Gambling involvement among Native Americans, Blacks, and Whites in the United States

Autor:	Grace M. Barnes, John W. Welte, Marie-Cecile O. Tidwell
Rok vydání:	2017
Předmět:	Gerontology education.field_of_study Population Prevalence 030508 substance abuse Medicine (miscellaneous) Alcohol abuse Neighborhood Disadvantage medicine.disease Impulsivity 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Clinical Psychology 0302 clinical medicine Intervention (counseling) medicine General population survey medicine.symptom 0305 other medical science education Psychology Research data Demography
Zdroj:	The American Journal on Addictions. 26:713-721
ISSN:	1055-0496
DOI:	10.1111/ajad.12601
Popis:	Background and Objectives This paper examines risk factors of gambling and problem gambling among racial subgroups in the U.S. population, namely Native Americans and blacks, for whom research data are lacking. Methods Findings are based on a large representative general population survey (n = 3,474) of gambling in the U.S. with an oversample of Native Americans (n = 549). Multiple domains were assessed including sociodemographic factors; ecological factors (census-defined neighborhood disadvantage, geocoded density of casinos within 30 miles of respondents’ homes, and perceived gambling convenience); impulsivity; and alcohol abuse. Results After controlling for all variables in the study, neighborhood disadvantage has a significantly greater effect on overall gambling, frequent gambling, and problem gambling for Native Americans than for the rest of the U.S. population. In addition, the relationship between frequent gambling and heavier drinking is much stronger for blacks than for the rest of the U.S. population. Discussion and Conclusions There is a lack of research on gambling involvement among minority groups in the U.S. Blacks and Native Americans are at a higher risk for problem gambling as compared with the rest of the population. Furthermore, social factors and alcohol abuse may show a stronger co-occurrence with gambling involvement among minority groups than among whites. Scientific Significance This study is a large representative U.S. sample with sizeable numbers of Native Americans and blacks. Thus, prevalence rates and risk factors can be assessed for these important population subgroups. This will allow for targeted intervention programs for Native Americans and blacks with problem gambling and alcohol abuse. (Am J Addict 2017;XX:1–9)
Databáze:	OpenAIRE
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