Article de Périodique
A meta-analysis of problem gambling risk factors in the general adult population (2021)
Auteur(s) :
ALLAMI, Y. ;
HODGINS, D. C. ;
YOUNG, M. ;
BRUNELLE, N. ;
CURRIE, S. ;
DUFOUR, M. ;
FLORES-PAJOT, M. C. ;
NADEAU, L.
Année
2021
Page(s) :
2968-2977
Sous-type de document :
Méta-analyse / Meta-analysis
Langue(s) :
Anglais
Refs biblio. :
38
Domaine :
Addictions sans produit / Addictions without drug
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
JEUX D'ARGENT ET DE HASARD
;
POPULATION GENERALE
;
FACTEUR DE RISQUE
;
JEU PATHOLOGIQUE
;
ADULTE
;
PREVALENCE
Résumé :
BACKGROUND AND AIMS: Few meta-analyses have been conducted to pool the most constant risk factors for problem gambling. The present meta-analysis summarizes effect sizes of the most frequently assessed problem gambling risk factors, ranks them according to effect size strength and identifies any differences in effects across genders.
METHOD: A random-effects meta-analysis was conducted on jurisdiction-wide gambling prevalence surveys on the general adult population published until March 2019. One hundred and four studies were eligible for meta-analysis. The number of participants varied depending on the risk factor analyzed, and ranged from 5327 to 273 946 (52% female). Weighted mean odds ratios were calculated for 57 risk factors (socio-demographic, psychosocial, gambling activity and substance use correlates), allowing them to be ranked from largest to smallest with regard to their association with problem gambling.
RESULTS: The highest odds ratio (OR) was for internet gambling [OR = 7.59, 95% confidence interval (CI) = 5.24, 10.99, P < 0.000] and the lowest was for employment status (OR = 1.03, 95% CI = 0.87, 1.22, P = 0.718). The largest effect sizes were generally in the gambling activity category and the smallest were in the socio-demographic category. No differences were found across genders for age-associated risk.
CONCLUSIONS: A meta-analysis of 104 studies of gambling prevalence indicated that the most frequently assessed problem gambling risk factors with the highest effect sizes are associated with continuous-play format gambling products.
METHOD: A random-effects meta-analysis was conducted on jurisdiction-wide gambling prevalence surveys on the general adult population published until March 2019. One hundred and four studies were eligible for meta-analysis. The number of participants varied depending on the risk factor analyzed, and ranged from 5327 to 273 946 (52% female). Weighted mean odds ratios were calculated for 57 risk factors (socio-demographic, psychosocial, gambling activity and substance use correlates), allowing them to be ranked from largest to smallest with regard to their association with problem gambling.
RESULTS: The highest odds ratio (OR) was for internet gambling [OR = 7.59, 95% confidence interval (CI) = 5.24, 10.99, P < 0.000] and the lowest was for employment status (OR = 1.03, 95% CI = 0.87, 1.22, P = 0.718). The largest effect sizes were generally in the gambling activity category and the smallest were in the socio-demographic category. No differences were found across genders for age-associated risk.
CONCLUSIONS: A meta-analysis of 104 studies of gambling prevalence indicated that the most frequently assessed problem gambling risk factors with the highest effect sizes are associated with continuous-play format gambling products.
Affiliation :
ALLY Addiction Consulting, Montréal, QC, Canada
Cote :
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