Gambling

赌博
  • 文章类型: Journal Article
    识别与问题赌博相关的大脑活动的特定模式可能会更深入地了解其潜在机制,强调神经生理学研究的重要性,以更好地了解发展和持续的赌博行为。已通过基于近赢/近错过(NW)效应的脑电图(EEG)研究研究了认知功能的模式。本研究的主要目标是通过对反馈事件引起的事件相关电位(ERP)研究的系统回顾,评估NW的神经生理学基础及其对赌博问题的调节。审查遵循了系统审查和荟萃分析方案(PRISMA)的首选报告项目的建议。共纳入15项研究,图12包括非问题赌徒(NPG)和三个将问题赌徒(PG)与匹配的对照进行比较。对于P300组件,获胜结果比其他结果(西北和失利)引起更大的振幅,紧随其后的是西北结果,在一些研究中,这引起了比损失更大的振幅。对于反馈相关的消极性(FRN),在几项研究中,损失结果引起了更负的振幅,尽管在其他人中引发了与NW结果相似的幅度。对于PG,NW结果引起的P300振幅高于损失,而NPG显示与两个结果相似的振幅。本综述从不同来源收集了信息,并提供了不同研究的一致观点。然而,研究缺乏系统和健壮的方法,导致结果不一致,难以得出任何明确的结论。
    Identification of specific patterns of brain activity related to problem gambling may provide a deeper understanding of its underlying mechanisms, highlighting the importance of neurophysiological studies to better understand development and persistence of gambling behavior. The patterns of cognitive functioning have been investigated through electroencephalography (EEG) studies based on the near-win/near-miss (NW) effect. The main goal of the present study was to evaluate the neurophysiological basis of NWs and their modulation by gambling problems through a systematic review of event-related potentials (ERP) studies elicited by feedback events. The review followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA). A total of 15 studies were included, 12 comprising non-problem gamblers (NPGs) and three comparing problem gamblers (PGs) with matched controls. For the P300 component, the win outcome elicited a larger amplitude than the other outcomes (NW and loss), followed by the NW outcome, which elicited a larger amplitude than loss in some studies. For feedback-related negativity (FRN), the loss outcome evoked a more negative amplitude in several studies, despite eliciting a similar amplitude to NW outcomes in others. For PGs, the NW outcome evoked a higher amplitude of P300 than loss, while NPGs showed a similar amplitude to both outcomes. The present review gathered information from different sources and provides a consistent view of the different studies. However, studies lack systematic and robust methodologies, leading to inconsistent results and making it difficult to reach any definitive conclusions.
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  • 文章类型: Journal Article
    背景:赌博行为已成为越来越多的公共卫生利益,但是关于患病率的数据仍然很少。在这项研究中,我们的目标是估计成人和青少年赌博活动的患病率,从事特定赌博活动的普遍性,任何风险赌博和有问题赌博的普遍性,以及赌博活动带来的任何风险和有问题的赌博的普遍性。
    方法:我们进行了系统评价和荟萃分析。我们系统地搜索了同行评审的文献(在MEDLINE上,Embase,和PsycInfo)和灰色文献,以确定2010年1月1日至2024年3月4日之间发表的论文。我们搜索了任何赌博,包括参与个人赌博活动,以及成人和青少年中存在问题的赌博数据。我们纳入了报告感兴趣的赌博结果的患病率或比例的论文。我们排除了非原始数据或基于偏倚样本的论文。数据被提取到定制的MicrosoftAccess数据库中,使用JoannaBriggs研究所的关键评估工具来识别每个样本的偏差风险。代表性人口调查估计首先被荟萃分析为国家一级的患病率估计,使用metaprop,任何赌博,任何赌博的风险,有问题的赌博,和赌博活动。其次,为任何赌博生成了人口加权区域水平和全球估计,任何赌博的风险,有问题的赌博,和特定的赌博活动。这篇评论在PROSPERO(CRD42021251835)上注册。
    结果:我们筛选了3692份报告,有380个代表性的独特样品,在68个国家和地区。总的来说,所包括的样本由稍多的男性或男性个体组成,平均年龄29·72岁,确定的大多数样本来自高收入国家。在这些样本中,366名纳入荟萃分析。全球范围内,在过去的12个月中,有46·2%(95%CI41·7-50·8)的成年人和17·9%(14·8-21·2)的青少年赌博。男性的赌博率(49·1%;45·5-52·6)高于女性(37·4%;32·0-42·5)。在成年人中,8·7%(6·6-11·3)被归类为从事任何风险赌博,1·41%(1·06-1·84)从事有问题的赌博。在成年人中,有问题的赌博率在网上赌场或老虎机赌博中最高(15·8%;10·7-21·6)。关于青少年样本中任何风险和有问题的赌博的数据报道很少。
    结论:现有证据表明赌博在全球普遍存在,很大一部分人口从事有问题的赌博,在在线形式的赌博中,有问题的赌博率最高。鉴于在线赌博行业的增长以及赌博与一系列公共卫生危害之间的联系,各国政府需要更加关注全球赌博的严格监管和监控。
    背景:澳大利亚国家健康与医学研究委员会。
    BACKGROUND: Gambling behaviours have become of increased public health interest, but data on prevalence remain scarce. In this study, we aimed to estimate for adults and adolescents the prevalence of any gambling activity, the prevalence of engaging in specific gambling activities, the prevalence of any risk gambling and problematic gambling, and the prevalence of any risk and problematic gambling by gambling activity.
