Perspective of Internet Poker Players on Harm-Reduction Strategies: A Cross-Sectional Study

Michalska, Patrycja; Chatton, Anne; Penzenstadler, Louise; Izdebski, Paweł; Jeannot, Émilien; Simon, Olivier; Dufour, Magali; Rochat, Lucien; Lischer, Suzanne; Khazaal, Yasser

doi:10.3390/ijerph17239054

Cited by 2 publications

(3 citation statements)

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“…Response options were “no money gambled online, only offline,” “1–25% online,” “26–50% online,” “51–75% online,” “76–90% online,” “≥91% online.” The proportion of money gambled was chosen as a proxy for the importance of gambling activities. This agreed with a study showing that online gamblers considered money limits to be one of their most important harm reduction strategies (above time limits) ( 18 ). Furthermore, numerous studies have reported on problems related to money and indebtedness among online gamblers ( 19 – 21 ).…”

Section: Methodssupporting

confidence: 89%

“…Apart from their risks, online gambling environments may also provide good opportunities to promote responsible gambling using tools that can be personalised to the individual gambler ( 7 ). It could also be an environment in which to develop and offer a wide range of gambling-related harm-reduction strategies ( 18 ). From a public health perspective, it will be important to monitor further developments in online and offline gambling and to adapt future policies to reduce the impact of online and offline gambling on public mental health.…”

Section: Discussionmentioning

confidence: 99%

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Online Gambling's Associations With Gambling Disorder and Related Problems in a Representative Sample of Young Swiss Men

et al. 2021

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Background and Aims: Internet gambling has recently grown in popularity, but relatively little is known about how online and the combination of online and offline (mixed) gambling are associated with gambling disorder (GD) and related problems. The present research examined in a cohort study sample of young Swiss men how their gambling activities and gambling-related problems differed across the spectrum from offline to online gambling.Sample: A general-population based sample from the Cohort Study on Substance Use Risk Factors (C-SURF), consisting of 5,352 young Swiss men (mean age 28.26 years old).Measures: The spectrum from exclusively offline to almost exclusively online (>90% of gambling money spent online) gambling was measured using one question about the proportion of gambling money spent online. Total money gambled and time spent on gambling were also assessed. GD severity (range 0–9) was measured using items reflecting the nine DSM-5 GD criteria. The number of gambling-related problems (e.g., financial difficulties, range 0–10), other addictive disorders and mental health problems were also inquired about.Methods: We estimated a generalised linear model using a count model (negative binomial link function) for GD severity and gambling-related problems associated with the amounts and proportions of money gambled online and offline.Results: The number of GD criteria were associated with money gambled online (IRR [95%CI] = 2.81 [2.43, 3.24]) and offline (IRR = 2.68 [2.40, 3.00]). This was also found for the number of gambling-related problems (IRR = 2.43 [2.13, 2.79] and IRR = 2.89 [2.59, 3.23]). Compared with exclusively-offline gamblers, mixed gamblers (26–90% of money gambled online) showed the highest levels of GD symptoms and gambling-related problems, followed by the almost-exclusively-online gamblers (≥91% money gambled online) and, overall, these associations were still significant after adjustment for overall involvement in gambling (time spent and money gambled). Levels of other addictive disorders and mental health problems were higher among mixed gamblers than among offline-only gamblers, but levels among almost-exclusively-online gamblers were not.Conclusions: Symptoms of gambling disorder and gambling related problems are highest among gamblers engaging in both offline and online gambling. Prevention efforts need to target the combination of offline and online gambling.

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Section: Methodssupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Online Gambling's Associations With Gambling Disorder and Related Problems in a Representative Sample of Young Swiss Men

et al. 2021

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“…Other studies focused on the impacts of personalised feedback [51,52,55,56] and/or personal contact between counsellors and people who gamble [57][58][59][60][61][62]. Jonas et al, (2020) found that personal contact with counsellors in conjunction with other responsible gambling type interventions had the greatest impact on longterm reduction in problem gambling scores.…”

Section: Secondary Preventionmentioning

confidence: 99%

What is known about population level programs designed to address gambling-related harm: rapid review of the evidence

Clune,

Ratnaike,

White

et al. 2024

Harm Reduct J

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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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Perspective of Internet Poker Players on Harm-Reduction Strategies: A Cross-Sectional Study

Cited by 2 publications

References 61 publications

Online Gambling's Associations With Gambling Disorder and Related Problems in a Representative Sample of Young Swiss Men

Online Gambling's Associations With Gambling Disorder and Related Problems in a Representative Sample of Young Swiss Men

What is known about population level programs designed to address gambling-related harm: rapid review of the evidence

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