Abstract
Recent research has found that men and women who end up in gambling treatment tend to follow different trajectories to that endpoint: women generally begin gambling later in life, but progress to problems and seek treatment more quickly. With women’s prevalence rates of gambling and disordered gambling increasing, it has become important to identify the causes and consequences of these trajectory differences. The current study used a sample of 2,256 gamblers enrolled in the Iowa Gambling Treatment Program to examine the relationship of gender and other demographic, economic and health-related (i.e., psychosocial) factors to empirically-identified gambling problem trajectories. The results indicated that gender made a statistically significant contribution to the prediction of trajectory, but increased predictive accuracy by only 1–2% beyond a model with psychosocial predictors. Gender’s contribution was limited to its relationship to age of initiation; men and women’s problem progression did not differ meaningfully once age of gambling initiation was taken into account. Gender is a unique contributor to the development of gambling problems among treatment seekers, but it is only one small part of the myriad psychosocial characteristics that influence gambling problem development.
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Notes
Considering the number of descriptive analyses that were run (20 comparisons) these analyses should be considered exploratory and in need of replication.
“Primary loading” refers to the function on which each variable loaded most heavily, according to standardized discriminant function coefficients.
References
American Heart Association. (2003). Heart disease and stroke statistics – 2004 update. Dallas, Texas: American Heart Association.
Blanco, C., Ibanez, A., Blanco-Jerez, C.-R., Baca-Garcia, E., & Saiz-Ruiz, J. (2001). Plasma testosterone and pathological gambling. Psychiatry Research, 105, 117–121.
Bruce, A. C., & Johnson, J. E. V. (1994). Male and female betting behavior: New perspectives. Journal of Gambling Studies, 10(2), 183–198.
Cunningham, J. A., & Breslin, F. (2004). Only one in three people with alcohol abuse or dependence ever seek treatment. Addictive Behaviors, 29(1), 221–223.
Giardina, E. G. (2000). Heart disease in women. International Journal of Fertility and Women’s Medicine, 45(6), 350–357.
Goldberg, R. J., McCormick, D., Gurwitz, J. H., Yarzebski, J., Lessard, D., & Gore, J. M. (1998). Age-related trends in short- and long-term survival after acute myocardial infarction: A 20-year population-based perspective (1975–1995). American Journal of Cardiology, 82, 1311–1317.
Hing, N., & Breen, H. (2001). Profiling lady luck: An empirical study of gambling and problem gambling amongst female club members. Journal of Gambling Studies, 17(1), 47–69.
Hraba, J., & Lee, G. (1996). Gender, gambling and problem gambling. Journal of Gambling Studies, 12(1), 83–101.
Ibanez, A., Blanco, C., Moreryra, P., & Saiz-Ruiz, J. (2003). Gender differences in pathological gambling. Journal of Clinical Psychiatry, 64(3), 295–301.
Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental and Clinical Psychopharmacology, 10(3), 302–309.
Petry, N. M., & Armentano, C. (1999). Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatric Services, 50(8), 1021–1027.
Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158(9), 1500–1505.
Shaffer, H. J., & Hall, M. N. (2002). The natural history of gambling and drinking problems among casino employees. Journal of Social Psychology, 142(4), 405–424.
Shaffer, H. J., LaBrie, R. A., LaPlante, D. A., & Kidman, R. C. (2002). The Iowa Department of Public Health Gambling Treatment Services: Four years of evidence (No. 101102-200). Division on Addictions.
Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., Kidman, R. C., Donato, A., & Stanton, M. V. (2004). Toward a syndrome model of addiction: Multiple manifestations, common etiology. Harvard Review of Psychiatry, 12(6), 367–374.
Slutske, W. S., Jackson, K. M., & Sher, K. J. (2003). The natural history of problem gambling from age 18 to 29. Journal of Abnormal Psychology, 112(2), 263–274.
Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: HarperCollins Publishers.
Tavares, H., Martins, S. S., Lobo, D. S., Silveira, C. M., Gentil, V., & Hodgins, D. C. (2003). Factors at play in faster progression for female pathological gamblers: An exploratory analysis. Journal of Clinical Psychiatry, 64(4), 433–438.
Tavares, H., Zilberman, M. L., Beites, F. J., & Gentil, V. (2001). Gender differences in gambling progression. Journal of Gambling Studies, 17(2), 151–159.
Welte, J. W., Barnes, G. M., Wieczorek, W. F., Tidwell, M.-C., & Parker, J. (2002). Gambling participation in the U.S. – Results from a national survey. Journal of Gambling Studies, 18(4), 313–337.
Winters, K. C., & Timothy, R. (1998). A twin study of adult gambling behavior. Journal of Gambling Studies, 14(3), 213–225.
Acknowledgements
This project required the collaboration of many people. We extend thanks to Christine Reilly, Christine Thurmond, Gabriel Caro, Lymari Graciano, Mike Stanton, Alexa Rubenstein, and the Iowa Gambling Treatment Program. This project was supported, in part, with funding from the Iowa Department of Public Health and the National Center for Responsible Gaming.
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Nelson, S.E., LaPlante, D.A., LaBrie, R.A. et al. The Proxy Effect: Gender and Gambling Problem Trajectories of Iowa Gambling Treatment Program Participants. J Gambl Stud 22, 221–240 (2006). https://doi.org/10.1007/s10899-006-9012-x
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DOI: https://doi.org/10.1007/s10899-006-9012-x