scholarly journals Gambling participation, gambling habits, gambling-related harm, and opinions on gambling advertising in Finland in 2016

2018 ◽  
Vol 35 (3) ◽  
pp. 215-234 ◽  
Author(s):  
Anne H. Salonen ◽  
Matilda Hellman ◽  
Tiina Latvala ◽  
Sari Castrén
Keyword(s):  
Driving Force ◽  
Clinical Sample ◽  
Population Sample ◽  
Population Level ◽  
External Factors ◽  
Grocery Stores ◽  
Gambling Participation ◽  
Per Se ◽  
Gambling Harms ◽  
Related Harm

Background: This report is an overview of results from the 2016 Finnish Gambling Harms Survey covering the population and clinical perspectives. It summarises the main findings on gambling participation, gambling habits, gambling-related harm, and opinions on gambling advertising. Methods: The population sample ( n = 7186) was collected from three regions and the clinical sample ( n = 119) in a gambling help clinic. Results: Frequency of gambling in the population sample was characteristically once a week, while in the clinical sample it was daily. Men gambled more often than women only in the population sample. The most common gambling environments were kiosks, grocery stores or supermarkets, and home. The most typical gambling-related harms were financial or emotional/psychological harms; the amount of experienced harm was considerable among the clinical sample. The clinical sample also perceived gambling advertising as obtrusive and as a driving force for gambling. Conclusions: The results of the clinical sample imply that when gambling gets out of hand, the distinctions between gamblers’ habits diminish and become more streamlined, focusing on gambling per se – doing it often, and in greater varieties (different game types). There is a heightened need to monitor gambling and gambling-related harm at the population level, especially amongst heavy consumers, in order to understand what type of external factors pertaining to policy and governance may contribute to the shift from recreational to problem gambling.

scholarly journals The Evolution of Gambling-Related Harm Measurement: Lessons from the Last Decade

2021 ◽  
Vol 18 (9) ◽  
pp. 4395
Author(s):  
Matthew Browne ◽  
Vijay Rawat ◽  
Catherine Tulloch ◽  
Cailem Murray-Boyle ◽  
Matthew Rockloff
Keyword(s):  
Public Health ◽  
Population Level ◽  
Health Utility ◽  
Health And Wellbeing ◽  
Recent Developments ◽  
Psychometric Evidence ◽  
Future Work ◽  
Utility Metrics ◽  
Gambling Harms ◽  
Related Harm

Jurisdictions around the world have a self-declared mandate to reduce gambling-related harm. However, historically, this concept has suffered from poor conceptualisation and operationalisation. However, recent years have seen swift advances in measuring gambling harm, based on the principle of it being a quantifiable decrement to the health and wellbeing of the gambler and those connected to them. This review takes stock of the background and recent developments in harm assessment and summarises recent research that has validated and applied the Short Gambling Harms Screen and related instruments. We recommend that future work builds upon the considerable psychometric evidence accumulated for the feasibility of direct elicitation of harmful consequences. We also advocate for grounding harms measures with respect to scalar changes to public health utility metrics. Such an approach will avoid misleading pseudo-clinical categorisations, provide accurate population-level summaries of where the burden of harm is carried, and serve to integrate gambling research with the broader field of public health.

scholarly journals Modeling Alcohol Use Disorder as a Set of Interconnected Symptoms - Assessing Differences between Clinical and Population Samples and Across External Factors

2021 ◽  
Author(s):  
Karoline Huth ◽  
Judy Luigjes ◽  
Maarten Marsman ◽  
Anneke Goudriaan ◽  
Ruth van Holst
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Clinical Sample ◽  
Population Sample ◽  
External Factors ◽  
Underlying Structure ◽  
Parameter Estimates ◽  
Complex Disorder ◽  
Theoretical Assumptions ◽  
Intervention Planning

Alcohol use disorder is argued to be a highly complex disorder influenced by a multitude of factors on different levels. Common research approaches fail to capture this breadth of interconnecting symptoms. To address this gap in theoretical assumptions and methodological approaches, we used a network analysis to assess the interplay of alcohol use disorder symptoms. We applied the analysis to two US-datasets, a population sample with 23,591 individuals and a clinical sample with 483 individuals seeking treatment for alcohol use disorder. First, using a Bayesian framework we investigated differences between clinical and population samples looking at the symptom interactions and underlying structure space. The clinical sample depicts less connections; those connections are additionally weaker. Second, for the population sample we assessed whether the interactions were measurement invariant across subgroups of external factors like age, gender, ethnicity and income. Interactions differed across all external factors. Distinct parameter estimates for subgroups should be considered for better replicable estimates and effective intervention planning.

