Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.
Telescoping and gender differences in the time course of disordered gambling: evidence from a general population sample.
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紊乱赌博时间过程中的伸缩和性别差异：来自一般人群样本的证据。
DOI：
10.1111/add.12717
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Martin,NicholasG
中科院分区：
文献类型：
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作者：
Slutske,WendyS;Piasecki,ThomasM;Deutsch,ArielleR;Statham,DixieJ;Martin,NicholasG
背景与目的女性赌博障碍的病程与男性相比被描述为“缩短的”，女性开始赌博的年龄晚，但从开始赌博到赌博障碍的时间短。这项研究首次在普通人群中而不是寻求治疗的样本中检查了这种伸缩效应的证据。（2001年男子，2662名妇女）通过结构化诊断电话访谈进行评估，在访谈中，她们报告了达到各种赌博里程碑的年龄和用作协变量的其他信息（他们参与的赌博类型和酒精依赖症状，严重抑郁症和成年反社会行为的历史）。采用考克斯比例风险回归模型分析了男性和女性从开始赌博到首次出现赌博障碍症状和诊断为赌博障碍的时间差异。结果男性在首次出现赌博障碍症状和诊断为赌博障碍的时间上的风险比（HR）= 3.13，P < 0.0001 HR = 2.53，P < 0.0001。在控制协变量后，这些差异仍然存在。较早的年龄开始是最有力的预测进展的第一症状。ConclusionsWhen评估在一般人群水平，女性赌徒并没有出现显示出一个伸缩紊乱的赌博轨迹相比，男性赌徒。
Background and AimThe 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.MethodParticipants 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.ResultsMen had a higher hazards than women for the time to the first disordered gambling symptom [hazard ratio (HR) = 3.13,P< 0.0001] and to a diagnosis of disordered gambling (HR = 2.53,P< 0.0001). These differences persisted after controlling for covariates. Earlier age of initiation was the most potent predictor of progression to the first symptom.ConclusionsWhen assessed at the general population level, female gamblers do not appear to show a telescoped disordered gambling trajectory compared with male gamblers.