    METHODS: We performed a systematic review and meta-analysis. We systematically searched for peer-reviewed literature (on MEDLINE, Embase, and PsycInfo) and grey literature to identify papers published between Jan 1, 2010, and March 4, 2024. We searched for any gambling, including engagement with individual gambling activities, and problematic gambling data among adults and adolescents. We included papers that reported the prevalence or proportion of a gambling outcome of interest. We excluded papers of non-original data or based on a biased sample. Data were extracted into a bespoke Microsoft Access database, with the Joanna Briggs Institute Critical Appraisal Tool used to identify the risk of bias for each sample. Representative population survey estimates were firstly meta-analysed into country-level prevalence estimates, using metaprop, of any gambling, any risk gambling, problematic gambling, and by gambling activity. Secondly, population-weighted regional-level and global estimates were generated for any gambling, any risk gambling, problematic gambling, and specific gambling activity. This review is registered on PROSPERO (CRD42021251835).
    RESULTS: We screened 3692 reports, with 380 representative unique samples, in 68 countries and territories. Overall, the included samples consisted of slightly more men or male individuals, with a mean age of 29·72 years, and most samples identified were from high-income countries. Of these samples, 366 were included in the meta-analysis. Globally, 46·2% (95% CI 41·7-50·8) of adults and 17·9% (14·8-21·2) of adolescents had gambled in the past 12 months. Rates of gambling were higher among men (49·1%; 45·5-52·6) than women (37·4%; 32·0-42·5). Among adults, 8·7% (6·6-11·3) were classified as engaging in any risk gambling, and 1·41% (1·06-1·84) were engaging in problematic gambling. Among adults, rates of problematic gambling were greatest among online casino or slots gambling (15·8%; 10·7-21·6). There were few data reported on any risk and problematic gambling among adolescent samples.
    CONCLUSIONS: Existing evidence suggests that gambling is prevalent globally, that a substantial proportion of the population engage in problematic gambling, and that rates of problematic gambling are greatest among those gambling on online formats. Given the growth of the online gambling industry and the association between gambling and a range of public health harms, governments need to give greater attention to the strict regulation and monitoring of gambling globally.
    BACKGROUND: Australian National Health and Medical Research Council.
