对 Zendle 和 Newall 的评论:对英国赌博负担检查政策进行直接评估的必要性。

IF 5.2 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2024-08-05 DOI:10.1111/add.16635
Robert M. Heirene
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引用次数: 0

摘要

Zendle &amp; Newall 的文章[1]为博彩文献做出了重要贡献,至少有两个原因值得称道。首先,公开银行数据的收集为该领域提供了一种前景广阔的新方法。这种方法规避了自我报告赌博支出不准确的问题[2],并提供了一个全面的支出概览。其次,作者的开放性和通过数据共享为该领域做出的更大贡献值得称赞*。与几乎所有现有的赌博研究不同,他们的支出数据并不局限于单一的赌博类型、场所/经营者或银行账户。然而,其摘要中的第一个结论却写道英国政府提议对赌徒进行的负担能力检查,应该很少会影响到那些没有经历过与赌博相关伤害的人"。我认为,他们的分析并不能很好地支持这一结论,需要进行更直接的评估。为了总结得出结论的方法,作者根据参与者在 12 个月内的赌博支出减去账户取款,计算出了参与者的总净支出值。然后,他们将这一数值除以 12,得出每月平均值。结果显示,无风险赌徒的净值为 16.41 英镑,远远低于提议的 125 英镑门槛值,而这一门槛值将触发初步的负担能力检查。作者无法预见的一个更新是,2024 年 5 月 1 日,英国赌博委员会公布了一项修订计划,引入现在被称为 "财务脆弱性检查 "的方法。拟议的更新实际上证实了作者的研究结果,因为衡量可负担性的标准将从 "损失"--一种难以计算的结果,可能包括重新赌博赢取的奖金--变为 "存款减去提款"(净存款);也就是 Zendle &amp; Newall 所使用的标准。自 2025 年 2 月 28 日起的 30 天内,只有当 "净存款 "值达到或超过 150 英镑时,客户才会收到检查[3]。† 然而,令人担忧的是,作者计算的净支出值包括所有在线和陆上赌博支出。建议的检查似乎仍只涉及在线赌博,至少在初期‡可能需要在单个网站层面进行。因此,他们的研究结果并不能完全阐明单一经营者的支出与危害之间的关系,或更广泛的在线支出与危害之间的关系。作者得出的负担能力检查不会影响无/低风险赌徒的结论是基于每个风险群体的平均每月净支出值。这是有问题的,原因有二。§ 赌博行为可能会随着时间的推移而发生很大的变化,在受限期间会出现高支出,随后支出会减少[4]。其次,这些数值似乎没有考虑到那些在 12 个月内开始赌博的人。例如,如果一个人只参与了 3 个月的赌博活动,但每月的净支出一直是 300 英镑,那么使用他们的方法,他们的平均净支出就只有 75 英镑。如果在他们的银行数据所涵盖的时间窗口内实施了负担能力检查政策,那么对 Zendle &amp; Newall 的数据进行重新分析就可以更直接地模拟负担能力检查的影响。为此,作者需要计算出每个人在符合条件的月份(即包括开始赌博的第一个月在内和之后的所有月份)中超过阈值的比例。然后可以将这些比例在不同风险群体之间进行比较,以确定建议的阈值与危害的关系。Zendle &amp; Newall 的结论可能会引起英国和国际决策者的极大兴趣,他们可能会引用这些结论来支持赌博负担能力检查。虽然我支持引入这些检查,但作者并没有直接评估其潜在影响。不过,他们已经收集了必要的数据,可以进行更直接的评估,为在英国优化实施可负担性检查提供信息:构思;写作-原稿;写作-审阅和编辑。本文未获得任何资助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Commentary on Zendle and Newall: The need for direct evaluation of the UK's gambling affordability checks policy

Zendle & Newall's [1] article provides an important contribution to the gambling literature which should be celebrated for at least two reasons. First, the collection of open banking data represents a promising new method for the field. This approach circumvents issues with the inaccuracy of self-reported gambling expenditure [2] and provides a comprehensive overview of spending. Secondly, the authors should be commended for their openness and larger contribution to the field through data sharing. *

Their article provides strong evidence for understanding the relationship between gambling expenditure and harm. Unlike almost all existing gambling research, expenditure data were not limited to a single type of gambling, venue/operator or bank account. This offers a more complete picture of how spending relates to risk.

