美国低收入退伍军人中娱乐性和有风险/有问题赌博的患病率和临床特征:来自全国退伍军人无家可归和其他贫困经历(NV-HOPE)研究的结果。

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-06-01 Epub Date: 2023-09-26 DOI:10.1007/s10899-023-10257-4
Elina A Stefanovics, Marc N Potenza, Jack Tsai
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引用次数: 0

摘要

这项研究在具有全国代表性的美国退伍军人样本中调查了娱乐性赌博(RG)和风险/问题赌博(ARPG)之间的关系,以及精神疾病和药物使用、功能和无家可归的临床指标。数据来自781名退伍军人,他们参加了2021年进行的全国退伍军人无家可归和其他贫困经历(NV-HOPE)研究。进行卡方检验、方差分析(ANOVA)和逻辑回归分析,以检验赌博群体地位与社会人口统计学、精神病、药物使用、功能和无家可归测量之间未经调整和调整的关联。极少数低收入美国退伍军人报告赌博,24.9%(95%置信区间[CI]95%置信区间21.12-28.76%)显示RG,6.7%(95%置信度3.88-9.42%)的ARPG筛查呈阳性。ARPG的患病率在年轻的非白人退伍军人中更高。ARPG与更严重的物质使用和焦虑症状相关;身体机能较差;有任何精神病史;一生无家可归的历史;以及与NG相关的任何学生或汽车贷款。与NG相关,患有RG的退伍军人更有可能筛查出药物使用障碍阳性。当前研究的结果提供了对低收入美国退伍军人中RG和ARPG当前流行率的最新估计,并强调了常规筛查、监测,制定针对赌博严重性问题的干预措施,以及针对该人群的ARPG干预措施。这些发现可能为针对这一弱势亚群的有针对性的干预策略提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV-HOPE) Study.

Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV-HOPE) Study.

This study examined associations between recreational gambling (RG) and at-risk/problem gambling (ARPG), and clinical measures of mental illness and substance use, functionality, homelessness, in a nationally representative sample of U.S. military veterans. Data were analyzed from 781 veterans who participated National Veteran Homeless and Other Poverty Experiences (NV-HOPE) study conducted in 2021. Chi-square tests, analyses of variance (ANOVAs) and logistic regressions analyses were conducted to examine unadjusted and adjusted associations between gambling group status and sociodemographic, psychiatric, substance use, functioning, and homelessness measures. A significant minority of low-income U.S. veterans reported gambling, with 24.9% (95% confidence interval [CI] 95% CI 21.12-28.76%) exhibiting RG and 6.7% (95% CI 3.88-9.42%) screening positive for ARPG. The prevalence of ARPG was higher among younger, non-White veterans. ARPG was associated with greater symptoms of substance use and anxiety; poorer physical functioning; history of any mental illness; lifetime history of homelessness; and having any student or car loans relative to NG. Veterans who had RG were more likely to screen positive for drug use disorders relative to NG. Results of the current study provide an up-to-date estimate of the current prevalence of RG and ARPG among low-income U.S. veterans and underscore the importance of routine screening, monitoring, and development of interventions for problematic gambling severity, as well as interventions for ARPG in this population. These findings may inform targeted intervention strategies for this vulnerable subpopulation.

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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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