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  • 文章类型: Journal Article
    即使游戏和赌博也有类似的问题行为方面,没有可识别的神经生理学生物标志物或特征表征和/或区分这些病症。在PubMed中对文献进行了系统的回顾,重点是方法,Scopus,WebofScience(WebofScience核心合集),EBSCOhost研究数据库(APAPsycINFO;APAPsycarticles;OpenDissertations;ERIC)数据库。以下搜索词用于搜索数据库:ERP,\"事件相关潜力*\",EP,“诱发电位*”,SS,\"稳态\",脑电图,脑电图*;gam*.有关参与者的数据(总数,性别,年龄),研究的主要目的和有关实验设置的信息(实验任务描述,使用的刺激,测量的ERP(潜伏期窗口和电极的放置),过程评估)被提取。总共修订了24项研究(有问题的游戏-16项,病态赌博-8项)。实验方案可以分为3个主要目标域(提示反应性,一般信息处理和奖励流程和风险评估)。与样本相关的限制(小样本量,性别差异,组间关于潜在混杂变量的差异)和关于实验任务的异质性,审查了实施和解释。与赌博相关的研究高度关注与奖励相关的过程的调查,而与游戏相关的研究主要集中在更一般的信息处理的变化方面。关于正在使用的ERP实验范例的巨大异质性以及缺乏明确的指南和标准化程序阻碍了识别能够可靠地区分或表征易受成瘾行为或能够诊断和监测这些疾病的人群的措施。
    Even though gaming and gambling bear similar problematic behavioral aspects, there are no recognizable neurophysiological biomarkers or features characterizing and/or distinguishing these conditions. A systematic review of the literature with a focus on methods was performed in PubMed, Scopus, Web of Science (Web of Science Core Collection), EBSCOhost Research Databases (APA PsycINFO; APA PsycArticles; OpenDissertations; ERIC) databases. Following search terms were used to search the databases: ERP, \"event related potential*\", EP, \"evoked potential*\", SS, \"steady state\", EEG, electroencephal*; gam*. Data about the participants (total number, gender, age), main aim of the study and information about the experimental setup (experimental task description, stimuli used, ERPs measured (latency windows and placement of the electrodes), process evaluated) was extracted. A total of 24 studies were revised (problematic gaming - 16, pathological gambling - 8). The experimental protocols could be grouped into 3 main target domains (Cue-reactivity, General Information processing and Reward Processes & Risk Assessment). Sample-related limitations (small sample sizes, gender differences, differences between the groups regarding potential confounding variables) and heterogeneity regarding the experimental tasks, implementation and interpretation reviewed. Gambling-related research is highly focused on the investigation of the reward-related processes, whereas gaming-related research is mostly focused on the altered aspects of more general information processing. A vast heterogeneity regarding the ERP experimental paradigms being used and lack of clear guidelines and standardized procedures prevents identification of measures capable to reliably discriminate or characterize the population susceptible to addictive behavior or being able to diagnose and monitor these disorders.
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  • 文章类型: Journal Article
    赌博障碍(GD)是一个紧迫的公共卫生问题,具有巨大的社会成本。最近发展起来的轻推理论,植根于行为经济学,旨在通过实施环境变化来影响个体的决策行为。
    本范围审查旨在综合与赌博有关的微推理论的文献。
    此范围审查符合Arksey和O\'Malley框架,由Levac等人提炼。它只包括来自同行评审期刊的文章,作为主要主题,关于轻推理论和赌博。最终的研究选择包括六篇文章。
    范围审查过程导致了一些研究,这些研究解释了(1)轻推旨在促使人们选择更健康的赌博选择,促进采用更负责任的赌博做法,和(2)一些赌博的特点,称为暗推(或污泥),利用和伤害赌博者的决策过程。
    这次范围审查强调了许多利益相关者参与赌博领域的事实,他们之间更好的合作将促进更安全和更负责任的赌博行为。未来的研究还需要进行实证检验,以更好地了解它们对赌博者的影响。
    UNASSIGNED: Gambling disorder (GD) is a pressing public health concern with significant societal costs. The recently developed nudge theory, which is rooted in behavioral economics, aims to influence the decision-making behaviors of individuals by implementing changes in the environment.
    UNASSIGNED: This scoping review aims to synthesize the literature on nudge theory as it relates to gambling.
    UNASSIGNED: This scoping review accords with the Arksey and O\'Malley framework, as refined by Levac et al. It includes only articles from peer-reviewed journals that focus, as main themes, on both nudge theory and gambling. The final study selection includes six articles.
    UNASSIGNED: The scoping review process led to studies explaining how (1) nudges aim to prod people toward healthier gambling choices, fostering the adoption of more responsible gambling practices, and (2) some gambling features, called dark nudges (or sludges), exploit and harm the decision-making processes of people who gamble.
    UNASSIGNED: This scoping review highlights the fact that many stakeholders are involved in the field of gambling, and that better cooperation between them would promote safer and more responsible gambling practices. Future research is also needed to empirically test nudges to develop a better understanding of their impact on those who gamble.
