At-risk and problem gambling among Finnish youth : The examination of risky alcohol consumption, tobacco smoking, mental health and loneliness as gender-specific correlates

AIMS - The aims were to compare past-year at-risk and problem gambling (ARPG) and other at-risk behaviours (computer gaming, risky alcohol consumption, tobacco smoking) by age and gender, and to explore how ARPG is associated with risky alcohol consumption, tobacco smoking, poor mental health and loneliness in males and females. DESIGN - Data from respondents aged 15-28 (n = 822) were derived from a cross-sectional random sample of population-based data (n = 4484). The data were collected in 2011-2012 by telephone interviews. The Problem Gambling Severity Index (PGSI, score >= 2) was used to evaluate ARPG. Prevalence rates for risk behaviours were compared for within gender-specific age groups. Regression models were gender-specific. RESULTS - The proportion of at-risk and problem gamblers was higher among males than females in all age groups except among 18-21-year-olds, while frequent computer gaming was higher among males in all age groups. The odds ratio (95% CI) of being a male ARPGer was 2.57 (1.40-4.74) for risky alcohol consumption; 1.95 (1.07-3.56) for tobacco smoking; 2.63 (0.96-7.26) for poor mental health; and 4.41 (1.20-16.23) for feeling lonely. Likewise, the odds ratio (95% CI) of being a female ARPGer was 1.19 (0.45-3.12) for risky alcohol consumption; 4.01 (1.43-11.24) for tobacco smoking; 0.99 (0.18-5.39) for poor mental health; and 6.46 (1.42-29.34) for feeling lonely. All 95% CIs of ARPG correlates overlapped among males and females. CONCLUSIONS - Overall, past-year at-risk and problem gambling and computer gaming seem to be more common among males than females; however, for risky alcohol consumption similar gender differences were evident only for the older half of the sample. No clear gender differences were seen in correlates associated with ARPG.Peer reviewe

Do male and female trauma patients receive the same prehospital care? : An observational follow-up study

Background: Trauma-related mortality can be lowered by efficient prehospital care. Less is known about whether gender influences the prehospital trauma care provided. The aim of this study was to explore gender-related differences in prehospital trauma care of severely injured trauma patients, with a special focus on triage, transportation, and interventions. Methods: We performed a retrospective observational study based on local trauma registries and hospital and ambulance records in Stockholm County, Sweden. A total of 383 trauma patients (279 males and 104 females) > 15years of age with an Injury Severity Score (ISS) of > 15 transported to emergency care hospitals in the Stockholm area were included. Results: Male patients had a 2.75 higher odds ratio (95% CI, 1.2-6.2) for receiving the highest prehospital priority compared to females on controlling for injury mechanism and vital signs on scene. No significant difference between genders was detected regarding other aspects of the prehospital care provided. Conclusions: This study indicated that prehospital prioritization among severely injured late adolescent and adult trauma patients differs between genders. Knowledge of a more diffuse presentation of symptoms in female trauma patients despite severe injury may help to adapt and improve prehospital trauma care for this group.Peer reviewe

How to Support Prison Workers’ Perceived Readiness to Identify and Respond to Possible Gambling Problems : a Pilot Study from Two Finnish Prisons

Problem gambling is known to be prevalent among prisoners. However, it is not systematically screened and often remains undetected. This pilot study explores prison workers’ (N = 21) knowledge, views, and opinions about problem gambling in two Finnish prisons with a view to improving training and to developing better guidelines for identifying and responding to gambling problems. Four-fifths (81%) of prison workers considered problem gambling a serious issue in Finland. During the past year, more than nine in ten (94.1%) had encountered a prisoner with a gambling problem. Problem gambling was identified in connection with discussions about prisoners’ illegal activity (50%), financial situation (25%), or other problems (25%). Nearly half of the participants felt they did not have adequate training or information about problem gambling and related issues and expressed an interest in continuing education. This pilot study provides important direction for the development of tailored training programs for prison workers. The next step is to increase awareness of gambling programs in a wider national context and to develop and evaluate the effectiveness of training programs.Peer reviewe

Reliability of Instruments Measuring At-Risk and Problem Gambling Among Young Individuals : A Systematic Review Covering Years 2009-2015

Peer reviewe

Trends in gambling participation and gambling severity among Finnish men and women: cross-sectional population surveys in 2007, 2010 and 2015

