frequent Gamblers: Is the Theory of Total Consumption Valid for Gambling?

The study looks at three representative samples of Norwegians in different age groups with the aim of finding evidence for the validity of the total consumption model for the area of gambling. The results show that gambling was distributed in the population in a way consistent with the predictions of the total consumption theory. Populations with a low mean gambling frequency had a lower proportion of frequent gamblers than populations with a high mean gambling frequency. It was also shown that in a population with a low mean gambling frequency, consumers along the whole consumption continuum gambled less frequently, than in a population with a high mean gambling frequency. It is concluded that the total consumption model seems to be valid for gambling, and that gambling consequently needs to be understood as a public health issue. The actions and behaviours of the normal majority can then not be regarded as irrelevant for the development in problem gambling prevalences.     

‘Got to gamble,but I’ve got no money.’ A qualitative analysis of gambling careers in South Italy

With its geographical differences, Italy provides an interesting case study for analysing the cultural and contextual origin of gambling-related problems. By investigating gambling careers, the study sought to scrutinize the interplay between the personal and environmental factors – including social and cultural aspects – that influence changes in gambling habits among gamblers in Naples (South Italy). The convenience sample consisted of 42 problem and recreational gamblers, male and female, aged between 23 and 71 years, with different employment status and educational level. Results clarify how Neapolitans’ gambling habits have moved towards individualization over time, how availability contributes to increasing gambling in various ways, and how employment status and concerns about money can increase the risk of gambling-related problems, thereby increasing socio-economic inequalities. Confirming previous studies, the study casts doubt on the idea that problem gambling is a chronic and progressive disease, and suggests that periods of excessive gambling can be followed by periods of regulated activity, even without turning to formal treatment. However, life events – either positive or negative – can hinder attempts to regulate gambling.