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  • 文章类型: Journal Article
    背景:赌博和与赌博相关的危害引起了研究者和政策的关注。在大多数西方国家,赌博的自由化与赌博活动的显着增加以及人口水平上与赌博有关的伤害的增加密切相关。解决赌博相关伤害的程序传统上集中于表现出有问题的赌博行为的个人,尽管有明确的证据表明公共卫生方法对赌博等高风险活动的有效性。对于在人口水平上解决与赌博有关的伤害的计划的可用性或有效性知之甚少。
    方法:维多利亚州负责任的赌博基金会委托对旨在减少人口水平的赌博相关伤害的计划的现有证据进行快速证据审查。审查是使用公共卫生和减少伤害的镜头进行的。MEDLINE,系统地搜索了ProQuestCentral和PsychInfo数据库。纳入的研究在2017年至2023年间以英语发表,来自所有具有与澳大利亚相当的赌博政策背景和公共卫生系统的国家;包括主要数据;并侧重于与赌博相关的伤害或问题的初级和/或二级预防。
    结果:一百六十七篇文章符合入选条件。文献中确定的主题包括:风险和保护因素;一级预防;二级预防;三级预防;目标人群;和公共卫生方法。证据审查显示,在有效干预措施以减少人口水平上与赌博相关的伤害方面,经验证据存在差距。特别是从公共卫生的角度来看。
    结论:解决与赌博有关的伤害需要细微差别,多层次的方法,承认复杂的社会,环境,以及赌博的商业性质和相关危害。此外,证据表明,当基于合理的共同设计理论并解决导致伤害的社会方面时,减少赌博相关伤害的社区计划在减少伤害方面更成功。
    BACKGROUND: Gambling and gambling-related harm attract significant researcher and policy attention. The liberalisation of gambling in most western countries is strongly associated with a marked rise in gambling activity and increases in gambling-related harm experienced at the population level. Programs to address gambling-related harm have traditionally focused on individuals who demonstrate problematic gambling behaviour, despite clear evidence of the effectiveness of a public health approach to high-risk activities like gambling. Little is known about the availability or efficacy of programs to address gambling-related harm at a population level.
    METHODS: The Victorian Responsible Gambling Foundation commissioned a rapid evidence review of the available evidence on programs designed to reduce gambling-related harm at a population level. The review was conducted using a public health and harm reduction lens. MEDLINE, ProQuest Central and PsychInfo databases were searched systematically. Included studies were published in English between 2017 - 2023 from all countries with gambling policy contexts and public health systems comparable to Australia\'s; included primary data; and focused on primary and/or secondary prevention of gambling-related harm or problems.
    RESULTS: One hundred and sixty-seven articles were eligible for inclusion. Themes identified in the literature included: risk and protective factors; primary prevention; secondary prevention; tertiary prevention; target population group; and public health approach. The evidence review revealed a gap in empirical evidence around effective interventions to reduce gambling-related harm at the population level, particularly from a public health perspective.
    CONCLUSIONS: Addressing gambling-related harm requires a nuanced, multi-layered approach that acknowledges the complex social, environmental, and commercial nature of gambling and associated harms. Moreover, evidence demonstrates community programs to reduce gambling-related harm are more successful in reducing harm when based on sound theory of co-design and address the social aspects that contribute to harm.
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  • 文章类型: Journal Article
    背景:对于经历物质使用或赌博障碍的人,基于网络的同行支持论坛是他们可以分享经验的空间,聚集在一个集体目标周围,找到相互支持。基于网络的对等支持可以帮助克服参加面对面会议的障碍,使经历成瘾的人能够在其物理位置之外寻求支持,并在需要时具有匿名的好处。了解谁参加了基于Web的同行支持的论坛(以及如何参加),以及支撑论坛的原则,还可以帮助那些有兴趣设计或实现类似平台的人。
    目的:本研究旨在回顾有关人们如何经历物质使用或赌博障碍的文献,和他们的家人,朋友,和支持者,使用和参与基于Web的同行支持的论坛。具体来说,我们提出了以下研究问题:(1)使用基于网络的同伴支持的物质使用或以赌博为中心的论坛的人的特征是什么?(2)人们如何参与基于网络的同伴支持的论坛?(3)据报道,基于网络的同伴支持的论坛的关键原则是什么?(4)基于网络的同伴支持的论坛的报告结果是什么?2021年6月对10个数据库进行了初步搜索,随后在2022年9月和2024年2月对纳入研究进行了2次引用搜索。
    结果:在14项纳入的研究中,据报道,大多数基于网络的同行支持论坛专门针对,或者主要被使用,有酒精问题的人。报告人口统计数据的9项研究的结果表明,论坛用户通常是女性,年龄在40岁到50岁之间。定量和定性地报告了对基于网络的同行支持论坛的参与情况。据报道,论坛以一系列关键原则为基础,主要是互助方法和恢复身份形成。只有3项研究报告了论坛用户的结果。
    结论:基于Web的对等支持的论坛被人们以多种方式使用,分享信息和经验,给予和接受支持。寻求基于Web的支持为传统的面对面支持选项提供了替代方法,并可能减少参与同行支持的一些障碍。
    BACKGROUND: For people experiencing substance use or gambling disorders, web-based peer-supported forums are a space where they can share their experiences, gather around a collective goal, and find mutual support. Web-based peer support can help to overcome barriers to attending face-to-face meetings by enabling people experiencing addiction to seek support beyond their physical location and with the benefit of anonymity if desired. Understanding who participates in web-based peer-supported forums (and how), and the principles underpinning forums, can also assist those interested in designing or implementing similar platforms.
