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Journal of Gambling Studies

, Volume 35, Issue 4, pp 1303–1316 | Cite as

Variations in Gambling Disorder Symptomatology Across Sexual Identity Among College Student-Athletes

  • Jérémie Richard
  • Alexa Martin-Storey
  • Erin Wilkie
  • Jeffrey L. Derevensky
  • Thomas Paskus
  • Caroline E. TemcheffEmail author
Original Paper
  • 152 Downloads

Abstract

Gambling disorder has serious negative consequences for individual health and wellbeing, while being more prevalent among college student-athletes compared to the general college population. While previous research reports that sexual minority (i.e., gay, lesbian and bisexual) populations have higher rates of addictive behaviors such as alcohol and drug abuse, no previous research has explored risk for gambling disorder symptomatology by sexual identity status. The aim of the current study is to identify differences in the severity of gambling disorder symptomatology between sexual minority and heterosexual student-athletes. A stratified random sample of 19,299 National Collegiate Athletic Association college student-athletes participated in an anonymous survey assessing gambling disorder symptomatology. Student-athletes completed measures assessing their past 12-month problem gambling as measured by the DSM-5 diagnostic criteria for gambling disorder and provided information on their sexual identity. Gay and bisexual men had disordered gambling scores 3.42 times higher than heterosexual men (p < .01), when adjusting for race/ethnicity, and years in college. Gay/lesbian and bisexual women reported disordered gambling scores 2.57 higher than heterosexual women (p < .01) when adjusting for race/ethnicity and years in college. This is the first study to compare the prevalence of gambling disorder symptomatology across sexual identity status. The higher number of gambling disorder symptoms observed among sexual minorities in the current study underlines the need for more research on this topic, and supports the exploration of intervention efforts designed to better address problem gambling among sexual minority communities.

Keywords

College student-athlete Gender Problem gambling Gambling disorder Sexual identity 