Objective The aim of this study is to evaluate trends in past-year gambling participation and gambling severity among Finnish men and women from 2007 to 2015.Design Cross-sectional population surveys from years 2007, 2011 and 2015.Setting Data were drawn from the population register and collected using computer-assisted telephone interviews.Participants Representative random samples of Finns aged 15-74 were drawn in the study in 2007 (n=5008), 2011 (n=4484) and 2015 (n=4515) with response rates of 58%, 40% and 62%, respectively.Outcome measures The outcome measures were gambling versatility, type of games, gambling intensity and gambling severity. Significance (p) between time points was determined using (2) tests. All temporal comparisons between 2007-2011, 2011-2015 and 2007-2015 were performed separately for all respondents aged 15-74 and for women and men.Results Gambling participation overall showed a rising trend (6.6 percentage points, 95%CI 4.9 to 8.3) from 2007 to 2015. In 2007-2011 women's gambling participation increased more (7.8 percentage points, 95%CI 5.5 to 10.4) than men's (5.4 percentage points, 95%CI 3.2 to 7.6). The most popular game types since 2007 have been lottery games, scratch cards and electronic gaming machines (EGMs). EGM gambling, on the other hand, has decreased since 2007. Online gambling has increased significantly from 2007 to 2015 in both genders. Men's at-risk gambling decreased from 2007 to 2011, while women's at-risk gambling and problem gambling increased from 2011 to 2015.Conclusions Women's increasing gambling participation is causing gender differences in gambling behaviour to narrow. The article concludes with a discussion of the need for gender-specific interventions aimed at preventing gambling-related harm and ultimately at protecting the most vulnerable groups

The relationship between gambling expenditure, socio-demographics, health-related correlates and gambling behaviour-a cross-sectional population-based survey in Finland

 Aims: To investigate gambling expenditure and its relationship with socio-demographics, health-related correlates and past-year gambling behaviour. Design: Cross-sectional population survey. Setting: Population-based survey in Finland. Participants: Finnish people aged 15–74 years drawn randomly from the Population Information System. The participants in this study were past-year gamblers with gambling expenditure data available (n = 3251, 1418 women and 1833 men). Measurements: Expenditure shares, means of weekly gambling expenditure (WGE, €) and monthly gambling expenditure as a percentage of net income (MGE/NI, %) were calculated. The correlates used were perceived health, smoking, mental health [Mental Health Inventory (MHI)-5], alcohol use [Alcohol Use Disorders Identification Test (AUDIT)-C], game types, gambling frequency, gambling mode and gambling severity [South Oaks Gambling Screen (SOGS)]. Findings: Gender (men versus women) was found to be associated significantly with gambling expenditure, with exp(β) = 1.40, 95% confidence interval (CI) = 1.29, 1.52 and P Conclusions: In Finland, male gender is associated significantly with both weekly gambling expenditure and monthly gambling expenditure related to net income. People in Finland with lower incomes contribute proportionally more of their income to gambling compared with middle- and high-income groups.In Finland, male gender is associated significantly with both weekly gambling expenditure and monthly gambling expenditure related to net income. People in Finland with lower incomes contribute proportionally more of their income to gambling compared with middle- and high-income groups.</p

Gambling-Related Harms for Affected Others: A Finnish Population-Based Survey

Aims This study explores the prevalence of being a past-year affected other (AO) of a problem gambler by gender. The aims were to study the amount and type of gambling-related harms (GRHs) for subgroups of AOs and to distinguish GRH profiles for AO subgroups. Methods A total of 7186 adults aged 18 years and over participated in the Gambling Harms Survey evaluating year 2016. The data were analyzed using descriptive statistics and binary logistic regression. Results Of all respondents, 12.9% were defined as past-year AOs (women 13.7%; men 12.1%). The proportion of affected non-family members (ANFs) was 8.4%, and 5.6% were affected family members (AFMs). AFMs were usually women, and ANFs were usually men. Emotional, relationship, and financial harms were the most common types of harm. The odds of experiencing financial harm were highest for the 18- to 34-year-olds (OR 1.82) and for those whose partner/ex-partner had a gambling problem (OR 3.91). Having a parent/step-parent (OR 1.93) and child/stepchild (OR 3.64) increased the odds of experiencing emotional harm, whereas male gender (OR 0.50) and being an ANF (OR 0.58) decreased emotional harm. Relationship harm was evident for partners/ex-partners (OR 1.97-5.07). Conclusions GRH profiles for AO subgroups varied, which emphasizes the need for effective harm minimization strategies for those in need