scholarly journals House-edge information and a volatility warning reduce gambling initiation and persistence: superior alternatives to return-to-player percentages

2021 ◽  
Author(s):  
Philip Warren Stirling Newall ◽  
Christopher Byrne ◽  
Alex M T Russell ◽  
Matthew Rockloff
Keyword(s):  
Public Health ◽  
Public Health Intervention ◽  
Public Health Approach ◽  
Edge Information ◽  
Average Percentage ◽  
Electronic Gambling Machines ◽  
Long Run ◽  
Electronic Gambling ◽  
The Uk ◽  
Related Harm

Cost-of-play information is one public health intervention recommended to help reduce gambling-related harm. In the UK, this information is given on electronic gambling machines in a format known as the “return-to-player”, e.g., “This game has an average percentage payout of 90%.” However, previous evidence suggests that this information could be improved by equivalently restating it in terms of the “house-edge”, e.g., “This game keeps 10% of all money bet.” A “volatility warning,” stating that this information applies only in the statistical long-run, has also been recommended to help gamblers understand cost-of-play information. However, there is no evidence comparing these information provisions’ effect on gamblers’ behavior. An experiment tested US gamblers’(N=2,433) incentivized behavior in an online slot machine, where this information was manipulated between-participants along with a counter showing the total amount bet. Preregistered analyses showed that participants gambled significantly less when house-edge information or a volatility warning were shown compared to standard return-to-player information, with no effect of the total amount bet counter, and no significant interaction effects. These results suggest that improved cost-of-play information could benefit a public health approach to gambling.

Evidence into action: implementing alcohol screening and brief interventions in the UK Armed Forces

2020 ◽  
Vol 166 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Mark Andrew Dermont ◽  
P Field ◽  
J Shepherd ◽  
R Rushton
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Armed Forces ◽  
Alcohol Screening ◽  
Public Health Approach ◽  
Service Personnel ◽  
Increased Risk ◽  
The Uk ◽  
Alcohol Related Harm ◽  
Related Harm

IntroductionAlcohol-related harm continues to represent a major public health problem and previous evidence suggests that alcohol misuse within the UK Armed Forces is higher than in the general population. The aim was to introduce a population-level primary care intervention with an existing evidence base to identify and support Service Personnel whose drinking places them at greater risk of harm.ImplementationFollowing successful piloting, the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) brief screening tool was introduced as part of routine dental inspections by Defence Primary Healthcare (DPHC) dentists. Alcohol brief intervention (ABI) advice and signposting to support services was offered to personnel identified as being at increased risk and recorded in the patient’s electronic health record.Achievements to datePatients attending DPHC Dental Centres are now routinely offered AUDIT-C with 74% (109 459) personnel screened in the first 12 months rising to over 276 000 at 24 months, representing the single largest use of AUDIT-C and ABIs in a military population to date.DiscussionIntroduction of AUDIT-C has seen Defence successfully deliver a whole population alcohol initiative, overcoming implementation barriers to demonstrate the flexibility of a dental workforce to deliver a public health intervention at scale and contributing towards promoting positive attitudes towards alcohol use. The initiative represents a first step towards the goal of a standardised alcohol screening and treatment pathway across DPHC while recognising that the Defence Medical Services are only one aspect of the broader public health approach required to tackle alcohol-related harm in Service Personnel.

Understanding vaccine hesitancy: the evidence

2021 ◽  
Vol 32 (7) ◽  
pp. 282-287
Author(s):  
Alison While
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Herd Immunity ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Vaccine Hesitancy ◽  
Important Public Health ◽  
Positive Attitudes ◽  
The Uk

Vaccine hesitancy is a concern both globally and within the UK. Alison While reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations Vaccination is an important public health intervention, but its effectiveness depends upon the uptake of vaccination reaching sufficient levels to yield ‘herd’ immunity. While the majority of the UK hold positive attitudes about vaccination, some people, including health professionals, decline vaccinations. This article reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations.

scholarly journals Gambling warning labels: Differing effects of message length and message format

2020 ◽  
Author(s):  
Philip Warren Stirling Newall ◽  
Lukasz Walasek ◽  
Elliot Andrew Ludvig
Keyword(s):  
Potential Risk ◽  
Court Case ◽  
Warning Labels ◽  
Electronic Gambling Machines ◽  
Message Length ◽  
Long Run ◽  
Electronic Gambling ◽  
Objective Understanding ◽  
Message Format ◽  
Better Than

“Return-to-player” warning labels are used to display the long-run cost of gambling on electronic gambling machines in several jurisdictions. For example, a return-to-player of 90% means that for every $100 bet on average $90 is paid out in prizes. Some previous research suggests that gamblers perceive a lower chance of winning and have a better objective understanding when return-to-player information is instead restated in the “house-edge” format, e.g., “This game keeps 10% of all money bet on average.” Here we test another potential risk communication improvement: making return-to-player messages longer, by clarifying that the information applies only in the statistical long-run. It was suggested that gamblers might understand this message better than the return-to-player at the conclusion of a court case brought against an Australian casino. In this study, Australian participants (N = 603) were presented with either a standard return-to-player message, a longer “return-to-players” message, or a house-edge message. The longer return-to-players message was understood correctly more frequently than the return-to-player message, but the house-edge message was understood best of all. Participants perceived the lowest chance of winning with the longer return-to-players message. The house-edge format appears easiest for gamblers to correctly understand, but longer warning labels might be the best at warning gamblers about the long-run costs of gambling on electronic gambling machines.

