Background: Few empirical studies have specifically evaluated the causal connection between problem gambling and domestic or family violence within East and SouthEast Asian populations. Evidence from qualitative and quantitative studies suggests that at the very least, an association exists. Lifetime prevalence of intimate partner violence has been drawn from various Asian communities, and ranges from 15.4 to 61.1%, which is generally higher than in western countries such as US, UK and Australia (17-26%). Problem gambling rates are similarly higher in certain Asian countries (3.8-6%), when compared to the international average (2.3%). The aim of this review was to evaluate the available literature on problem gambling and family violence in East and South-East Asian populations, and to highlight any consistencies between the two phenomena. The authors conducted an online literature search using the terms: "Asia", "gambling", "domestic violence", "family violence", and "abuse"; and accessed physical libraries for literature not available online.
Discussion:As evidenced by qualitative and quantitative studies, it is reasonable to suggest that a link does indeed exist between family violence and problem gambling in certain Asian communities. The authors argue that there may be specific cultural factors that underpin the acceptance, maintenance, and under reporting of both problem gambling and family violence in some Asian communities. Such cultural factors include: patriarchal family systems, low help seeking and under reporting, the impact of collectivist culture on gambling normalisation, and immigration and acculturation stresses.Summary: This paper concludes East and South-East Asian communities display high rates of problem gambling and family violence. At the very least, there is some evidence to suggest a relationship between these two issues; however, immigration stresses and cultural beliefs may mediate this effect amongst migrant samples. The current state of research in this area is incomplete and requires rigorous methodological inquiry. Given strong preliminary evidence of a problem gambling-family violence link, it is recommended that future research endeavours focus on accurately assessing a causal relationship between problem gambling and family violence. Further research should be longitudinal, carried out in Asian countries, and use local resident populations to consider whether or not underlying cultural traditions and beliefs engender or contribute to problem gambling and family violence. These findings have implications for the field of problem gambling and family violence by informing prevention and treatment strategies and services within the public health and welfare sectors.