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casino locations in new zealand Unhealthy Gambling Amongst New Zealand Secondary School Students: An Exploration of Risk and Protective Factors PMID: Unhealthy Gambling Amongst New Zealand Secondary School Students: An Exploration of Risk and Protective Factors Fiona V.
Rossen Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142 New Zealand Simon J.
Denny Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand Theresa M.
Logistic regressions and multiple logistic regression models were used to investigate associations between unhealthy gambling behaviour and selected outcomes.
Unhealthy gambling is a significant health issue for young people in New Zealand.
Ethnic and social inequalities were apparent and these disparities need to be addressed.
Introduction Gambling is a widely available activity in industrialised societies; and an entire generation has grown up in an era when lottery and casino gambling is widely available and heavily advertised Volberg, Gupta, Griffiths, Olason, and Delfabbro.
Research has shown that access to this latter type of gambling remains accessible to young people, despite age-related restrictions Department of Internal Affairs ; Fisher ; Rossen, Butler, and Denny ; Rossen, Tse, and Vaidya.
Research also suggests that gambling behaviour may change as young people progress developmentally, with accessible but age-restricted activities such as lottery products and EGMs becoming more attractive to older adolescents Rossen et al.
It is worth noting that in New Zealand the legal age for gambling varies according to the specific activity, in particular: 20 years of age for casino gambling; and, 18 years of age for Instant Kiwi scratch ticketsTAB track and sports betting and EGMs in pubs or clubs.
With the exception of Instant Kiwi, there are currently no age limits on the various lottery products provided by Lotto New Zealand a Crown Entity that was established in 1987.
Whilst for many young people involvement in gambling does not appear to have negative impacts on their health and wellbeing, research globally has documented that a sub-set apologise, riverside casino iowa city are youth go on to experience serious problems Hardoon and Derevensky ; Huang and Boyer ; Jackson, Dowling, Thomas, Bond, and Patton ; Turchi and Derevensky ; Volberg et al.
Rates of unhealthy gambling among young people is higher than that identified for adults, with some estimates of youth rates being at casino locations in new zealand double those of adults Volberg et al.
The social and other costs of problem gambling experienced by young people have been widely reported in the literature.
In particular, the co-existence of problem gambling and poor mental health has been noted, with depression and suicide attempts frequently associated with youth gambling Derevensky and Gupta ; Volberg et al.
The co-existence of problem gambling and engagement in other addictive behaviours has been documented.
For example, substance misuse is a significant risk factor for unhealthy youth gambling Dickson, Derevensky, and Gupta ; Fisher ; Goldstein et al.
Disruptions to family relationships and other relationships, as a result of gambling, have also been reported in the literature Blinn-Pike, Worthy, and Jonkman ; Fisher ; Floros, Siomos, Fisoun, and Geroukalis ; Hardoon, Derevensky, and Gupta ; Hardoon and Derevensky ; Splevins et al.
Furthermore, as gambling progresses into problematic levels, friendships and relationships with non-gambling peers may be replaced by gambling-related associates Blinn-Pike et al.
Problem gambling amongst youth has also been associated with: delinquency and crime Blinn-Pike et al.
This study aimed to report the prevalence of unhealthy gambling behaviours and describe risk and protective factors associated with unhealthy gambling behaviours, amongst a recent and large nationally representative sample of high school students in New Zealand.
A comprehensive understanding of the risk and protective factors associated with adolescent gambling will assist in health promotion efforts to improve awareness of youth gambling issues and related help-seeking behaviours.
This is particularly important as young people tend to seek help for gambling-related problems from informal sources, such as friends and their family, rather than from professional healthcare providers Griffiths ; Gupta and Derevensky.
In total, 91 randomly selected high schools participated in the survey, accounting for 3 % of the total 2012 secondary school roll in New Zealand.
Response rates for schools and students were 73 % and 68 % respectively.
The comprehensive 608-question survey was anonymous and administered via internet tablets Denny et al.
Written consent was required from each participating school and each student prior to participation.
The University of Auckland Human Participants Ethics Committee approved the study.
This categorisation was chosen as it is consistent with the age that New Zealand adolescents can leave school i.
Students indicated the ethnic group s that they belonged to.
Neighbourhood socio-economic deprivation was measured using the New Zealand Deprivation Index NZDep2006 Salmond, Crampton, Sutton, and Atkinson for the census area unit that the student lived in.
NZDep2006 combines eight dimensions of deprivation derived from the NZ census Salmond et al.
For data analyses students were grouped into one of three deprivation bands � lower deprivation NZ census deprivation deciles 1 to 3medium deprivation deciles 4 to 7 and higher deprivation deciles 8 to 10.
While the survey aimed to include as many important questions as possible, we aimed to create a survey that could be completed within approximately one hour, thus preventing participant fatigue.
As such, validated problem gambling screen e.
The absence of a problem gambling screen resulted in the authors developing a specific model to provide a measure of problematic or unhealthy gambling.
This allowed the development of a framework for evaluating which behaviours were more severe.
A description for all the outcome variables and measures that were utilised in this study are available from the first author upon request of note, these variables were based on a comprehensive review of the gambling literature and consultation with an expert advisory group that guided the overall research project Rossen et al.
