Increased incidence of cardiovascular conditions among older adults with pathological gambling features in a prospective study.
Increased incidence of cardiovascular conditions among older adults with pathological gambling features in a prospective study.
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一项前瞻性研究显示，具有病理性赌博特征的老年人心血管疾病的发病率有所增加。
DOI：
10.1097/adm.0b013e31829e9b36
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发表时间：
2013
影响因子：
5.5
通讯作者：
Potenza,MarcN
中科院分区：
文献类型：
--
作者：
Pilver,CoreyE;Potenza,MarcN
目的：评估老年人中高风险/问题/病态赌博 (ARPG) 与突发医疗状况之间的前瞻性关联。方法：对分别于 2001 年至 2002 年和 2004 年至 2005 年收集的第 1 波和第 2 波全国酒精及相关疾病流行病学调查的二次数据进行分析。参与者是 55 岁及以上的成年人 (n= 10,231)，他们是从居住在美国的成年人的全国代表性社区样本中选出的。过去一年第一波病理性赌博的诊断标准是根据酒精使用障碍和相关残疾访谈时间表——精神障碍诊断和统计手册——第四版进行评估的。在第 1 波和第 2 波中评估身体健康状况。对分类为 ARPG（认可 1 项或多项病理性赌博纳入标准的参与者）和非 ARPG（非赌博/低频赌博或不认可病理性赌博标准的赌博）的组进行逻辑回归建模。结果：相对于非 ARPG，ARPG 前瞻性地与较高的发病率相关。 动脉硬化和任何心脏病，独立于第一波社会人口学特征、精神合并症、物质使用和体重指数。结论：表现出赌博风险或问题水平的老年人可能面临某些身体健康状况的特殊风险。应更密切地监测具有风险/问题/病态赌博特征的个人，以了解这些情况的发展，并鼓励其采取有益于健康的活动。应努力教育老年人及其看护者了解与 ARPG 相关的不良事件身体健康状况。
Objectives:To evaluate the prospective associations between at-risk/problem/pathological gambling (ARPG) and incident medical conditions among older adults.Methods:Secondary data analysis of the National Epidemiologic Survey on Alcohol and Related Conditions, waves 1 and 2, collected from 2001 to 2002 and 2004 to 2005, respectively. Participants are adults aged 55 years and older (n= 10,231) who were selected from a nationally representative community sample of adults residing in the United States. Past-year diagnostic criteria for pathological gambling at wave 1 were evaluated with the Alcohol Use Disorder and Associated Disabilities Interview Schedule—Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition. Physical health conditions were assessed at wave 1 and wave 2. Logistic regression modeling was conducted on groups categorized as ARPG (participants endorsing 1 or more inclusionary criteria for pathological gambling) and non-ARPG (nongambling/low-frequency gambling or gambling without endorsement of pathological gambling criteria).Results:Relative to non-ARPG, ARPG is prospectively associated with elevated incidences of arteriosclerosis and any heart condition, independently of wave-1 sociodemographic characteristics, psychiatric comorbidity, substance use, and body mass index.Conclusions:Older adults who demonstrate risky or problematic levels of gambling may be at particular risk for the onset of some physical health conditions. Individuals with at-risk/problem/pathological gambling features should be monitored more closely for the development of these conditions and encouraged to adopt activities that confer health benefits. Efforts should be made to educate older adults and their caretakers on the adverse incident physical health conditions associated with ARPG.