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Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.

ABSTRACT: The course of disordered gambling in women has been described as 'telescoped' compared with that in men, with a later age at initiation of gambling but shorter times from initiation to disorder. This study examined the evidence, for the first time, for such a telescoping effect in a general population rather than a treatment-seeking sample.Participants in a large community-based Australian twin cohort (2001 men, 2662 women) were assessed by structured diagnostic telephone interviews in which they reported the ages at which they had attained various gambling milestones and additional information to be used as covariates (the types of gambling in which they had participated and history of symptoms of alcohol dependence, major depression, and adult antisocial behavior). Cox proportional hazards regression models were used to examine differences between men and women in the time from gambling initiation to the first disordered gambling symptom and a diagnosis of disordered gambling.Men had a higher hazards than women for the time to the first disordered gambling symptom [hazard ratio (HR)?=?3.13, P?

SUBMITTER: Slutske WS

PROVIDER: S-EPMC4270904 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.

Slutske Wendy S WS Piasecki Thomas M TM Deutsch Arielle R AR Statham Dixie J DJ Martin Nicholas G NG

Addiction (Abingdon, England) 20141016 1

<h4>Background and aim</h4>The course of disordered gambling in women has been described as 'telescoped' compared with that in men, with a later age at initiation of gambling but shorter times from initiation to disorder. This study examined the evidence, for the first time, for such a telescoping effect in a general population rather than a treatment-seeking sample.<h4>Method</h4>Participants in a large community-based Australian twin cohort (2001 men, 2662 women) were assessed by structured di ...[more]

PMID: 25171127

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Project description:BackgroundAlthough gambling disorder is traditionally considered an adult phenomenon, the behavior usually begins in childhood or adolescence.ObjectiveThe aim of this study was to explore the frequency of problem gambling among Swedish adolescents and the suspected associated factors.MethodsThis study was based on data collected through a public health survey distributed in 2016 to pupils in ninth grade of primary school and in second grade of secondary school in Sweden. Bayesian binomial regression models, with weakly informative priors, were used to examine whether the frequency of the associated factors differed between those with and without problem gambling.ResultsApproximately 11.7% (469/4002) of the boys in ninth grade of primary school and 13.9% (472/3407) of the boys in second grade of secondary school were classified as problem gamblers. For girls, the corresponding frequencies were 1.2% (48/4167) and 0.7% (27/3634), respectively. The overall response rate was 77% (9143/11,868) among ninth grade pupils and 73.4% (7949/10,832) among second grade pupils, resulting in a total of 17,092 responses. Problem gambling was associated with poor sleep and having tried smoking, alcohol, and other substances among both boys and girls in ninth grade of primary school and boys in second grade of secondary school. Problem gambling among girls in second grade of secondary school was associated with an increased prevalence of having tried smoking and other substances and an increased prevalence of poor sleep.ConclusionsUsing a large representative sample of Swedish adolescents, we found that problem gambling was robustly associated with a substantially increased prevalence of poor sleep and having tried smoking, alcohol, and other substances among both boys and girls in ninth grade of primary school as well as among boys in second grade of secondary school. Our study adds important information for policy makers pointing at vulnerable groups to be considered in their work to prevent problem gambling.

Dataset Information

Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.

Publications

Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.

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