Risk Factors Associated With Gambling Involvement among a National Sample of African American and European American Young Adults.

Journal of substance abuse and alcoholism Pub Date : 2018-01-01 Epub Date: 2018-10-16
Manik Ahuja, Renee Cunningham-Williams, Kimberly B Werner, Kathleen K Bucholz
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Abstract

In the current research, we examined the association of key risk and protective factors for gambling involvement from the domains of family environment, conduct problems/delinquency, substance use, and depressive psychopathology in a nationally representative sample. The sample was comprised of 13,291 young adults (ages 18-26; Meanage = 22.8) self-identifying as European American (n=9,939) or African American (n=3,335) who participated in Wave III (n = 15,170) of the restricted-use National Longitudinal Study of Adolescent to Adult Health. We used separate logistic regressions to study participation in specific gam bling categories (lottery games, casino-type games, other games). Childhood neglect, physical discipline, and current alcohol use was associated across each of the three gam bling categories. Our results also revealed differences between European American and African American subjects. Current cannabis use was associated with all three categories among African Americans, while current cigarette use was associated among European Americans for lottery games, and depression (female) was associated with other games. We also applied multinomial logistic regression to study gambling involvement based on the number of gam bling categories that the participant engaged in 2 or more (referent), only 1, or none at all. Our results revealed that delinquency/conduct symptoms (AOR=0.83) along with cannabis use (African American; AOR =0.66), cigarette use (European American; AOR =0.83), current alcohol use (AOR=0.66) were associated with gambling in two categories vs. gambling in one category. Childhood physical discipline (AOR=0.75) and childhood neglect (AOR=0.75) were associated with gam bling in two categories vs. no gambling. Further are needed to investigate the developmental pathways leading to increased gam bling involvement among African American and European American adolescents and young adults.

全国非裔美国人和欧裔美国人青少年样本中与参与赌博有关的风险因素。
在目前的研究中,我们从家庭环境、行为问题/不良行为、药物使用和抑郁性精神病理学等领域,对具有全国代表性的样本中参与赌博的主要风险和保护因素的关联性进行了研究。样本由 13,291 名自称为欧洲裔美国人(9,939 人)或非洲裔美国人(3,335 人)的年轻成年人(18-26 岁;平均年龄 = 22.8 岁)组成,他们参加了限制使用的《全国青少年到成人健康纵向研究》第三波(15,170 人)。我们使用单独的逻辑回归来研究参与特定游戏类别(彩票游戏、赌场类游戏、其他游戏)的情况。在三个游戏类别中,童年被忽视、体罚和目前酗酒都与这些因素有关。我们的研究结果还显示了欧裔美国人和非裔美国人之间的差异。在非裔美国人中,当前使用大麻与所有三个类别都有关联,而在欧裔美国人中,当前吸烟与彩票游戏有关联,抑郁(女性)与其他游戏有关联。我们还采用多项式逻辑回归法,根据参与者参与 2 种或 2 种以上(参考)、仅参与 1 种或完全不参与的游戏种类数量来研究参与赌博的情况。我们的研究结果表明,犯罪/行为症状(AOR=0.83)、吸食大麻(非洲裔美国人;AOR=0.66)、吸烟(欧洲裔美国人;AOR=0.83)、目前酗酒(AOR=0.66)与参与两类赌博或参与一类赌博有关。童年时期的体罚(AOR=0.75)和童年时期的忽视(AOR=0.75)与两类赌博相关,与不赌博相关。我们需要进一步研究非裔美国人和欧洲裔美国人青少年和年轻人参与赌博增加的发展途径。
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