Notes

Funding

Funding for data collection was provided by National Collegiate Athletic Association.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. Alegría, A. A., Petry, N. M., Hasin, D. S., Liu, S.-M., Grant, B. F., & Blanco, C. (2009). Disordered gambling among racial and ethnic groups in the US: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. CNS Spectrums, 14(3), 132–143.  https://doi.org/10.1017/S1092852900020113.CrossRefPubMedPubMedCentralGoogle Scholar
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  3. Anderson, E. (2005). In the game: Gay athletes and the cult of masculinity. New York: State University of New York Press.Google Scholar
  4. Anderson, E., & McCormack, M. (2010). Intersectionality, critical race theory, and American sporting oppression: Examining black and gay male athletes. Journal of Homosexuality, 57(8), 949–967.  https://doi.org/10.1080/00918369.2010.503502.CrossRefPubMedGoogle Scholar
  5. Association, National Collegiate Athletic. (2016). 1981-82–2015-16 NCAA Sports Sponsorship and Participation Rates Report. Indianapolis, IN: National Collegiate Athletic Association.Google Scholar
  6. Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.CrossRefGoogle Scholar
  7. Brezing, C., Derevensky, J. L., & Potenza, M. N. (2010). Non-substance-addictive behaviors in youth: Pathological gambling and problematic internet use. Child and Adolescent Psychiatric Clinics of North America, 19(3), 625–641.  https://doi.org/10.1016/j.chc.2010.03.012.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Calado, F., Alexandre, J., & Griffiths, M. D. (2017). Prevalence of adolescent problem gambling: A systematic review of recent research. Journal of Gambling Studies, 33(2), 397–424.  https://doi.org/10.1007/s10899-016-9627-5.CrossRefPubMedGoogle Scholar
  9. Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). Journal of Behavioral Addictions, 5(4), 592–613.  https://doi.org/10.1556/2006.5.2016.073.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Cameron, A. C., & Trivedi, P. K. (1998). Regression analysis of count data. New York: Cambridge University Press.CrossRefGoogle Scholar
  11. Chamberlain, S. R., Stochl, J., Redden, S. A., Odlaug, B. L., & Grant, J. E. (2017). Latent class analysis of gambling subtypes and impulsive/compulsive associations: Time to rethink diagnostic boundaries for gambling disorder? Addictive Behaviors, 72, 79–85.  https://doi.org/10.1016/j.addbeh.2017.03.020.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities; Board on the Health of Select Populations; Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender (LGBT) people: Building a foundation for better understanding. Washington, DC: National Academies Press. Available at: http://www.nap.edu/catalog.php?record_id=13128. Accessed May 1, 2018.
  13. Cunningham, G. (2013). A multilevel model for understanding the experiences of LGBT sport participants. Journal for the Study of Sports and Athletes in Education, 6(1), 5–20.  https://doi.org/10.1179/ssa.2012.6.1.5.CrossRefGoogle Scholar
  14. Eisenberg, M. E., & Wechsler, H. (2003). Social influences on substance-use behaviors of gay, lesbian, and bisexual college students: Findings from a national study. Social Science and Medicine, 57(10), 1913–1923.  https://doi.org/10.1016/S0277-9536%2803%2900057-1.CrossRefPubMedGoogle Scholar
  15. Ellenbogen, S., Jacobs, D., Derevensky, J., Gupta, R., & Paskus, T. (2008). Gambling behavior among college student-athletes. Journal of Applied Sport Psychology, 20(3), 349–362.  https://doi.org/10.1080/10413200802056685.CrossRefGoogle Scholar
  16. Fish, J. N., Hughes, T. L., & Russell, S. T. (2018). Sexual identity differences in high-intensity binge drinking: Findings from a US national sample. Addiction, 113(4), 749–758.  https://doi.org/10.1111/add.14041.CrossRefPubMedGoogle Scholar
  17. Flood, J., McLaughlin, C., & Prentice, G. (2013). Minority stress, homonegativity, alcohol use and mental health among college gay males. Journal of Gay & Lesbian Mental Health, 17(4), 367–386.  https://doi.org/10.1080/19359705.2013.800006.CrossRefGoogle Scholar
  18. Gates, G. J. (2017). LGBT data collection amid social and demographic shifts of the US LGBT community. American Journal of Public Health, 107(8), 1220–1222.  https://doi.org/10.2105/AJPH.2017.303927.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Green, K. E., & Feinstein, B. A. (2012). Substance use in lesbian, gay, and bisexual populations: An update on empirical research and implications for treatment. Psychology of Addictive Behaviors, 26(2), 265–278.  https://doi.org/10.1037/a0025424.CrossRefPubMedGoogle Scholar
