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Gambling expenditure predicts harm: evidence from a venue-level study

Markham, Francis; Young, Martin; Doran, Bruce

Description

Background and Aims: The Total Consumption Theory of gambling suggests that gambling expenditure is positively associated with gambling-related harm. We test the hypothesis that electronic gaming machine (EGM) expenditure predicts gambling-related harm at the level of the EGM venue. Design: Cross-sectional analysis of survey and administrative data. Setting: General urban adult population of the Northern Territory of Australia. Participants: The sample consisted of 7049 respondents to a...[Show more]

dc.contributor.authorMarkham, Francis
dc.contributor.authorYoung, Martin
dc.contributor.authorDoran, Bruce
dc.coverage.spatialAustralia
dc.date.accessioned2015-12-10T23:22:44Z
dc.identifier.issn0965-2140
dc.identifier.urihttp://hdl.handle.net/1885/66640
dc.description.abstractBackground and Aims: The Total Consumption Theory of gambling suggests that gambling expenditure is positively associated with gambling-related harm. We test the hypothesis that electronic gaming machine (EGM) expenditure predicts gambling-related harm at the level of the EGM venue. Design: Cross-sectional analysis of survey and administrative data. Setting: General urban adult population of the Northern Territory of Australia. Participants: The sample consisted of 7049 respondents to a mail-survey about venue visitation and gambling behaviour across 62 EGM venues. Measurements: Gambling-related harm was defined as the endorsement of two or more items on the Problem Gambling Severity Index. We obtained venue-level EGM expenditure data from the local licensing authority for all venues in the study area. We compared the prevalence of gambling-related harm among patrons aggregated at the venue level with the estimated mean EGM expenditure for each adult resident in the venue's service area using a Huff model, correlation analysis and multivariate binomial regression. Findings: Aggregated to the venue level (n=62), per-capita EGM expenditure was correlated significantly with rates of gambling-related harm (r=0.27, n=62, P=0.03). After adjusting for venue type and number of EGMs, an increase in mean per-capita monthly EGM expenditure from $AU10 to $AU150 was associated with a doubling in the prevalence of gambling-related harm from 9% (95% CI=6-12%) to 18% (95% CI=13-23%). Conclusions: As suggested by the Total Consumption Theory of gambling, aggregate patron electronic gaming machine expenditure predicts the prevalence of gambling-related harm at the venue level.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherCarfax Publishing, Taylor & Francis Group
dc.sourceAddiction
dc.titleGambling expenditure predicts harm: evidence from a venue-level study
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume109
dc.date.issued2014
local.identifier.absfor160403 - Social and Cultural Geography
local.identifier.absfor160499 - Human Geography not elsewhere classified
local.identifier.ariespublicationu4279067xPUB1318
local.type.statusPublished Version
local.contributor.affiliationMarkham, Francis, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationYoung, Martin, Southern Cross University
local.contributor.affiliationDoran, Bruce, College of Medicine, Biology and Environment, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.startpage1509
local.bibliographicCitation.lastpage1516
local.identifier.doi10.1111/add.12595
local.identifier.absseo870105 - Urban Planning
dc.date.updated2015-12-10T10:34:00Z
local.identifier.scopusID2-s2.0-84901739349
local.identifier.thomsonID000340566600019
CollectionsANU Research Publications

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