The prevalence, incidence, and gender and age-specific incidence of problem gambling: results of the Swedish longitudinal gambling study (Swelogs)
The prevalence, incidence, and gender and age-specific incidence of problem gambling: results of the Swedish longitudinal gambling study (Swelogs)
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DOI：
10.1111/add.14083
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发表时间：
2018-04-01
期刊：
影响因子：
6
通讯作者：
Volberg, Rachel
中科院分区：
文献类型：
--
作者：
Abbott, Max;Romild, Ulla;Volberg, Rachel
目的估计瑞典成年人赌博问题的患病率、发病率、性别和年龄特异性发病率。设计纵向队列研究，与登记数据相关联。背景是瑞典。参与者基线时年龄为16-84岁的分层随机样本（n = 8165）在一年后重新评估（n = 6021）。测量问题赌博（一生和过去12个月）是由南橡树赌博屏幕修订（SOGS-R）。过去12个月（当前）的问题赌博也通过问题赌博严重程度指数（PGSI）来衡量。结果SOGS-R结合当前病理和问题赌博患病率（PR）为2.1 [95%置信区间（CI）= 1.8-2.4]在基线和1.7（1.4-2.0）在后续行动，大约一半的相应的寿命估计。[2017年12月22日，在首次在线发表后添加了更正：在前一句中，SOGS-R合并的当前病理和问题赌博患病率（PR）被错误地报告为相应终生患病率的两倍。在这个版本中已经更正了]。PGSI结合当前问题和中度赌博PR在基线时为2.2（1.9-2.5），在随访时为1.9（1.6-2.2）。合并发病率（IR）为1.0（0.8-1.3）（SOGS-R）和1.4（1.1-1.7）（PGSI），其中超过四分之三为新发病例。虽然首次IR不因性别而异，但男性复发IR较高，女性新发病例比例较高。年轻成人IR是老年人IR的两倍以上;新病例的比例相似。结论在瑞典的问题赌博复发的实际发病率可能高于估计。瑞典问题赌博的情况可能会随着时间的推移而改变，女性和老年人的比例会增加。
Aims To estimate the prevalence, incidence and gender and age-specific incidence of problem gambling in the Swedish adult population. Design Longitudinal cohort study with linkage to register data. Setting Sweden. Participants Stratified random sample aged 16-84 years at baseline (n = 8165) re-assessed a year later (n = 6021). Measurements Problem gambling (life-time and past 12 months) was measured by the South Oaks Gambling Screen-Revised (SOGS-R). Past 12-month (current) problem gambling was also measured by the Problem Gambling Severity Index (PGSI). Findings The SOGS-R combined current pathological and problem gambling prevalence rate (PR) was 2.1 [95% confidence interval (CI) = 1.8-2.4] at baseline and 1.7 (1.4-2.0) at follow-up, approximately half the corresponding life-time estimates.[Correction added on 22 Dec 2017, after first online publication: In the preceding sentence, the SOGS-R combined current pathological and problemgambling prevalence rate (PR) was incorrectly reported as being double the corresponding life- time rate. It has been corrected in this version.] PGSI combined current problem and moderaterisk gambling PRs were 2.2 (1.9-2.5) at baseline and 1.9 (1.6-2.2) at follow-up. Combined incidence rates (IRs) were 1.0 (0.8-1.3) (SOGS-R) and 1.4 (1.1-1.7) (PGSI), withmore than three-quarters being newcases. While first-time IRs did not vary by gender, males had a higher relapse IR and proportionately more females were new cases. The young adult IRwas more than double the older adult IR; similar proportions were new cases. Conclusions The actual incidence of problem gambling relapse in Sweden is likely to be higher than estimated. The profile of problem gambling in Sweden is likely to change over time, with increased proportions of women and older adults.