Correlates of at-risk/problem internet gambling in adolescents.

Correlates of at-risk/problem internet gambling in adolescents.
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DOI:
10.1016/j.jaac.2010.11.006
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发表时间:
2011-02
影响因子:
13.3
通讯作者:
Desai RA
Desai RA
中科院分区:
医学1区
文献类型:
--
作者:
Potenza MN;Wareham JD;Steinberg MA;Rugle L;Cavallo DA;Krishnan-Sarin S;Desai RA

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互联网代表了一个新的和广泛可用的论坛赌博。然而,相对较少的研究探讨了青少年的互联网赌博。本研究旨在探讨青少年承认或否认在互联网上赌博的风险或问题赌博的相关性。来自2,006名康涅狄格州高中生赌徒的调查数据使用卡方和逻辑回归分析进行了分析。在风险/问题赌博被发现更频繁地在青少年互联网赌徒比非互联网赌徒。与非互联网赌博组中的风险/问题赌博相比,互联网赌博组中的风险/问题赌博与不良学习成绩和药物使用(特别是当前重度饮酒;比值比=2.99; p=0.03)相关性更强,与朋友赌博的相关性较低(比值比=0.32; p=0.0003)。网络赌博组和非网络赌博组的风险/问题赌博分别与多个不良指标(包括烦躁/抑郁)相关,p<0.05(优势比=1.76,1.96),(比值比=2.50,1.93),携带武器(优势比=2.11,1.90),烟草使用(优势比=2.05,经常使用1.88),大麻(优势比=2.02,1.39)和其他药物(优势比=3.24,1.67)。在临床上,重要的是要评估青少年参与网络赌博,特别是青少年风险/问题网络赌博似乎与非同伴参与,酗酒和不良的学术功能特别相关。
The internet represents a new and widely available forum for gambling. However, relatively few studies have examined internet gambling in adolescents. This study sought to investigate the correlates of at-risk or problem gambling amongst adolescents acknowledging or denying gambling on the internet. Survey data from 2,006 Connecticut high-school-student gamblers were analyzed using chi-square and logistic regression analyses. At-risk/problem gambling was found more frequently in adolescent internet gamblers than in non-internet gamblers. As compared to at-risk/problem gambling in the non-internet gambling group, at-risk/problem gambling in the internet gambling group was more strongly associated with poor academic performance and substance use (particularly current heavy alcohol use; odds ratio=2.99; p=0.03) and less strongly associated with gambling with friends (odds ratio=0.32; p=0.0003). At-risk/problem gambling in both the internet and non-internet gambling groups, respectively, was associated at p<0.05 each with multiple adverse measures including dysphoria/depression (odds ratios=1.76, 1.96), getting into serious fights (odds ratios=2.50, 1.93), carrying weapons (odds ratios=2.11, 1.90), and use of tobacco (odds ratios=2.05, 1.88 for regular use), marijuana (odds ratios=2.02, 1.39) and other drugs (odds ratios=3.24, 1.67). Clinically, it is important to assess for teenagers’ involvement in internet gambling, particularly as adolescent at-risk/problem internet gambling appears specifically associated with non-peer involvement, heavy alcohol use and poor academic functioning.
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