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Gambling Disorder and Minority Populations: Prevalence and Risk Factors

  • Gambling (J Derevensky, Section Editor)
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Abstract

Purpose of review

Previous studies demonstrate disparities in health and health services including gambling disorders (GD) among ethnic and racial minority groups. In this review, we summarize studies examining the prevalence of GD across different ethnic and racial minorities.

Recent findings

We describe the sociodemographic subgroup variations at heightened risk for GD and factors associated with GD in racial and ethnic minority groups including gambling availability, comorbid substance use, psychiatric conditions, stress, acculturation, and differences in cultural values and cognitions. We found that research of GD among minority groups is scant, and the prevalence of GD among these groups is at a magnitude of concern.

Summary

Racial and ethnic minority status in it of itself is not a risk factor for GD but may be a proxy for underlying potential risk factors. The need for prevention and treatment programs for different cultural group remains unmet.

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References

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  1. Department of Economic and Social Affairs UN. International Migration 2015 Wallchart In: Population Division. 2015. http://www.un.org/en/development/desa/population/migration/publications/wallchart/docs/MigrationWallChart2015.pdf Accessed December 15 2015.

  2. Passel JS, Cohn D. US population projections: 2005–2050. 2008.

  3. Humes K, Jones NA, Ramirez RR. Overview of race and Hispanic origin, 2010. USA: US Department of Commerce, Economics and Statistics Administration, US Census Bureau; 2011.

    Google Scholar 

  4. Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. In: Smedley BD, Stith AY, Nelson AR, editors. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington: National Academies Press; 2003.

  5. Association DSMAP. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing; 2013.

    Google Scholar 

  6. Regier DA, Kuhl EA, Kupfer DJ. The DSM-5: classification and criteria changes. World Psychiatry. 2013;12(2):92–8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington: American Psychiatric Association; 2013.

  8. Alegria AA, Petry NM, Hasin DS, Liu SM, Grant BF, Blanco C. Disordered gambling among racial and ethnic groups in the US: results from the national epidemiologic survey on alcohol and related conditions. CNS Spectr. 2009;14(3):132–42.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Volberg RA. The prevalence and demographics of pathological gamblers: implications for public health. Am J Public Health. 1994;84(2):237–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Johansson A, Grant JE, Kim SW, Odlaug BL, Gotestam KG. Risk factors for problematic gambling: a critical literature review. J Gambl Stud. 2009;25(1):67–92. doi:10.1007/s10899-008-9088-6.

    Article  PubMed  Google Scholar 

  11. Raylu N, Oei TP. Pathological gambling. A comprehensive review. Clin Psychol Rev. 2002;22(7):1009–61.

    Article  PubMed  Google Scholar 

  12. Welte JW, Barnes GM, Wieczorek WF, Tidwell MC, Parker JC. Risk factors for pathological gambling. Addict Behav. 2004;29(2):323–35.

    Article  PubMed  Google Scholar 

  13. Barry DT, Steinberg MA, Wu R, Potenza MN. Characteristics of black and white callers to a gambling helpline. Psychiatr Serv. 2008;59(11):1347–50. doi:10.1176/appi.ps.59.11.1347.

    Article  PubMed  Google Scholar 

  14. Hing N, Breen H, Gordon A, Russell A. Risk factors for problem gambling among indigenous Australians: an empirical study. J Gambl Stud. 2014;30(2):387–402. doi:10.1007/s10899-013-9364-y. This study provides evidence of risk factors associated with problem gambling such as alcohol and/or drug use while gambling.

    Article  PubMed  Google Scholar 

  15. Wilson AN, Salas-Wright CP, Vaughn MG, Maynard BR. Gambling prevalence rates among immigrants: a multigenerational examination. Addict Behav. 2015;42:79–85. doi:10.1016/j.addbeh.2014.11.003. This study provides evidence that the prevalence of gambling and problem gambling is higher among nonimmigrants and second and third generation immigrants compared to first generation immigrants.

    Article  PubMed  Google Scholar 

  16. Zitzow D. Comparative study of problematic gambling behaviors between American Indian and non-Indian adults in a Northern Plains reservation. Am Indian Alsk Native Ment Health Res. 1996;7(2):27–41.

