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What is the harm_Applying a public health methodology to measure the impact of gambling problems and harm on quality of life_CQU.pdf (1.33 MB)

What is the harm? Applying a public health methodology to measure the impact of gambling problems and harm on quality of life

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posted on 2023-06-21, 03:21 authored by Matthew BrowneMatthew Browne, Vijay RawatVijay Rawat, Nancy Greer, Erika Langham, Matthew RockloffMatthew Rockloff, Christine HanleyChristine Hanley
While the PGSI is indeed an established index of problem-gambling symptoms, it nevertheless does not quantify the degree of harm experienced by individuals at different points on the spectrum of gambling problems. The purpose of the present study was to establish the relationship between the PGSI category and health-related quality of life (HRQoL) decrements using a population health (PH) method. Harms reported by gamblers and affected others across the PGSI spectrums were transformed into 798 vignettes. A general population panel (N=786) and experts who work with gamblers (N=51) rated the impact of these vignette descriptions on quality of life using the Time Trade-Off task, and a Visual Analogue Scale incorporating 27 comparison conditions. Disability weights (DW) were then estimated for different levels of gambling symptoms. A DW of 0.44 was estimated for problem gamblers (PG), suggesting a reduction in the effective enjoyment of life by over 4 years for every 10 years in lifespan. Lower—but non-negligible—DWs of .14 and .29 were determined for low- and moderate-risk gamblers. Gambling is compared with a number of other conditions with respect to HRQoL impact. On average, PG harm appears to be similar to that of a manic episode of bipolar disorder and severe alcohol abuse disorder. We discuss advantages, and methodological challenges, in applying PH methods to measuring the severity of gambling problems in terms of HRQoL.

Funding

Category 3 - Industry and Other Research Income

History

Volume

36

Issue

Fall 2017

Start Page

28

End Page

50

Number of Pages

23

eISSN

1910-7595

Publisher

Journal of Gambling Issues

Additional Rights

Open Access

Peer Reviewed

  • Yes

Open Access

  • Yes

Acceptance Date

2017-02-14

Era Eligible

  • No

Journal

Journal of Gambling Issues

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