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      Estimating the prevalence of disordered gambling behavior in the United States and Canada: a research synthesis.

      , ,
      American Journal of Public Health
      American Public Health Association

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          The prevalence and demographics of pathological gamblers: implications for public health.

          A study of pathological gambling in five states provides information needed to address the public health threat that the expanding availability of legalized gambling poses to at-risk groups in the general population. Over the course of this project, epidemiological data were collected to determine the prevalence of probable pathological gambling in the general population in each study state and demographic data were collected from pathological gamblers entering treatment programs in each state. Among the states surveyed, the availability of and involvement in gambling differ significantly, as does the prevalence of pathological gambling. Despite these differences, the demographics of pathological gamblers in these states are similar. Like those in the general population, pathological gamblers entering treatment in each state are similar. However, pathological gamblers entering treatment do not represent the full spectrum of individuals in the general population who experience gambling-related problems. These findings raise a number of issues, including the potential impacts of continued gambling legalization on the overall rate of gambling problems in the general population and on specific at-risk groups, including women, minorities, and children. They thus have implications for policy and program decisions now being made throughout the United States.
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            Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified).

            This is a review of the literature on pathological gambling prepared for the work group on disorders of impulse control, not elsewhere classified of the American Psychiatric Association. It introduces the new DSM-IV criteria as well as outlines the phases of the career of the pathological gambler. Research discussed includes that on pathological gambling and psychiatric disorders, substance abuse, family issues, children, finances, and crime. Psychoanalytic, personality, behavioral, sociological, psychologically based addiction theories, and physiological research are also summarized. Finally, treatment outcome studies are outlined.
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              Estimating the prevalence of adolescent gambling disorders: A quantitative synthesis and guide toward standard gambling nomenclature.

              This article reviews the extant published and unpublished studies that estimate the prevalence of adolescent gambling problems in North America. The nine nonduplicative studies identified by our literature search included data collected from more than 7700 adolescents from five different regions of the United States and Canada. In addition to comparing the conceptual and methodological differences that exist among these studies, this article employed a meta-analytic strategy to synthesize prevalence estimates from the existing studies. This analysis revealed that within a 95 percent confidence interval, between 9.9% and 14.2% of adolescents are at risk of developing or returning to serious gambling problems. Similarly, between 4.4% and 7.4% of adolescents exhibit seriously adverse compulsive or pathological patterns of gambling activity. Finally, the discussion proposes a generic multi-level classification scheme to reconcile the divergent classification methods and data reporting strategies. This new multi-level approach to reporting gambling prevalence will facilitate interstudy comparisons among existing estimates of gambling prevalence and help to provide a general data reporting system for future research.
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                Author and article information

                Journal
                American Journal of Public Health
                Am J Public Health
                American Public Health Association
                0090-0036
                1541-0048
                September 1999
                September 1999
                : 89
                : 9
                : 1369-1376
                Article
                10.2105/AJPH.89.9.1369
                10474555
                8cdc21a6-b49a-474e-bf96-e8e00cd7618f
                © 1999
                History

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