    OBJECTIVE: This study aims to review the literature on how people experiencing substance use or gambling disorders, and their family, friends, and supporters, use and participate in web-based peer-supported forums. Specifically, we asked the following research questions: (1) What are the characteristics of people who use web-based peer-supported substance use or gambling-focused forums? (2) How do people participate in web-based peer-supported forums? (3) What are the key principles reportedly underpinning the web-based peer-supported forums? (4) What are the reported outcomes of web-based peer-supported forums?
    METHODS: Inclusion criteria for our scoping review were peer-reviewed primary studies reporting on web-based addiction forums for adults and available in English. A primary search of 10 databases occurred in June 2021, with 2 subsequent citation searches of included studies in September 2022 and February 2024.
    RESULTS: Of the 14 included studies, the majority of web-based peer-supported forums reported were aimed specifically for, or largely used by, people experiencing alcohol problems. Results from the 9 studies that did report demographic data suggest forum users were typically women, aged between 40 years and early 50 years. Participation in web-based peer-supported forums was reported quantitatively and qualitatively. The forums reportedly were underpinned by a range of key principles, mostly mutual help approaches and recovery identity formation. Only 3 included studies reported on outcomes for forum users.
    CONCLUSIONS: Web-based peer-supported forums are used by people experiencing addiction in a number of ways, to share information and experiences, and give and receive support. Seeking web-based support offers an alternative approach to traditional face-to-face support options, and may reduce some barriers to engaging in peer support.
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  • 文章类型: Journal Article
    类似于成瘾物质,赌博和游戏等成瘾行为与关键大脑区域和与学习和记忆有关的功能网络的适应失调有关。因此,这篇综述旨在了解不同的学习和记忆过程与行为成瘾的关系,并揭示其潜在的神经机制。遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,我们系统地搜索了四个数据库——PsycINFO,PubMed,Scopus,和WebofScience使用商定的搜索字符串。研究结果表明,行为成瘾中执行功能依赖性学习过程的改变和习惯学习的增强。而工作记忆与行为成瘾之间的关系受成瘾类型的影响,工作记忆方面,任务性质。此外,长期记忆在有成瘾行为的个体中是不连贯的。始终如一,神经生理学证据表明,行为成瘾中与学习和记忆过程有关的大脑区域和网络发生了变化。总的来说,本审查认为,比如物质使用障碍,学习和记忆过程的改变可能是行为成瘾的发展和维持的基础。
    Similar to addictive substances, addictive behaviours such as gambling and gaming are associated with maladaptive modulation of key brain areas and functional networks implicated in learning and memory. Therefore, this review sought to understand how different learning and memory processes relate to behavioural addictions and to unravel their underlying neural mechanisms. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched four databases - PsycINFO, PubMed, Scopus, and Web of Science using the agreed-upon search string. Findings suggest altered executive function-dependent learning processes and enhanced habit learning in behavioural addiction. Whereas the relationship between working memory and behavioural addiction is influenced by addiction type, working memory aspect, and task nature. Additionally, long-term memory is incoherent in individuals with addictive behaviours. Consistently, neurophysiological evidence indicates alterations in brain areas and networks implicated in learning and memory processes in behavioural addictions. Overall, the present review argues that, like substance use disorders, alteration in learning and memory processes may underlie the development and maintenance of behavioural addictions.
