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Gambling, geographical variations and deprivation: findings from the adult psychiatric morbidity survey

Carra, G; Crocamo, C; Bebbington, P; (2017) Gambling, geographical variations and deprivation: findings from the adult psychiatric morbidity survey. International Gambling Studies , 17 (3) pp. 459-470. 10.1080/14459795.2017.1355405. Green open access

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Abstract

Gambling problems are prevalent in the UK, especially in the most deprived boroughs of the country. Individual-level characteristics may exist alongside a social and geographical gradient. The study aimed to establish whether living in specific geographic areas increases problem gambling likelihood. It used data from the 2007 Adult Psychiatric Morbidity Survey. It adopted a twofold categorization distinguishing recreational from problem/pathological gambling. It used the 2004 Overall Index of Multiple Deprivation to measure deprivation of the district of residence, and primary sampling units, based on postcode sectors, to take into account area characteristics in multi-level mixed-effects regression models. The determinants of recreational gambling operated solely at the individual level. These included male sex, stable relationship and employment, though a number of clinical variables were also important: impulsivity, hazardous use or dependency on alcohol, and current smoking. In contrast, an appreciable proportion of the variance in problem/pathological gambling was explained by area-level clustering. Unlike recreational gamblers, problem/pathological gamblers appear to cluster in specific areas. Thus, there are grounds for restricting the location and density of gambling opportunities and for providing selective prevention programmes targeting geographic areas characterized by contextual determinants.

Type: Article
Title: Gambling, geographical variations and deprivation: findings from the adult psychiatric morbidity survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14459795.2017.1355405
Publisher version: http://doi.org/10.1080/14459795.2017.1355405
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Substance Abuse, Gambling, addictive behaviours, socio-economic factors, Great Britain, epidemiology, deprivation, ADDICTIVE DUAL DISORDER, SUBSTANCE USE, ITALY PADDI, ALCOHOL, RISK, HEALTH, PERSONALITY, IMPULSIVITY, COMMUNITY, DEPENDENCE
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
URI: https://discovery.ucl.ac.uk/id/eprint/1572085
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