    Article  CAS  PubMed  Google Scholar 

  17. Larsen CV, Curtis T, Bjerregaard P. Gambling behavior and problem gambling reflecting social transition and traumatic childhood events among Greenland Inuit: a cross-sectional study in a large indigenous population undergoing rapid change. J Gambl Stud. 2013;29(4):733–48. doi:10.1007/s10899-012-9337-6. This study provides evidence of a significant association between lifetime problem gambling and social transition, alcohol problems in childhood home and sexual abuse in childhood among Greenland Inuits.

    Article  PubMed  Google Scholar 

  18. Martins SS, Storr CL, Lee GP, Ialongo NS. Environmental influences associated with gambling in young adulthood. J Urban Health. 2013;90(1):130–40. doi:10.1007/s11524-012-9751-1. This study provides evidence that individuals living in high disadvantaged were more likely to have gambling problems compared to those living in low disadvantaged neighborhoods.

    Article  PubMed  Google Scholar 

  19. Martins SS, Liu W, Hedden SL, Goldweber A, Storr CL, Derevensky JL, et al. Youth aggressive/disruptive behavior trajectories and subsequent gambling among urban male youth. J Clin Child Adolesc Psychol. 2013;42(5):657–68. doi:10.1080/15374416.2013.764827. This study provides evidence of an association between gambling problems and aggressive/disruptive behavior development in childhood and adolescence.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Liu W, Lee GP, Goldweber A, Petras H, Storr CL, Ialongo NS, et al. Impulsivity trajectories and gambling in adolescence among urban male youth. Addiction. 2013;108(4):780–8. doi:10.1111/add.12049. This study provides evidence of a strong association between problem and at-risk gambling in adolescence and development in impulsivity in urban male youth.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Lee GP, Storr CL, Ialongo NS, Martins SS. Compounded effect of early adolescence depressive symptoms and impulsivity on late adolescence gambling: a longitudinal study. J Adolesc Health. 2011;48(2):164–9. doi:10.1016/j.jadohealth.2010.06.002.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Currie CL, Wild TC, Schopflocher DP, Laing L, Veugelers P, Parlee B. Racial discrimination, post traumatic stress, and gambling problems among urban Aboriginal adults in Canada. J Gambl Stud. 2013;29(3):393–415. doi:10.1007/s10899-012-9323-z. This study provides evidence of past year discrimination being a risk factor for problem gambling.

    Article  PubMed  Google Scholar 

  23. Barry DT, Stefanovics EA, Desai RA, Potenza MN. Gambling problem severity and psychiatric disorders among Hispanic and white adults: findings from a nationally representative sample. J Psychiatr Res. 2011;45(3):404–11. doi:10.1016/j.jpsychires.2010.07.010.

    Article  PubMed  Google Scholar 

  24. Barry DT, Stefanovics EA, Desai RA, Potenza MN. Differences in the associations between gambling problem severity and psychiatric disorders among black and white adults: findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Am J Addict. 2011;20(1):69–77. doi:10.1111/j.1521-0391.2010.00098.x.

    Article  PubMed  Google Scholar 

  25. Barnes GM, Welte JW, Hoffman JH, Tidwell MC. The co-occurrence of gambling with substance use and conduct disorder among youth in the United States. Am J Addict. 2011;20(2):166–73. doi:10.1111/j.1521-0391.2010.00116.x.

    PubMed  PubMed Central  Google Scholar 

  26. Cheung NW. Low self-control and co-occurrence of gambling with substance use and delinquency among Chinese adolescents. J Gambl Stud. 2014;30(1):105–24. doi:10.1007/s10899-012-9351-8. This study provides evidence of a significant, positive relationship between gambling pathology and frequency with tobacco use, alcohol use, and delinquent acts.