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  • 文章类型: Journal Article
    背景:了解和治疗赌博造成的危害是一个日益严重的国际精神病学和公共卫生挑战。赌博伤害的治疗可能涉及心理和药物干预,与同行支持相结合。进行这项范围审查是为了确定,第一次,以英国(UK)为基础的赌博治疗研究的特点和程度。我们回顾了在英国寻求治疗无序或有害赌博的人群中进行的研究,设置,研究设计,以及使用的结果衡量标准,并确定任何治疗研究空白。
    方法:PsycInfo的系统搜索,Psycarticles,Scopus,PubMed,和WebofScience数据库用于在英国进行的赌博治疗研究或评估研究。如果他们评估旨在改善有害或有问题的赌博症状的干预或治疗的有效性,报告的干预措施对治疗依从性的结果,赌博症状,或使用标准化措施的行为,在英国进行,自2000年以来出版。
    结果:8项研究符合纳入标准。四个是回顾性图表审查,两个是单参与者病例报告,其中一个描述了一个回顾性病例系列,其中一个采用了横截面设计。没有人使用实验设计。
    结论:本综述中包含的研究数量有限,突出了在英国进行的赌博治疗研究相对缺乏。进一步的工作应寻求找出在英国进行赌博治疗研究的潜在障碍和障碍。
    BACKGROUND: Understanding and treating the harm caused by gambling is a growing international psychiatric and public health challenge. Treatment of gambling harm may involve psychological and pharmacological intervention, in conjunction with peer support. This scoping review was conducted to identify, for the first time, the characteristics and extent of United Kingdom (UK) based gambling treatment research. We reviewed studies conducted among people seeking treatment for disordered or harmful gambling in the UK, the settings, research designs, and outcome measures used, and to identify any treatment research gaps.
    METHODS: Systematic searches of PsycInfo, PsycArticles, Scopus, PubMed, and Web of Science databases were carried out for gambling treatment research or evaluation studies conducted in the UK. Studies were included if they evaluated the effectiveness of an intervention or treatment designed to improve symptoms of harmful or problematic gambling, reported outcomes of interventions on treatment adherence, gambling symptoms, or behaviours using standardised measures, were conducted in the UK, and were published since 2000.
    RESULTS: Eight studies met the inclusion criteria. Four were retrospective chart reviews, two were single-participant case reports, one described a retrospective case series, and one employed a cross-sectional design. None used an experimental design.
    CONCLUSIONS: The limited number of studies included in this review highlights a relative paucity of gambling treatment research conducted in UK settings. Further work should seek to identify potential barriers and obstacles to conducting gambling treatment research in the UK.
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  • 文章类型: Journal Article
    背景:世界卫生组织强调酒精,烟草,不健康的食物,和含糖饮料(SSB)税是预防和减轻非传染性疾病负担的最有效政策之一。本综述旨在识别和总结系统评价的证据,报告价格与需求或价格与酒精疾病/死亡之间的关系,烟草,不健康的食物,和SSB。鉴于最近人们认识到赌博是一个公共卫生问题,我们还包括赌博。
    方法:本次综述的方案已预先注册(PROSPEROCRD42023447429)。在2000年至2023年之间搜索了七个电子数据库。合格的系统评价是在任何国家发表的,包括成人或儿童,定量研究了酒精之间的关系,烟草,赌博,不健康的食物,或SSB价格/税收和需求(销售/消费)或疾病/死亡。两名研究人员进行了筛查,资格,数据提取,以及使用ROBIS工具评估偏差风险。
    结果:我们从5,185条记录中确定了50条评论,其中31人报告了不健康食品或SSB,九份关于烟草的报道,九种酒精,一种是多种结果(酒精,烟草,不健康的食物,和SSB)。我们没有发现任何关于赌博的评论。较高的价格始终与较低的需求有关,尽管不同商品或人群的影响大小不同。需求的减少足够大,足以被认为对政策有意义。
    结论:酒精价格上涨,烟草,不健康的食物,和SSB始终与需求下降相关。此外,增加税收可以预期增加税收。对造成损害的商品采取征税方法可能有潜力。
    BACKGROUND: The WHO highlight alcohol, tobacco, unhealthy food, and sugar-sweetened beverage (SSB) taxes as one of the most effective policies for preventing and reducing the burden of non-communicable diseases. This umbrella review aimed to identify and summarise evidence from systematic reviews that report the relationship between price and demand or price and disease/death for alcohol, tobacco, unhealthy food, and SSBs. Given the recent recognition as gambling as a public health problem, we also included gambling.
