Date post: | 06-Jul-2015 |
Category: |
Education |
Upload: | national-center-for-responsible-gaming |
View: | 1,097 times |
Download: | 0 times |
CARLOS BLANCO, M.D. , PH.D.
C O L U M B I A G A M B L I N G D I S O R D E R S C L I N I C , N E W Y O R K S T A T E P S Y C H I A T R I C I N S T I T U T E
D E P A R T M E N T O F P S Y C H I A T R Y , C O L U M B I A U N I V E R S I T Y
Disordered gambling among racial and ethnic groups
Acknowledgments
NIH grants DA019606, DA023200, MH082773
New York State Office of Alcohol and Substance
Abuse Services (OASAS)
American Foundation for Suicide Prevention
New York State Psychiatric Institute
The present study…
Is the first national study to focus on racial/ ethnic differences in gambling disorders
Investigates the prevalence and conditional prevalence of gambling disorders
Compares sociodemographic and clinical characteristics among disordered gamblers from racial/ethnic groups
2001-2002 NESARC Sample
Nationally representative sample of 43,093 individuals
18+ years old Residing in the continental US, district of Columbia,
Alaska and Hawaii Non-institutionalized civilians Face-to-face interviews
NESARC Assessment
NIAAA Alcohol Use Disorder and Associated Disabilities Interview Schedule –DSM-IV version (AUADIS-IV)
Symptom questions that operazionalized DSM-IV criteria for : Nicotine dependence Alcohol and drug abuse and dependence Mood, anxiety and personality disorders
Number of medical conditions, Number of stressful life events (SRRS) and Disability score (SF-12V2)
Disordered gambling in the NESARC
All respondents who had gambled 5 or more times in at least 1 year of their life (N=11,153) were asked about the symptoms of DSM-IV pathological gambling
Disordered gamblers: Individuals meeting at least 3 criteria for DSM-IV pathological gambling (PG)
Gambling venues, course and treatment measures assessed only among pathological gamblers
Prevalence and Conditional prevalence of Disordered gambling
Significantly different from Non-Hispanic Whites
Prevalence and Conditional prevalence of Pathological gambling
Significantly different from Non-Hispanic Whites
Sociodemographic characteristics
Note: Only significant differences from non-Hispanic Whites are shown
Psychopathology rates and disability
Note: Only significant differences from non-Hispanic Whites are shown
No differences across racial/ethnic groups were found
PG criteria, course and venues of gambling preferred
Mean number of DSM-IV PG criteria: 6.4 Mean age of PG onset: 31 years old Mean age of PG remission: 37 years old 36.7% did not meet criteria for PG in the last year 71% are engaged in casino gambling and 53% in non-
casino gambling
Note: Assessed only among pathological gamblers (N=195)
Treatment seeking rates
Note: Assessed only among pathological gamblers (N=195)
No differences across racial/ethnic groups were found
Limitations
Assessment of pathological and disordered gambling were based on self-report
NESARC does not provide information on adolescents
Native Americans and Asians were combined into one group
Analyses of gambling correlates were conducted only among pathological gamblers
Conclusions
Prevalence of disordered gambling differs across racial/ethnic groups
Blacks and Hispanics face increased socioeconomic adversity than non-Hispanic Whites
Despite social adversity, Black and Hispanics are less likely to present substance use disorders.
Similarities in symptom patterns, course and treatment seeking rates suggest no racial or cultural impact on the presentation of pathological gambling