    Article  PubMed  Google Scholar 

  27. Larsen CV, Curtis T, Bjerregaard P. Harmful alcohol use and frequent use of marijuana among lifetime problem gamblers and the prevalence of cross-addictive behaviour among Greenland Inuit: evidence from the cross-sectional Inuit Health in Transition Greenland survey 2006–2010. Int J Circumpolar Health. 2013;72:19551. doi:10.3402/ijch.v72i0.19551. This study provides evidence that, among lifetime problem gamblers, gambling was often combined with harmful alcohol use and/or frequent use of marijuana.

    Article  PubMed  Google Scholar 

  28. Kong G, Tsai J, Pilver CE, Tan HS, Hoff RA, Cavallo DA, et al. Differences in gambling problem severity and gambling and health/functioning characteristics among Asian-American and Caucasian high-school students. Psychiatry Res. 2013;210(3):1071–8. doi:10.1016/j.psychres.2013.10.005. This study provides evidence of an association between at-risk/problem gambling and smoking cigarettes among Asian-American adolescents.

    Article  PubMed  Google Scholar 

  29. Barry DT, Steinberg MA, Wu R, Potenza MN. Differences in characteristics of Asian American and white problem gamblers calling a gambling helpline. CNS Spectr. 2009;14(2):83–91.

    PubMed  PubMed Central  Google Scholar 

  30. Sinha K. Factors contributing to the development of pathological gambling. Rochester Inst Technol. 2008;13.

  31. Faregh N, Derevensky J. Gambling behavior among adolescents with attention deficit/hyperactivity disorder. J Gambl Stud. 2011;27(2):243–56. doi:10.1007/s10899-010-9211-3.

    Article  PubMed  Google Scholar 

  32. Breyer JL, Botzet AM, Winters KC, Stinchfield RD, August G, Realmuto G. Young adult gambling behaviors and their relationship with the persistence of ADHD. J Gambl Stud. 2009;25(2):227–38. doi:10.1007/s10899-009-9126-z.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Le G, Liao M, Lee S, Kent W. Youth Gambling in the 21st Century: Prevalence, Impact, and Interventions. In: NAPAFASA Problem Gambling Publications. 2016. http://www.napafasa.org/resources/PGP.Youth Gambling in the 21st Century.pdf. Accessed January 25 2016. This article presents insight on the high prevalence of gambling among youth in the U.S.

  34. Welte JW, Barnes GM, Tidwell MC, Hoffman JH. Association between problem gambling and conduct disorder in a national survey of adolescents and young adults in the United States. J Adolesc Health. 2009;45(4):396–401. doi:10.1016/j.jadohealth.2009.02.002.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Sacco P, Cunningham-Williams RM, Ostmann E, Spitznagel Jr EL. The association between gambling pathology and personality disorders. J Psychiatr Res. 2008;42(13):1122–30. doi:10.1016/j.jpsychires.2007.11.007.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Welte JW, Barnes GM, Wieczorek WF, Tidwell MC. Simultaneous drinking and gambling: a risk factor for pathological gambling. Subst Use Misuse. 2004;39(9):1405–22.

    Article  PubMed  Google Scholar 

  37. Fong T, Campos M, Rosenthal R, Brecht ML, Schwartz B, Davis A, et al. Problem gambling knowledge and perceived community impact among Asian-Pacific Islanders and non Asian-Pacific Islanders. J Immigr Minor Health. 2010;12(2):173–8. doi:10.1007/s10903-009-9238-7.

    Article  PubMed  Google Scholar 

  38. Thomas S, Yamine R, Casino V, Authority G, Cultural Partners Australia C. The impact of gaming on specific cultural groups: A report to the Victorian casino and gaming authority. Victorian Casino and Gaming Authority; 2000.

  39. Kim W, Kim I, Nochajski TH. Predictors of gambling behaviors in Filipino Americans living in Honolulu or San Francisco. J Gambl Stud. 2012;28(2):297–314. doi:10.1007/s10899-011-9248-y.

    Article  PubMed  Google Scholar 

  40. Patterson-Silver Wolf Adelv Unegv Waya DA, Welte JW, Barnes GM, Tidwell MC, Spicer P. Sociocultural influences on gambling and alcohol use among native Americans in the United States. J Gambl Stud. 2015;31(4):1387–404. doi:10.1007/s10899-014-9512-z. This study provides evidence that among Native Americans lower socioeconomic status is significantly associated with an increased odds of problem gambling.