    METHODS: The protocol for this umbrella review was pre-registered (PROSPERO CRD42023447429). Seven electronic databases were searched between 2000-2023. Eligible systematic reviews were those published in any country, including adults or children, and which quantitatively examined the relationship between alcohol, tobacco, gambling, unhealthy food, or SSB price/tax and demand (sales/consumption) or disease/death. Two researchers undertook screening, eligibility, data extraction, and risk of bias assessment using the ROBIS tool.
    RESULTS: We identified 50 reviews from 5,185 records, of which 31 reported on unhealthy food or SSBs, nine reported on tobacco, nine on alcohol, and one on multiple outcomes (alcohol, tobacco, unhealthy food, and SSBs). We did not identify any reviews on gambling. Higher prices were consistently associated with lower demand, notwithstanding variation in the size of effect across commodities or populations. Reductions in demand were large enough to be considered meaningful for policy.
    CONCLUSIONS: Increases in the price of alcohol, tobacco, unhealthy food, and SSBs are consistently associated with decreases in demand. Moreover, increasing taxes can be expected to increase tax revenue. There may be potential in joining up approaches to taxation across the harm-causing commodities.
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  • 文章类型: Journal Article
    目标:自COVID-19爆发以来,人们的习惯彻底改变了。事实上,为了限制SARS-CoV-2的传播,各国政府实施了影响个人生活的限制性措施。这项系统评价的目的是通过检查三种不同的结果来分析COVID-19对赌博的影响:频率,支出,以及可能的赌博类型之间的过渡。
    方法:包括所有评估限制SARS-CoV-2传播的限制性措施对赌博的影响的研究。为了搜索,使用了两个不同的数据库:Pubmed和CINAHL。此外,分析了两个不同的人群:普通人群,和曾经在SARS-CoV-2大流行之前赌博的受试者。所有的定性研究,报告不是基于同行评审,以及不包括统计单位而是赌博或赌博经营者的论文。
    结果:从搜索,已确认408份报告。其中,28人被纳入系统评价。从研究中,陆上赌博的频率和支出大幅减少,而关于在线赌博的结果在研究中有所不同。然而,观察到评估体育博彩的人数减少,考虑到在线赌场和技能游戏,出现了增长。最后,确定了从陆基赌博到在线平台的重大迁移。这些发现的主要原因是陆上赌博场所的实际关闭以及在家中花费的时间更多,暂停或取消受试者曾经下注的体育赛事,在这个充满挑战的时期,还有更多的心理健康问题。
    结论:COVID-19大流行极大地影响了受试者的习惯,包括赌博,通过减少陆上赌博和体育博彩,并增加在线平台上的赌博。这种转变带来了重大挑战,需要采取全面的方法来监测和减轻大流行引起的在线赌博增加的负面影响。
    Since the COVID-19 outbreak, people\'s habits changed radically. In fact, to limit the spread of SARS-CoV-2, governments implemented restrictive measures that influenced the lives of individuals. The aim of this systematic review is to analyze the impact of COVID-19 on gambling by examining three different outcomes: frequency, expenditure, and transition among possible types of gambling.
    All studies assessing the impact of restrictive measures implemented to limit the spread of SARS-CoV-2 on gambling were included. For the search, two different databases were used: Pubmed and CINAHL. Moreover, two different populations were analyzed: the general population, and subjects who used to gamble before SARS-CoV-2 pandemic. All qualitative studies, reports not based on peer-review, and papers in which the statistical unit was not the subject but the gambling or wagering operators were excluded.
    From the search, 408 reports were identified. Of these, 28 were included in the systematic review. From the studies, a strong reduction in the frequency and expenditure of land-based gambling emerged, while the results about online gambling were different among the studies. However, a reduction was observed assessing sports betting, and an increase emerged considering online casino and skill games. Finally, a significant migration from land-based gambling to online platforms was identified. The main reasons for these findings were the physical closures of land-based gambling venues and the more time spent at home, the suspension or cancelation of sporting events on which subjects used to bet, and more mental health issues during this challenging period.
    The COVID-19 pandemic greatly affected subjects\' habits, including gambling, by reducing land-based gambling and sports betting, and increasing gambling on online platforms. This shift poses significant challenges, requiring a comprehensive approach to monitor and mitigate the negative consequences of this increase in online gambling caused by the pandemic.
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