Pathological gambling: relationship to obesity, self-reported chronic medical conditions, poor lifestyle choices, and impaired quality of life.
Pathological gambling: relationship to obesity, self-reported chronic medical conditions, poor lifestyle choices, and impaired quality of life.
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DOI：
10.1016/j.comppsych.2012.07.001
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发表时间：
2013-02
影响因子：
7.3
通讯作者：
Allen J
中科院分区：
文献类型：
--
作者：
Black DW;Shaw M;McCormick B;Allen J
病理性赌博是一种重要的公共卫生问题，它普遍存在，社会代价高昂，并与滥用药物、抑郁、家庭暴力、犯罪和自杀有关。尽管有这些挑战，人们对PG的身体健康和医学相关性知之甚少。该项目的目标是评估患有和不患有前列腺癌的患者的自我报告的慢性疾病状况、用药情况、生活方式选择、卫生保健利用、生活质量变量和体重指数(BMI)。对患有PG和社区对照的受试者的医疗健康、生活方式选择、药物使用和医疗保健利用进行了系统的评估。我们实施了医疗结果研究简明表格36健康调查来评估感知的健康和生活质量。计算所有受试者的BMI。肥胖的定义是体重指数≥为30公斤/平方米。我们通过随机数字拨号从一般社区中选择了95名有DSM-IV PG(南橡树赌博屏幕[SOGS]得分≥5)的受试者和91名没有PG(SOGS≤2)的对照组受试者。PG受试者和对照组在年龄和性别上相似。与对照组相比，患有PG的人有更多的医疗和精神健康状况，他们更有可能避免定期运动，每天抽1包≥，每天喝≥5份咖啡因，每周看20个小时的电视≥。他们因身体和精神健康状况去急诊科就诊的次数更多，更有可能在过去一年里住过精神病院，也更有可能服用精神药物。他们不太可能定期去看牙医，更有可能因为经济问题而推迟医疗护理。赌博严重程度与患病次数呈正相关。PG患者在除一个SF-36分量表外的所有分量表上都有较差的自我报告健康知觉。重要的是，患有PG的人比对照组的BMI更高，更有可能肥胖。前列腺癌与肥胖、慢性疾病、糟糕的生活方式选择、较差的生活质量以及使用昂贵的医疗保健形式有关。病态赌徒接受定期牙科护理的可能性较小，更有可能无力支付医疗费用。文中还讨论了这些发现的意义。
Pathological gambling (PG) is an important public health problem that is prevalent, costly to society, and associated with substance misuse, depression, domestic violence, crime, and suicide. Despite these challenges, little is known about the physical health and medical correlates of PG. The goal of this project was to assess self-reported chronic medical conditions, medication usage, lifestyle choices, health care utilization, quality of life variables, and body mass index (BMI) in persons with and without PG. Subjects with PG and community controls were systematically assessed for their medical health, lifestyle choices, medication usage, and health care utilization. We administered the Medical Outcome Study Short-Form 36 Health Survey to assess perceived health and quality of life. BMI was calculated for all subjects. Obesity was defined as having a BMI ≥ 30 kg/m2. We compared 95 subjects with DSM-IV PG (South Oaks Gambling Screen [SOGS] score ≥ 5) and 91 control subjects without PG (SOGS ≤ 2) selected through random digit dialing from the general community. PG subjects and controls were similar in age and gender. Persons with PG had more medical and mental health conditions than controls, and were more likely to avoid regular exercise, smoke ≥ 1 pack/day, drink ≥ 5 servings of caffeine daily, and watch television ≥ 20 hours/week. They had more emergency department visits for physical and mental health conditions, were more likely to have been psychiatrically hospitalized in the past year, and were more likely to take psychotropic medication. They were less likely to have had regular dental visits and were more likely to put off medical care due to financial problems. Severity of gambling was positively correlated with number of medical conditions. Persons with PG had poorer self-reported health perceptions on all but one SF-36 subscale. Importantly, persons with PG had a higher BMI than controls and were more likely to be obese. PG is associated with obesity, chronic medical conditions, poor lifestyle choices, worse quality of life, and the use of costly forms of medical care. Pathological gamblers are less likely to receive regular dental care and are more likely to be unable to pay for medical care. The implications of the findings are discussed.
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影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
4
作者：
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影响因子：
3.3
作者：
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Petry, Nancy M.
影响因子：
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作者：
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通讯作者：
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影响因子：
2.3
作者：
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通讯作者：
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