However, the first conclusion in their Abstract reads: ‘The UK government's proposed affordability checks for gamblers should rarely affect people who are not experiencing gambling-related harm’. I contend that this conclusion is not well-supported by their analysis, and more direct evaluation is required.

To summarize the approach used to reach their conclusion, the authors computed a total net-spend value for their participants based on their outgoing gambling expenditure minus withdrawals into their accounts over 12 months. They then divided this value by 12 to produce a monthly average. This showed that no-risk gamblers had a value of £16.41—far below the proposed £125 threshold which would trigger an initial affordability check. This value was £79.6 for low–moderate risk gamblers [Problem Gambling Severity Score (PGSI) of 1–4] and £208.91 for high-risk gamblers (PGSI > 4).

One update the authors could not have foreseen is that on 1 May 2024, the UK Gambling Commission published a revised plan for introducing the now-named ‘financial vulnerability checks’. The proposed updates actually lend credence to the authors’ findings, as the measure of affordability is set to change from ‘losses’—a difficult-to-calculate outcome that can include re-gambled winnings—to ‘deposits minus withdrawals’ (net-deposits); that is, the same metric used by Zendle & Newall. Customers will receive a check only if this ‘net-deposit’ value reaches £150 or more in 30 days, commencing 28 February 2025 [3]. †

A concern, however, is that the net-spend values computed by the authors included all gambling expenditure—on-line and land-based. The proposed checks still appear to relate only to on-line gambling and may, at least initially, ‡ need to be performed at an individual site level. Their outcomes, therefore, do not fully elucidate the relationship between spending with a single operator and harm or spending on-line more broadly and harm.

The authors’ conclusion that affordability checks will not impact no-/low-risk gamblers was based on the average monthly net-spend value for each risk group. This is problematic for two reasons. First, these values tell us little about whether someone crossed the original threshold value of £125 on any given month in the year. § Gambling behaviour may vary substantially over time, with high expenditure occurring during restricted periods followed by periods of decreased spend [4]. Second, these values do not appear to account for those who started gambling within the 12 months. If, for example, one individual had only been gambling for 3 months but with a consistent monthly net-spend of £300, they would have an average net-spend of only £75 using their methods.

A reanalysis of Zendle & Newall's data could more directly simulate the impact of affordability checks, should the policy have been implemented during the window covered by their banking data. To do this, the authors would need to calculate the proportion of eligible months (i.e. all those including and after the first month a person started gambling) in which each individual would have surpassed the threshold. These rates could then be compared between risk groups to determine how the proposed threshold relates to harm. The ability to differentiate at-risk and not-at-risk groups could also be compared across different thresholds, including the old (£125) and new (£150) values.

Zendle & Newall's conclusions will probably be of significant interest to United Kingdom and international policymakers who may adduce them to support gambling affordability checks. While I support the introduction of these checks, the authors have not directly evaluated their potential impact. They have, however, collected the requisite data to undertake a more direct evaluation that can inform the optimal implementation of affordability checks in the United Kingdom.

Robert M. Heirene: Conceptualization; writing—original draft; writing—review and editing.

No funding was received for this article.

R.H. has worked on a project funded by Responsible Wagering Australia (a representative body of Australian on-line wagering operators; University of Sydney, 2019–21) and as an independent, subcontracted statistical consultant for PRET Solutions Inc. on a commissioned project (funded by the Australian Casino operator Crown; 2023). In 2023, R.H. was a co-investigator on a successful grant from the International Centre for Responsible Gaming, which now partially supports his Research Fellow role at the University of Sydney.

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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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