Is a sense of community belonging associated with problem gambling in Canada?
Is a sense of community belonging associated with problem gambling in Canada?
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DOI：
10.1007/s00127-021-02040-w
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发表时间：
2021-02-14
影响因子：
4.4
通讯作者：
Suzuki, Etsuji
中科院分区：
文献类型：
--
作者：
Izutsu, Masato;Suzuki, Etsuji
目的尽管公众对预防问题赌博的公共卫生措施的需求日益增加，但很少有研究探讨社区特征与问题赌博之间的联系。这项具有全国代表性的横断面研究的目的是调查加拿大社区归属感和问题赌博之间的关系。我们还检查了这种关系是否因性别和婚姻状况而改变。方法对魁北克省、萨斯喀彻温省、马尼托巴省和不列颠哥伦比亚省的38968名居民的2013-2014年加拿大社区健康调查数据进行分析。问题赌博使用加拿大问题赌博指数进行评估。我们估计了问题赌博的赔率比(OR)和95%的可信区间(CI)。结果问题赌博患病率为1.4%，其中男性1.9%，女性0.9%。我们观察到社区归属感和问题赌博之间存在反向的剂量-反应关系。与具有很强社区归属感的人相比，问题赌博对较强社区归属感的调整OR值为1.07(95%CI 0.65~1.76)，对于较弱社区归属感的调整OR值为1.27(95%CI 0.77~2.11)，对于较弱社区归属感的调整OR值为2.32(95%CI 1.34~4.02)。这种关联在女性中更为明显(丧偶/离婚/分居的除外)，而在男性中没有发现明显的关联，无论婚姻状况如何。结论在实施公共卫生措施以减少问题赌博时，考虑到社区归属感可能因性别和婚姻状况而产生的不同影响是有用的，因为这可能反映了居民中重要的社会背景。
Purpose Despite the increasing demand for public health measures to prevent problem gambling, few studies have examined the association between community characteristics and problem gambling. The aim of this nationally representative cross-sectional study was to investigate the relationship between a sense of community belonging and problem gambling in Canada. We also examined whether this relationship was modified by sex and marital status. Methods Canadian Community Health Survey (2013-2014) data from 38,968 residents of Quebec, Saskatchewan, Manitoba, and British Columbia were analyzed. Problem gambling was assessed using the Canadian Problem Gambling Index. We estimated the odds ratios (ORs) and 95% confidence intervals (CIs) for problem gambling. Results The prevalence of problem gambling was 1.4% (1.9% among males; 0.9% among females). We observed an inverse dose-response relationship between a sense of community belonging and problem gambling. Compared with those with a very strong sense of community belonging, the adjusted ORs for problem gambling were 1.07 (95% CI 0.65-1.76) for a somewhat strong sense, 1.27 (95% CI 0.77-2.11) for a somewhat weak sense, and 2.32 (95% CI 1.34-4.02) for a very weak sense of community belonging. The association was more prominent among females (except for those widowed/divorced/separated), whereas no clear association was found among males, irrespective of marital status. Conclusion When implementing public health measures to reduce problem gambling, it would be useful to account for possible differential impacts of a sense of community belonging by sex and marital status, which may reflect significant social contexts among residents.