  20. Gupta, R., & Derevensky, J. (1996). The relationship between gambling and video game playing in children and adolescents. Journal of Gambling Studies, 12, 375–394.CrossRefGoogle Scholar
  21. Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730.  https://doi.org/10.1037/a0016441.CrossRefPubMedPubMedCentralGoogle Scholar
  22. Hing, N., Russell, A., Tolchard, B., & Nower, L. (2016). Risk factors for gambling problems: An analysis by gender. Journal of Gambling Studies, 32, 511–534.  https://doi.org/10.1007/s10899-015-9548-8.CrossRefPubMedGoogle Scholar
  23. Huang, J. H., Jacobs, D. F., & Derevensky, J. L. (2010). Sexual risk-taking behaviors, gambling, and heavy drinking among U.S. college athletes. Archives of Sexual Behavior, 39(3), 706–713.  https://doi.org/10.1007/s10508-009-9521-7.CrossRefPubMedGoogle Scholar
  24. Huang, J. H., Jacobs, D. F., & Derevensky, J. L. (2011). DSM-based problem gambling: Increasing the odds of heavy drinking in a national sample of U.S. college athletes? Journal of Psychiatric Research, 45(3), 302–308.  https://doi.org/10.1016/j.jpsychires.2010.07.001.CrossRefPubMedGoogle Scholar
  25. Huang, J. H., Jacobs, D. F., Derevensky, J. L., Gupta, R., & Paskus, T. S. (2007). Gambling and health risk behaviors among U.S. college student-athletes: Findings from a national study. Journal of Adolescent Health, 40(5), 390–397.  https://doi.org/10.1016/j.jadohealth.2006.11.146.CrossRefPubMedGoogle Scholar
  26. James, R. J. E., O’Malley, C., & Tunney, R. J. (2016). Sociodemographic predictors of latent class membership of problematic and disordered gamblers. Addictive Behaviors Reports, 3, 61–69.  https://doi.org/10.1016/j.abrep.2016.04.004.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Kroshus, E., & Davoren, A. K. (2016). Mental health and substance use of sexual minority college athletes. Journal of American College Health, 64(5), 371–379.  https://doi.org/10.1080/07448481.2016.1158179.CrossRefPubMedGoogle Scholar
  28. Krueger, E. A., Meyer, I. H., & Upchurch, D. M. (2018). Sexual orientation group differences in perceived stress and depressive symptoms among young adults in the United States. LGBT Health, 5(4), 242–249.CrossRefGoogle Scholar
  29. LaBrie, R. A., Shaffer, H. J., LaPlante, D. A., & Wechsler, H. (2003). Correlates of college student gambling in the United States. The Journal of American College Health, 52(22), 53–62.CrossRefGoogle Scholar
  30. Laska, M. N., Pasch, K. E., Lust, K., Story, M., & Ehlinger, E. (2009). Latent class analysis of lifestyle characteristics and health risk behaviors among college youth. Prevention Science, 10(4), 376–386.  https://doi.org/10.1007/s11121-009-0140-2.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Lee, C. M., Blayney, J., Rhew, I. C., Lewis, M. A., & Kaysen, D. (2016). College status, perceived drinking norms, and alcohol use among sexual minority women. Psychology of Sexual Orientation and Gender Diversity, 3(1), 104–112.  https://doi.org/10.1037/sgd0000142.CrossRefPubMedGoogle Scholar
  32. Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H., McGinley, J., et al. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115–123.  https://doi.org/10.1016/j.jadohealth.2011.02.005.CrossRefGoogle Scholar
  33. Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., et al. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103(4), 546–556.CrossRefGoogle Scholar
  34. Martin, R. J., Usdan, S., Cremeens, J., & Vail-Smith, K. (2014). Disordered gambling and co-morbidity of psychiatric disorders among college students: An examination of problem drinking, anxiety and depression. Journal of Gambling Studies, 30(2), 321–333.  https://doi.org/10.1007/s10899-013-9367-8.CrossRefPubMedGoogle Scholar
  35. McCabe, S. E., Hughes, T. L., Bostwick, W. B., West, B. T., & Boyd, C. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction, 104(8), 1333–1345.  https://doi.org/10.1111/j.1360-0443.2009.02596.x.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.  https://doi.org/10.1037/0033-2909.129.5.674.CrossRefPubMedPubMedCentralGoogle Scholar
  37. Mohler-Kuo, M., Lee, J. E., & Wechsler, H. (2003). Trends in marijuana and other illicit drug use among college students: Results from 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001. Journal of American College Health, 52(1), 17–24.  https://doi.org/10.1080/07448480309595719.CrossRefPubMedGoogle Scholar
  38. Newcomb, M. E., Heinz, A. J., & Mustanski, B. (2012). Examining risk and protective factors for alcohol use in lesbian, gay, bisexual, and transgender youth: A longitudinal multilevel analysis. Journal of Studies on Alcohol and Drugs, 73(5), 783.CrossRefGoogle Scholar