Theory of change: Don’t Bet Your Life On It

2021 ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Great Britain ◽  
Lived Experience ◽  
Seat Belt ◽  
Theory Of Change ◽  
Public Health Issue ◽  
Clinical Expertise ◽  
Significant Public Health ◽  
Gambling Harms ◽  
Related Harm

Gambling-related harms are increasingly recognised as a significant public health issue in Great Britain. The vast majority of those experiencing gambling harms remain unidentified and without support. Don't Bet Your Life On It (DBYLOI) blends lived experience and clinical expertise to deliver practical safer gambling strategies virtually for players that can be accessed anytime and anywhere to prevent any life from being needlessly affected by gambling-related harm. It is designed to support players at any level of play by providing players with a “seat belt” to prevent harms from occurring, identify early signs of risk, and signpost those experiencing harms to get the help they need. This theory of change visual and narrative considers the inputs, activities, outputs, and outcomes necessary to achieve these goals. It can be used by organizations, groups, and individuals in any sector impacted by gambling related harms in Great Britain.

scholarly journals Population-Based Estimates of Physical Activity for Adults with Type 2 Diabetes: A Cautionary Tale of Potential Confounding by Weight Status

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Steven T. Johnson ◽  
Constantinos A. Loucaides ◽  
Adrian E. Bauman ◽  
Nandini D. Karunamuni ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Weight Status ◽  
Large Population ◽  
Population Sample ◽  
Population Level ◽  
Activity Levels ◽  
Healthy Weight ◽  
Physical Activity Levels

At a population level, the method used to determine those meeting physical activity guidelines has important implications, as estimating “sufficient” physical activity might be confounded by weight status. The objective of this study was to test the difference between three methods in estimating the prevalence of “sufficient activity” among Canadian adults with type 2 diabetes in a large population sample (N=1614) while considering the role of weight status as a potential confounder. Our results revealed that estimates of physical activity levels vary by BMI categories, depending on the methods examined. Although physical activity levels were lower in the obese, their energy expenditure estimates were not different from those who were overweight or of a healthy weight. The implications of these findings are that biased estimates of physical activity at a population level may result in inappropriate classification of adults with type 2 diabetes as “sufficiently active” and that the inclusion of body weight in estimating physical activity prevalence should be approached with caution.

The White Bear Suppression Inventory (WBSI) focuses on failing suppression attempts

2003 ◽  
Vol 17 (4) ◽  
pp. 285-298 ◽  
Author(s):  
Eric Rassin
Keyword(s):  
Factor Analysis ◽  
Control Strategy ◽  
Large Study ◽  
Thought Suppression ◽  
Clinical Sample ◽  
Experimental Studies ◽  
Intrusive Thoughts ◽  
Per Se ◽  
Unwanted Thoughts

Experimental studies have produced evidence to suggest that suppressing unwanted thoughts paradoxically results in even more unwanted thoughts. Therefore, suppression is considered to be an inadequate control strategy. Wegner and Zanakos (1994; Journal of Personality, 62, 615–640) introduced the White Bear Suppression Inventory (WBSI) as a measure to identify people who chronically tend to suppress unwanted thoughts. However, recent studies suggest that the WBSI does not exclusively measure thought suppression, but also addresses the experience of intrusive thoughts. Hence, the WBSI does not seem to measure suppression per se, but rather failing suppression. Three studies elaborate on this idea. In study 1, factor analysis of 674 non‐clinical WBSI scores is found to support the hypothesis that the WBSI addresses both suppression and intrusion. By and large, study 2 replicates these findings in a clinical sample (N=106). In study 3, an alternative suppression questionnaire is introduced, focusing on suppression and intrusions, but also on successful suppression. It is concluded that the WBSI, and thought suppression research in general, is biased toward failing suppression attempts, and has ignored the possibility of successful suppression. Copyright © 2003 John Wiley & Sons, Ltd.

Introduction

2019 ◽  
pp. 1-12
Author(s):  
Johan P. Mackenbach
Keyword(s):  
Welfare State ◽  
Social Inequality ◽  
Health Inequalities ◽  
Population Level ◽  
Welfare States ◽  
Short History ◽  
History Of ◽  
Micro Level ◽  
Per Se

Chapter 1 (‘Introduction’) provides a short history of the discovery and rediscovery of health inequalities, as well as a short history and typology of the welfare state, and lays out the paradox that this book tries to explain: the persistence of health inequalities in even the most universal and generous European welfare states. It argues that micro-level studies alone cannot resolve this paradox, and that macro-level studies are needed to identify the determinants of health inequalities as seen at the population level. This will also make it easier to put health inequalities into a broader perspective, for example, that of social inequality per se. This chapter ends with an extensive preview of the main conclusions of the book.