The UK COVID-19 contact tracing app as both an emerging technology and public health intervention: The need to consider promissory discourses

2021 ◽  
pp. 136345932110607
Author(s):  
Gabrielle Samuel ◽  
Rosie Sims
Keyword(s):  
Public Health ◽  
Rapid Development ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Contact Tracing ◽  
The Public ◽  
Sociology Of Expectations ◽  
Short Period ◽  
The Media ◽  
The Uk

The UK’s National Health Service (NHS) COVID-19 contact tracing app was announced to the British public on 12th April 2020. The UK government endorsed the app as a public health intervention that would improve public health, protect the NHS and ‘save lives’. On 5th May 2020 the technology was released for trial on the Isle of Wight. However, the trial was halted in June 2020, reportedly due to technological issues. The app was later remodelled and launched to the public in September 2020. The rapid development, trial and discontinuation of the app over a short period of a few months meant that the mobilisation and effect of the discourses associated with the app could be traced relatively easily. In this paper we aimed to explore how these discourses were constructed in the media, and their effect on actors – in particular, those who developed and those who trialled the app. Promissory discourses were prevalent, the trajectory of which aligned with theories developed in the sociology of expectations. We describe this trajectory, and then interpret its implications in terms of infectious disease public health practices and responsibilities.

Prevention and Criminal Justice

2020 ◽  
pp. 201-220
Author(s):  
Paul Cairney ◽  
Emily St Denny
Keyword(s):  
Public Health ◽  
Criminal Justice ◽  
Social Policy ◽  
Criminal Justice Policy ◽  
Public Health Approach ◽  
Window Of Opportunity ◽  
Target Populations ◽  
Policy Shift ◽  
The Uk

First, we describe the general issues that governments face when pursuing social and criminal justice policies in a multi-centric environment. Both governments manage the same tensions between relatively punitive and individual versus supportive and population-wide measures to reduce crime, as part of an overall cross-cutting focus on prevention and early intervention. Second, we identify the historic policymaking strategies that UK governments have used to combine social policy and criminal justice policy, often with reference to target populations who—according to several UK ministers—do not pay their fair share to society and do not deserve state help. Third, we show how such trends influence preventive policies in specific areas such as drugs policy, in which the UK still reserves responsibility for drugs classification. Fourth, we use this UK context to identify the extent to which Scottish policy has a greater emphasis of social over criminal justice. To do so, we use the case study of a window of opportunity for a public health approach to serious violence. We focus on Scotland as the relatively innovative government on this issue, to provide context for initial analysis of the UK government’s proposed policy shift.

scholarly journals Cognitive and environmental interventions to encourage healthy eating: evidence-based recommendations for public health policy

2019 ◽  
Vol 6 (10) ◽  
pp. 190624 ◽  
Author(s):  
Lindsay A. Walker ◽  
Christopher D. Chambers ◽  
Harm Veling ◽  
Natalia S. Lawrence
Keyword(s):  
Public Health ◽  
Behaviour Change ◽  
Cognitive Training ◽  
Evidence Based ◽  
Environmental Interventions ◽  
Average Percentage ◽  
Public Health Burden ◽  
The Public ◽  
The Uk ◽  
Do So

Policymakers are focused on reducing the public health burden of obesity. The UK average percentage of adults classified as obese is 26%, which is double that of the global average. Over a third of UK adults report using at least one weight management aid. Yet, many people still struggle to change their diet-related behaviour, despite having the awareness, intention and capability to do so. This ‘intention–behaviour gap’ may be because most existing dietary-choice interventions focus on individual decision-making, ignoring the effects of environmental cues on human behaviour. Behaviour change interventions that ‘nudge’ people into making healthier choices by modifying the food environment have been shown to be effective. However, this type of intervention is typically challenging for policymakers to implement for economic, ethical and public accessibility reasons. To overcome these concerns, policymakers should consider ‘boosting’ interventions. Boosting involves enhancing competences that help people make decisions consistent with their goals. Here, we outline cognitive training as a boosting intervention to tackle obesity. We synthesize the evidence for one type of cognitive training (go/no-go training) that may be effective at modifying food-related decisions and reducing body weight. We offer evidence-based recommendations for an obesity-focused Public Health Wales behaviour change programme.

Understanding vaccine hesitancy: the evidence

2021 ◽  
Vol 26 (6) ◽  
pp. 278-282
Author(s):  
Alison While
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Herd Immunity ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Vaccine Hesitancy ◽  
Important Public Health ◽  
Positive Attitudes ◽  
Vaccination Acceptance ◽  
The Uk

Vaccination is an important public health intervention, but its effectiveness depends upon the uptake of vaccination reaching sufficient levels to yield ‘herd’ immunity. While the majority of the UK hold positive attitudes about vaccination, some people, including health professionals, decline vaccinations. This article reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations. A second article will review the evidence relating to strategies to address vaccine hesitancy and promote vaccination acceptance.

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