PDF(Pubmed)
Abstract：
There is a need for evidence-based guidelines for gamblers who wish to reduce their risk of harm by setting self-directed limits on their gambling. Recognizing this, the Canadian Low-Risk Gambling Guidelines were developed using data from 8 countries to establish the relationship between gambling behaviour and harm. The guidelines include recommended limits on gambling spending as a percentage of income, gambling frequency, and number of types of games played. However, the developers of the LRGG\'s did not include UK data in their analysis. This study analyzes data from Health Survey England to assess the applicability of the Canadian Low-Risk Gambling Guidelines to gamblers in England. Using HSE data from 2016 to 2018, we generated risk curves for the relationship between 2 dimensions of gambling behaviour-frequency of gambling sessions and number of types of games played-and gambling harm. We defined harm as a score of 1 or above on the Problem Gambling Severity Index. HSE does not include questions on gambling spending, therefore this was not assessed. The relationship observed between frequency and types of gambling and harm among HSE respondents was similar to the risk curves generated for the development of the Canadian LRGG\'s. Gamblers in England who gambled twice weekly or more, or who played 3 or more types of games, were significantly more likely to experience harm from gambling than those who gambled below these limits. The Canadian LRGG\'s may potentially be applied to gambling harm reduction efforts in England. More research is needed to determine the acceptability of these guidelines to people who gamble in England.
摘要：
对于希望通过对赌博设定自我指导的限制来减少伤害风险的赌徒，需要基于证据的指南。认识到这一点,加拿大低风险赌博指南是使用来自8个国家的数据制定的,目的是建立赌博行为与伤害之间的关系.准则包括建议的赌博支出占收入百分比的限制，赌博频率,和游戏类型的数量。然而,LRGG的开发者在他们的分析中没有包括英国的数据。这项研究分析了英国健康调查的数据，以评估加拿大低风险赌博指南对英格兰赌徒的适用性。使用2016年至2018年的HSE数据，我们生成了赌博行为的两个维度-赌博时段的频率和所玩游戏类型的数量-与赌博危害之间关系的风险曲线。我们将伤害定义为问题赌博严重程度指数上的1分或以上。HSE不包括赌博支出的问题，因此，这没有得到评估。在HSE受访者中观察到的赌博频率和类型与伤害之间的关系类似于加拿大LRGG发展所产生的风险曲线。英国每周赌博两次或更多的赌徒，或者玩过3种或更多类型的游戏，比那些在低于这些限制下赌博的人更有可能遭受赌博的伤害。加拿大LRGG可能会应用于英格兰的赌博减害工作。需要更多的研究来确定这些指南对在英格兰赌博的人的可接受性。