Patterns of benzodiazepine use in a Canadian population sample

2009 ◽  
Vol 18 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Eleonora Esposito ◽  
Corrado Barbui ◽  
Scott B. Patten
Keyword(s):  
Survey Methods ◽  
Population Sample ◽  
Population Level ◽  
Diagnostic Interview ◽  
Computer Assisted ◽  
Population Demographics ◽  
Canadian Population ◽  
Benzodiazepine Use ◽  
One Year ◽  
Reasons For Use

SUMMARYAim – The objective of this study was to identify clinical and demographic factors that may be associated with benzodiazepine treatment, to describe the reported reasons for use of these medications and to appraise the pattern of use in relation to standard guidelines in a general population sample. Methods – Telephone survey methods were employed to select a sample of 3345 people between the ages of 18 and 64. A computer assisted telephone interview, including the Mini Neuropsychiatric Diagnostic Interview (MINI), was administered. Estimates were weighted for design features and population demographics. Results – The overall prevalence of benzodiazepines use was 3.3% (95% confidence interval [CI] 2.6 to 4.1%). There was a higher frequency of medication use in women than men, among respondents who were widowed, separated or divorced, and those with lower levels of education. In relation to MINI diagnosis, diagnoses of Panic Disorder and Major Depression increased the probability of taking benzodiazepines. The reported main reason for use was “Sleep disorders” (68.9%), “Anxiety” (35.8%), “Depression” (27.8%) and “Pain management” (21.2%). More than 80% of subjects were taking benzodiazepines for more than one year. Conclusions – When compared to previous estimates, the lower frequency of benzodiazepines use suggests that there has been improvement in their evidence-based use at a population level. However our results once more confirm the difficulty stopping the use of these medications once they have been started. Further randomized control studies may help clinicians in having a better practical approach to rational benzodiazepine use.Declaration of Interest: None.

scholarly journals The Finnish Drinking Habits Survey: Implications for alcohol policy and prevention

2020 ◽  
Vol 37 (6) ◽  
pp. 619-631
Author(s):  
Katariina Warpenius ◽  
Pia Mäkelä
Keyword(s):  
Alcohol Consumption ◽  
Risk Perceptions ◽  
Population Level ◽  
Alcohol Policy ◽  
Alcohol Prevention ◽  
Drinking Patterns ◽  
Policy Debate ◽  
Drinking Habits ◽  
Alcohol Related Harm ◽  
Related Harm

Aims/materials: This reflection piece reviews some of the key results and conclusions from the book Näin Suomi juo ( This is how Finns drink, 2018), based on the Finnish Drinking Habits Survey. Our aim was to go through the results taking the perspective of prevention workers and policymakers: how could they benefit from the scientific findings when tackling alcohol-related harm? Results/reflections: The reflections displayed in this article provide some useful arguments and justifications for population-level alcohol policy in the controversial alcohol policy debate. Harms do not only arise among the heaviest drinkers, and efficient methods to prevent harm may be found among the prevention efforts that apply to populations rather than only to the heaviest drinkers. The article also illustrates how the results from a population survey can be used in order to identify specific challenges and solutions for alcohol prevention in a given population. The results help in identifying the population groups and situations with an elevated risk of alcohol-related harm and in characterising the drinking patterns and social situations in which drinking takes place in these vulnerable parts of the population. Conclusions: The review illustrates that a many-sided understanding of alcohol consumption and the related harm, based on survey results, is more far-reaching in terms of prevention and policy than a knowledge base built solely on register data on the development of alcohol consumption and harm. For example, the respondents’ drinking patterns are linked not only to their attitudes and risk perceptions but also to what people consider to be appropriate means to reduce alcohol use and the related harm in terms of alcohol policy, informal social control and people’s life management.

scholarly journals The erosion of nongambling spheres by smartphone gambling: A qualitative study on workplace and domestic disordered gambling

2020 ◽  
pp. 205015792095212
Author(s):  
Hibai Lopez-Gonzalez ◽  
Susana Jiménez-Murcia ◽  
Mark D Griffiths
Keyword(s):  
Gambling Disorder ◽  
Gambling Behavior ◽  
Internet Gambling ◽  
Disordered Gambling ◽  
Problem Gamblers ◽  
The Past ◽  
Group Settings ◽  
Per Se ◽  
Definition Of ◽  
Related Harm

The potential dangers of internet-based gambling as compared with more traditional land-based gambling have been increasingly investigated over the past decade. The general consensus appears to be that although internet gambling might not be a more dangerous medium for gambling per se, the 24/7 availability it generates for problem gamblers, however, is. Because smartphones have become the most used way of gambling online, internet gambling must, therefore, be further subcategorized according to the device by which it is accessed. This study examines the issue by exploring the views of smartphone gamblers undergoing treatment for gambling disorder in focus group settings ( N=35). Utilizing thematic analysis, the paper shows that smartphone gambling has colonized spaces previously regarded as nongambling spheres. The workplace, especially in male-dominated contexts, emerged as an accommodator and stimulator of gambling behavior, raising issues of productivity rather than criminality. Domestic gambling was mostly characterized by an invasion of bathroom and bedtime spheres of intimacy. The study examines the implications of prevention and treatment, focusing on the minimization of exposure to gambling stimuli, the erosion of intimacy that recovering gamblers must endure, and the necessity of embracing a broader definition of gambling-related harm.

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