    Article  PubMed  Google Scholar 

  41. Raylu N, Oei TP. Role of culture in gambling and problem gambling. Clin Psychol Rev. 2004;23(8):1087–114.

    Article  PubMed  Google Scholar 

  42. Clark R, King B, Laylim D. Tin Sin Kuk (Heavenly swindle). New South Wales: Asian Community Research unit State Intelligence Group; 1990.

    Google Scholar 

  43. Ndubisi NO, Nataraajan R, Chew J. Ethical ideologies, perceived gambling value, and gambling commitment: an Asian perspective. J Bus Res. 2014;67(2):128–35. This study provides evidence that ethical ideologies, such as idealism and relativism, and perceived gambling value predict a significant amount of variance in gambling commitment.

  44. Wickwire EM, Whelan JP, Meyers AW, Murray DM. Environmental correlates of gambling behavior in urban adolescents. J Abnorm Child Psychol. 2007;35(2):179–90. doi:10.1007/s10802-006-9065-4.

  45. Loo JM, Raylu N, Oei TP. Gambling among the Chinese: a comprehensive review. Clin Psychol Rev. 2008;28(7):1152–66. doi:10.1016/j.cpr.2008.04.001.

    Article  PubMed  Google Scholar 

  46. Ji L-J, Nisbett RE, Su Y. Culture, change, and prediction. Psychol Sci. 2001;12(6):450–6.

    Article  CAS  PubMed  Google Scholar 

  47. Ji L-J, McGeorge K, Li Y, Lee A, Zhang Z. Culture and gambling fallacies. SpringerPlus. 2015;4(1):1–8.

    Article  Google Scholar 

  48. Scull S, Woolcock G. Problem gambling in non-English speaking background communities in Queensland, Australia: a qualitative exploration. Int Gambl Stud. 2005;5(1):29–44.

    Article  Google Scholar 

  49. Petry NM, Armentano C, Kuoch T, Norinth T, Smith L. Gambling participation and problems among South East Asian refugees to the United States. Psychiatr Serv. 2003;54(8):1142–8. doi:10.1176/appi.ps.54.8.1142.

    Article  PubMed  Google Scholar 

  50. Trepel C, Fox CR, Poldrack RA. Prospect theory on the brain? Toward a cognitive neuroscience of decision under risk. Brain Res Cogn Brain Res. 2005;23(1):34–50. doi:10.1016/j.cogbrainres.2005.01.016.

    Article  PubMed  Google Scholar 

  51. Friedland N, Keinan G, Regev Y. Controlling the uncontrollable: effects of stress on illusory perceptions of controllability. J Pers Soc Psychol. 1992;63(6):923–31.

    Article  CAS  PubMed  Google Scholar 

  52. Sharpe L. A reformulated cognitive-behavioral model of problem gambling. A biopsychosocial perspective. Clin Psychol Rev. 2002;22(1):1–25.

    Article  PubMed  Google Scholar 

  53. Alegria M, Canino G, Shrout PE, Woo M, Duan N, Vila D, et al. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165(3):359–69. doi:10.1176/appi.ajp.2007.07040704.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Lee LC, Zane NWS. Handbook of Asian American psychology. Thousand Oaks, CA: Sage Publications Inc; 1998.

  55. Welte JW, Barnes GM, Tidwell MC, Hoffman JH. The prevalence of problem gambling among U.S. adolescents and young adults: results from a national survey. J Gambl Stud. 2008;24(2):119–33. doi:10.1007/s10899-007-9086-0.

    Article  PubMed  Google Scholar 

  56. Barnes GM, Welte JW, Hoffman JH, Tidwell MC. Gambling, alcohol, and other substance use among youth in the United States. J Stud Alcohol Drugs. 2009;70(1):134–42.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Campos MD, Camacho A, Pereda K, Santana K, Calix I, Fong TW. Attitudes towards gambling, gambling problems, and treatment among Hispanics in Imperial County, CA. J Gambl Stud. 2016. doi:10.1007/s10899-015-9585-3.

