Problem Gambling and Sexual Minority Individuals: Evaluating Influence of Age and Comorbid Mental Health and Substance Use Problems.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-06-01 Epub Date: 2023-11-17 DOI:10.1007/s10899-023-10264-5
Jackie F Stanmyre, Lia Nower, Michelle L Malkin
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引用次数: 0

Abstract

Little is known about the prevalence of problem gambling among sexual minority individuals. The present study utilized an epidemiological sample, including individuals identifying as lesbian, gay, bisexual, asexual, and pansexual, to explore gambling behavior and problems and associated mental health and comorbid conditions that may contribute to elevated risk. Bivariate comparisons found that sexual minority individuals had higher rates of problem gambling, alcohol and substance use problems, anxiety, depression, and a wide range of problem behaviors (e.g., binge eating, prostitution, excessive video gaming) than heterosexuals. In a logistic regression, age moderated the relationship between sexual minority status and problem gambling, such that the risk for high-risk problem gambling increased with age for sexual minority individuals while it decreased for heterosexuals. Additionally, a logistic regression of sexual minority individuals who gamble found anxiety (OR = 3.80, 95% CI = 1.03, 13.97) and drug problems (OR = 8.57, 95% CI = 1.79, 41.05) predicted high-risk problem gambling. Findings suggest that prevention and screening protocols are needed in systems accessed by sexual minority individuals, particularly those middle age and older, as well as in settings where anxiety and substance use disorders are treated.

Abstract Image

问题赌博和性少数个体:评估年龄和共病精神健康和物质使用问题的影响。
人们对性少数群体中问题赌博的普遍程度知之甚少。本研究利用流行病学样本,包括女同性恋、男同性恋、双性恋、无性恋和泛性恋的个体,来探索赌博行为和问题,以及相关的精神健康和合并症,这些可能会增加风险。双变量比较发现,性少数个体比异性恋者有更高的问题赌博、酒精和物质使用问题、焦虑、抑郁和各种问题行为(如暴饮暴食、卖淫、过度玩电子游戏)的比例。在逻辑回归中,年龄调节了性少数个体与问题赌博之间的关系,即性少数个体的高风险问题赌博风险随着年龄的增长而增加,而异性恋个体的高风险问题赌博风险随着年龄的增长而降低。此外,对性少数赌博个体进行logistic回归发现,焦虑(OR = 3.80, 95% CI = 1.03, 13.97)和药物问题(OR = 8.57, 95% CI = 1.79, 41.05)与高风险问题赌博有关。研究结果表明,在性少数群体使用的系统中,特别是在中年和老年人使用的系统中,以及在治疗焦虑和物质使用障碍的环境中,需要制定预防和筛查方案。
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来源期刊
CiteScore
5.00
自引率
16.70%
发文量
72
期刊介绍: Journal of Gambling Studies is an interdisciplinary forum for the dissemination on the many aspects of gambling behavior, both controlled and pathological, as well as variety of problems attendant to, or resultant from, gambling behavior including alcoholism, suicide, crime, and a number of other mental health problems. Articles published in this journal are representative of a cross-section of disciplines including psychiatry, psychology, sociology, political science, criminology, and social work.
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