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      Attitudes towards gambling, gambling participation, and gambling-related harm: cross-sectional Finnish population studies in 2011 and 2015

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          Abstract

          Background

          Information about public gambling attitudes and gambling participation is crucial for the effective prevention of gambling-related harm. This study investigates female and male attitudes towards gambling, gambling participation, and gambling-related harm in the Finnish population aged 15–74.

          Methods

          Cross-sectional random sample data were collected in 2011 ( n = 4484) and 2015 ( n = 4515). The data were weighted based on gender, age and region of residence. Attitudes were measured using the Attitudes Towards Gambling Scale (ATGS-8). Gambling-related harms were studied using the Problem Gambling Severity Index and the South Oaks Gambling Screen.

          Results

          Attitudes towards gambling became more positive from 2011 to 2015. Female attitudes were generally negative, but nonetheless moved in a positive direction except in age groups under 25. Occasional gambling increased among women aged 18–24. Women aged 18–24 and 45–54 experienced more harms in 2015 than in 2011. Both land and online gambling increased among women aged 65–74. Male attitudes towards gambling were generally positive, and became more positive from 2011 to 2015 in all age groups except 15–17. Weekly gambling decreased among males aged 15–17. Gambling overall increased among males aged 18–24. Gambling several times a week decreased among men aged 35–44 and 45–54, and gambling 1–3 times a month increased in the latter age group. Online gambling increased only among men aged 55–64.

          Conclusions

          Attitudes towards gambling became more positive in all except the youngest age groups. Under-age male gambling continued to decrease. We need to make decision-makers better aware of the continuing growth of online gambling among older people and women’s increasing experiences of gambling-related harm. This is vital to ensure more effective prevention.

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          Most cited references46

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          Understanding gambling related harm: a proposed definition, conceptual framework, and taxonomy of harms

          Background Harm from gambling is known to impact individuals, families, and communities; and these harms are not restricted to people with a gambling disorder. Currently, there is no robust and inclusive internationally agreed upon definition of gambling harm. In addition, the current landscape of gambling policy and research uses inadequate proxy measures of harm, such as problem gambling symptomology, that contribute to a limited understanding of gambling harms. These issues impede efforts to address gambling from a public health perspective. Methods Data regarding harms from gambling was gathered using four separate methodologies, a literature review, focus groups and interviews with professionals involved in the support and treatment of gambling problems, interviews with people who gamble and their affected others, and an analysis of public forum posts for people experiencing problems with gambling and their affected others. The experience of harm related to gambling was examined to generate a conceptual framework. The catalogue of harms experienced were organised as a taxonomy. Results The current paper proposes a definition and conceptual framework of gambling related harm that captures the full breadth of harms that gambling can contribute to; as well as a taxonomy of harms to facilitate the development of more appropriate measures of harm. Conclusions Our aim is to create a dialogue that will lead to a more coherent interpretation of gambling harm across treatment providers, policy makers and researchers.
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            Gambling disorders.

            Gambling disorders, including pathological gambling and problem gambling, have received increased attention from clinicians and researchers over the past three decades since gambling opportunities have expanded around the world. This Seminar reviews prevalence, causes and associated features, screening and diagnosis, and treatment approaches. Gambling disorders affect 0·2-5·3% of adults worldwide, although measurement and prevalence varies according to the screening instruments and methods used, and availability and accessibility of gambling opportunities. Several distinct treatment approaches have been favourably evaluated, such as cognitive behavioural and brief treatment models and pharmacological interventions. Although promising, family therapy and support from Gamblers Anonymous are less well empirically supported. Gambling disorders are highly comorbid with other mental health and substance use disorders, and a further understanding is needed of both the causes and treatment implications of this disorder. Copyright © 2011 Elsevier Ltd. All rights reserved.
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              Internet gambling: issues, concerns, and recommendations.

              The influence of technology in the field of gambling innovation continues to grow at a rapid pace. After a brief overview of gambling technologies and deregulation issues, this review examines the impact of technology on gambling by highlighting salient factors in the rise of Internet gambling (i.e., accessibility, affordability, anonymity, convenience, escape immersion/dissociation, disinhibition, event frequency, asociability, interactivity, and simulation). The paper also examines other factors in relation to Internet gambling including the relationship between Internet addiction and Internet gambling addiction. The paper ends by overviewing some of the social issues surrounding Internet gambling (i.e., protection of the vulnerable, Internet gambling in the workplace, electronic cash, and unscrupulous operators). Recommendations for Internet gambling operators are also provided.
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                Author and article information

                Contributors
                anne.salonen@thl.fi
                hannu.alho@thl.fi
                sari.castren@thl.fi
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                26 January 2017
                26 January 2017
                2017
                : 17
                : 122
                Affiliations
                [1 ]ISNI 0000 0001 1013 0499, GRID grid.14758.3f, Department of Tobacco, Gambling and Addiction, , National Institute for Health and Welfare, ; P.O. Box 30, FI-00271 Helsinki, Finland
                [2 ]ISNI 0000 0004 0410 2071, GRID grid.7737.4, , Institute of Clinical Medicine, University of Helsinki, ; Helsinki, Finland
                Article
                4056
                10.1186/s12889-017-4056-7
                5267383
                28122531
                89976f5e-5ade-4a8b-b834-ceb7fd9a2530
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 13 May 2016
                : 21 January 2017
                Funding
                Funded by: The Ministry of Social Affairs and Health, Helsinki, Finland
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Public health
                attitudes,cross-sectional,gambling,gambling-related harm,population study
                Public health
                attitudes, cross-sectional, gambling, gambling-related harm, population study

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