    PubMed  Google Scholar 

  58. Okuda M, Balan I, Petry NM, Oquendo M, Blanco C. Cognitive-behavioral therapy for pathological gambling: cultural considerations. Am J Psychiatry. 2009;166(12):1325–30. doi:10.1176/appi.ajp.2009.08081235.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Vega WA, Kolody B, Aguilar-Gaxiola S. Help seeking for mental health problems among Mexican Americans. J Immigr Health. 2001;3(3):133–40. doi:10.1023/a:1011385004913.

    Article  CAS  PubMed  Google Scholar 

  60. Horowitz CR, Robinson M, Seifer S. Community-based participatory research from the margin to the mainstream: are researchers prepared? Circulation. 2009;119(19):2633–42. doi:10.1161/circulationaha.107.729863.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Gainsbury S, Hing N, Suhonen N. Professional help-seeking for gambling problems: awareness, barriers and motivators for treatment. J Gambl Stud. 2014;30(2):503–19. doi:10.1007/s10899-013-9373-x.

    Article  PubMed  Google Scholar 

  62. Zois E, Kiefer F, Lemenager T, Vollstadt-Klein S, Mann K, Fauth-Buhler M. Frontal cortex gray matter volume alterations in pathological gambling occur independently from substance use disorder. Addict Biol. 2016. doi:10.1111/adb.12368. This study found specific frontal cortex gray matter in pathological gamblers without substance use disorder thus providing evidence of frontal alterations specific to gambling behaviors independent of the effects of toxic substance use.

    PubMed  Google Scholar 

  63. Chamberlain SR, Lochner C, Stein DJ, Goudriaan AE, van Holst RJ, Zohar J, et al. Behavioural addiction—a rising tide? Eur Neuropsychopharmacol. 2015. doi:10.1016/j.euroneuro.2015.08.013.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, Columbia University, 710 West 168th Street, 12 Floor, New York, NY, 10032, USA

    Mayumi Okuda

  2. NORC at the University of Chicago, 4350 East-west Highway, Bethesda, MD, 20814, USA

    Weiwei Liu

  3. Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY, 10032, USA

    Jodi A. Cisewski, Luis Segura & Silvia S. Martins

  4. Center for Health Outcomes Research, University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD, 21201, USA

    Carla L. Storr

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  1. Mayumi Okuda
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  2. Weiwei Liu
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  3. Jodi A. Cisewski
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  4. Luis Segura
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  5. Carla L. Storr
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  6. Silvia S. Martins
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Corresponding author

Correspondence to Silvia S. Martins.

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Conflict of Interest

Mayumi Okuda reports grant from National Institutes of Health, Eunice Kennedy Shriver National Institute of Child and Human development—1R01HD060072, grant from Chapman Perelman Foundation, during the conduct of the study.

Weiwei Liu reports grants from Office on Women’s Health, grants from National Institute of Drug Abuse, grants from National Institute of Justice, grants from Substance Abuse and Mental Health Services Administration, and grants from National Institute of Mental Health, outside the submitted work.

Jodi A. Cisewski reports grants from National Institutes of Health, Eunice Kennedy Shriver National Institute of Child and Human Development—1R01HD060072, during the conduct of the study.

Silvia S. Martins reports grant from National Institutes of Health—The Eunice Kennedy Shriver National Institute of Child and Human Development—1R01HD060072, during the conduct of the study; personal fees from Purdue Pharma, grants from National Institutes of Health, National Institute on Drug Abuse—1R01DA037866 and 1R01DA039454, outside the submitted work.

Luis Segura and Carla L. Storr declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article contains studies with human or animal subjects performed by some of the authors (Okuda, Luiu, Storr, and Martins). Local Institutional Review Board approval was obtained and maintained for studies where human (or animal) subjects research was performed.

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This article is part of the Topical Collection on Gambling

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Okuda, M., Liu, W., Cisewski, J.A. et al. Gambling Disorder and Minority Populations: Prevalence and Risk Factors. Curr Addict Rep 3, 280–292 (2016). https://doi.org/10.1007/s40429-016-0108-9

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