A framework for indirect elicitation of the public health impact of gambling problems.

BMC Public Health
Matthew BrowneNerilee Hing

Abstract

Gambling problems are increasingly understood as a health-related condition, with harms from excessive time and money expenditure contributing to significant population morbidity. In many countries, the prevalence of gambling problems is known with some precision. However, the true severity of gambling problems in terms of their impact on health and wellbeing is the subject of ongoing debate. We firstly review recent research that has attempted to estimate harm from gambling, including studies that estimate disability weights using direct elicitation. Limitations of prior approaches are discussed, most notably potential inflation due to non-independent comorbidity with other substance use and mental health conditions, and potential biases in the subjective attribution of morbidity to gambling. An alternative indirect elicitation approach is outlined, and a conceptual framework for its application to gambling is provided. Significant risk factors for propensity to develop gambling problems are enumerated, and relative risks for comorbidities are calculated from recent meta-analyses and reviews. Indirect elicitation provides a promising alternative framework for assessing the causal link between gambling problems and morbidity. T...Continue Reading

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Citations

Mar 5, 2021·Journal of Gambling Studies·Andrea Wöhr, Marius Wuketich
May 1, 2021·International Journal of Environmental Research and Public Health·Matthew BrowneMatthew Rockloff

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