  39. Newport, F. (2018). In U.S., estimate of LGBT population rises to 4.5%. Gallup U.S. Daily Tracking [Distributor]. Retrieved from https://news.gallup.com/poll/234863/estimate-lgbt-population-rises.aspx.
  40. Nowak, D. E. (2017a). A meta-analytical synthesis and examination of pathological and problem gambling rates and associated moderators among college students, 1987–2016. Journal of Gambling Studies, 34(2), 465–498.  https://doi.org/10.1007/s10899-017-9726-y.CrossRefGoogle Scholar
  41. Nowak, D. E. (2017b). College student-athlete gambling disorder: A review of research (1991–2017). The Journal of Psychiatry and Mental Health, 1(1), 1–7.CrossRefGoogle Scholar
  42. Okuda, M., Liu, W., Cisewski, J. A., Segura, L., Storr, C. L., & Martins, S. S. (2016). Gambling disorder and minority populations: Prevalence and risk factors. Current Addiction Reports, 3(3), 280–292.  https://doi.org/10.1007/s40429-016-0108-9.CrossRefPubMedPubMedCentralGoogle Scholar
  43. Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554.  https://doi.org/10.1037/a0016059.CrossRefPubMedPubMedCentralGoogle Scholar
  44. Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinicial Psychiatry, 66(5), 564–574.CrossRefGoogle Scholar
  45. Quigley, L., Yakovenko, I., Hodgins, D. C., Dobson, K. S., El-Guebaly, N., Casey, D. M., et al. (2015). Comorbid problem gambling and major depression in a community sample. Journal of Gambling Studies, 31(4), 1135–1152.  https://doi.org/10.1007/s10899-014-9488-8.CrossRefPubMedGoogle Scholar
  46. Russell, S. T., & Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12(1), 465–487.  https://doi.org/10.1146/annurev-clinpsy-021815-093153.CrossRefPubMedPubMedCentralGoogle Scholar
  47. Schauer, G. L., Berg, C. J., & Bryant, L. O. (2013). Sex differences in psychosocial correlates of concurrent substance use among heterosexual, homosexual and bisexual college students. The American Journal of Drug and Alcohol Abuse, 39(4), 252–258.  https://doi.org/10.3109/00952990.2013.796962.CrossRefPubMedPubMedCentralGoogle Scholar
  48. Shadick, R., Dagirmanjian, F. B., Trub, L., & Dawson, H. (2016). Sexual orientation and first-year college students’ nonmedical use of prescription drugs. Journal of American College Health, 64(4), 292–299.  https://doi.org/10.1080/07448481.2015.1117469.CrossRefPubMedGoogle Scholar
  49. Shead, N. W., Derevensky, J., & Paskus, T. (2014). Trends in gambling behavior among college student-athletes: A comparison of 2004 and 2008 NCAA survey data. Journal of Gambling Issues, 29, 1–21.CrossRefGoogle Scholar
  50. Stinchfield, R., McCready, J., Turner, N. E., Jimenez-Murcia, S., Petry, N. M., Grant, J., et al. (2016). Reliability, validity, and classification accuracy of the DSM-5 diagnostic criteria for gambling disorder and comparison to DSM-IV. Journal of Gambling Studies, 32(3), 905–922.  https://doi.org/10.1007/s10899-015-9573-7.CrossRefPubMedGoogle Scholar
  51. Veliz, P., Epstein-Ngo, Q., Zdroik, J., Boyd, C. J., & McCabe, S. E. (2016). Substance use among sexual minority collegiate athletes: A national study. Substance Use and Misuse, 51(4), 517–532.  https://doi.org/10.3109/10826084.2015.1126741.CrossRefPubMedGoogle Scholar
  52. Wechsler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2002). Trends in college binge drinking during a period of increased prevention efforts. Findings from 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001. Journal of American College Health, 50(5), 203–217.  https://doi.org/10.1080/07448480209595713.CrossRefPubMedGoogle Scholar
  53. Weiss, S. (2010). Cross-addiction on campus: More problems for student-athletes. Substance Use and Misuse, 45(10), 1525–1541.  https://doi.org/10.3109/10826081003682297.CrossRefPubMedGoogle Scholar
  54. Welte, J. W., Barnes, G. M., Tidwell, M. C., Hoffman, J. H., & Wieczorek, W. F. (2015). Gambling and problem gambling in the United States: Changes between 1999 and 2013. Journal of Gambling Studies, 31(3), 695–715.  https://doi.org/10.1007/s10899-014-9471-4.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Jérémie Richard
    • 1
  • Alexa Martin-Storey
    • 2
  • Erin Wilkie
    • 1
  • Jeffrey L. Derevensky
    • 1
  • Thomas Paskus
    • 3
  • Caroline E. Temcheff
    • 1
    Email author
  1. 1.Department of Educational and Counselling Psychology, International Centre for Youth Gambling Problems and High-Risk BehaviorsMcGill UniversityMontrealCanada
  2. 2.Department of PsychoeducationUniversité de SherbrookeSherbrookeCanada
  3. 3.National Collegiate Athletic AssociationIndianapolisUSA

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