Analyses All statistical analyses have accounted for the sample design and clustering effects within schools; data have been weighted by the inverse probability of selection and the variance of estimates were adjusted to allow for correlated data from the same schools.
Total numbers and prevalence estimates, adjusted percentages, and 95 % confidence intervals were calculated for the selected outcomes.
Logistic regression and multiple logistic regression models casino locations in new zealand used to investigate the click here between unhealthy gambling behaviour and outcomes.
All statistical analyses were carried out using SAS software version 9.
Involvement in Gambling One-in-10 students had gambled in the last 4 weeks and almost one-quarter 24.
However, significantly greater proportions of males than females had gambled in the last 4 weeks and in the last year.
There was also a significant association between ethnicity and gambling in the last 4 weeks with the non-New Zealand European students being proportionately more likely to gamble, and this was especially so for Maori and Pacific students.
Gambled in the last 4 weeks Gambled in the last 12 months 1 n N % 95 % CI p-value n N % 95 % CI p-value Total 804 7,813 10.
Number of Unhealthy Gambling Indicators b p-value None One Two or more n N % 95 % CI n N % 95 % CI n N % 95 % CI Total 1,557 1849 villa casino club slubice />In particular, good wellbeing which was based on the WHO-5 Well-Being Index - a short self-administered questionnaire that covers five-items relating to positive mood, vitality and general interests World Health Organization and family connectedness acted in a protective manner.
None of the investigated protective items continued to maintain a measureable protective role.
The multivariate model suggests that while family connection acted in a protective manner, once other factors are accounted for in the model; it would appear that exposure to adult gambling behaviours and mental health indicators are more critical.
These findings emphasise the need to consider family dynamics and support networks, and the importance of assessing the impacts of parental gambling on the children of adult clients with gambling-related issues when addressing the issue of unhealthy youth gambling Clarke, Abbott, DeSouza, and Bellringer.
Students with unhealthy gambling practices were significantly more likely to report co-existing mental health issues e.
The findings are consistent with Shead et al.
This aligns with research that has shown a tendency for clinically concerning health risk and emotional health concerns to cluster in young people Noel et al.
Moreover, the finding that young 777 casino equipment with more accepting attitudes towards gambling are at greater risk of problems has implications for health promotion efforts.
Social acceptability by parents and peers is recognised as an important socio-ecological driver of other risky behaviours in youth, including marijuana and illicit drug use, binge drinking and smoking Bahr, Hoffmann, and Yang ; Simons-Morton and Farhat.
Efforts to adjust youth attitudes gambling will have to reflect an ecological approach that considers socialisation processes and takes into account the attitudes of parents, peers and society at large.
This research identified a number of important disparities based on demographic features, largely consistent with previous gambling research involving young people from New Zealand Devlin ; Health Sponsorship Council ; Rossen et al.
Consistent with research from Greece and Finland Floros et al.
Sexual minority students were another population with a heightened risk of problematic gambling.
These youth were significantly more likely to report unhealthy gambling compared to their exclusively opposite-sex attracted peers.
This finding does however correspond with prior research on substance use, where youth that were not exclusively opposite-sex attracted were, on average, 190 % more likely to report substance use than heterosexual youth Marshal et al.
Specific strategies are required that address ethnic, sexuality and social disparities faced by certain populations vulnerable to unhealthy gambling.
Young people rarely seek formal help gambling-related problems Griffiths ; Gupta and Derevensky.
Of the students who were gambling at unhealthy levels in this study, more than half demonstrated self-awareness i.
This self-awareness may be an important indicator that an appropriate opportunity exists to motivate a young person to address casino locations in new zealand gambling through a suitable intervention.
Moreover, involvement in these modes was associated with a high risk of unhealthy gambling � consistent with previous research highlighting the dangers of continuous modes of gambling i.
Strengths and Limitations The data presented in this study are from a large nationally representative sample of secondary school students in New Zealand.
This study utilised a unique non-dichotomous measure of problematic gambling which is advantageous as it reflects the more fluid nature of youth behavioural issues.
There are a number of limitations to the study.
Young people who are disengaged from a mainstream school environment e.
Moreover, only students who were at school on the day of the survey were included.
For instance, it is unclear if problematic gambling leads to associated financial and other issues, which then lead to depression or if gambling is driven by a pre-existing mental health issue.
Conclusions Unhealthy gambling impacts on a numerically small casino gardena bicycle, but is significantly problematic amongst certain New Zealand secondary school students and their families.
We would like to thank the students, staff and schools who took part in the survey.
We also thank our steering and advisory groups for their guidance learn more here support.
We would also like to acknowledge the support of Toshiba Australia Pty.
The report on which this study is based was funded by the Ministry of Health Problem Gambling, Mental Health Casino locations in new zealand Improvement, Sector Capability and Implementation.
Informed Consent All procedures were in accordance with the ethical standards of the responsible committee on human experimentation institutional and national and with the Helsinki Declaration of 1975, as revised in 2000.
Informed consent was obtained from all students for being included in the study.
Contributor Information Fiona V.
Rossen, Phone: +64 9 923 9218, Email:.
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