Disordered gambling among  racial and ethnic groups    CARLOS BLANCO, M.D., PH.D.  COLUMBIA GAMBLING DISORDERS CLINIC,  NE...
Acknowledgments  NIH grants DA019606, DA023200, MH082773  New York State Office of Alcohol and Substance Abuse Services ...
CNS Spectrums March 2009; 14(3) :132-142
The present study…  Is the first national study to focus on racial/ ethnic  differences in gambling disorders  Investiga...
METHODS
2001-2002 NESARC Sample  Nationally representative sample of 43,093   individuals  18+ years old  Residing in the conti...
NESARC Assessment  NIAAA Alcohol Use Disorder and Associated   Disabilities Interview Schedule –DSM-IV version   (AUADIS-...
Disordered gambling in the NESARC  All respondents who had gambled 5 or more times in at least 1 year of their life (N=11...
Disordered Gambling (N=567)
RESULTS
Prevalence and Conditional prevalence of               Disordered gamblingSignificantly different from Non-Hispanic Whites
Prevalence and Conditional prevalence of               Pathological gamblingSignificantly different from Non-Hispanic Whites
Sociodemographic characteristicsNote: Only significant differences from non-Hispanic Whites are shown
Psychopathology rates and disabilityNote: Only significant differences from non-Hispanic Whites are shown
PG criteria, course and venues of gambling                        preferred   Mean number of DSM-IV PG criteria: 6.4   M...
Treatment seeking rates      No differences across racial/ethnic groups were foundNote: Assessed only among pathological g...
LIMITATIONS &CONCLUSIONS
Limitations  Assessment of pathological and disordered gambling   were based on self-report  NESARC does not provide inf...
Conclusions  Prevalence of disordered gambling differs across racial/ethnic groups  Blacks and Hispanics face increased ...
Funding and Support  NESARC was sponsored and conducted by NIAAA and supported by NIDA  This research was also supported...
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2010 Conference - Gambling in Diverse Populations (Blanco)

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2010 Conference - Gambling in Diverse Populations (Blanco)

  1. 1. Disordered gambling among racial and ethnic groups CARLOS BLANCO, M.D., PH.D. COLUMBIA GAMBLING DISORDERS CLINIC, NEW YORK STATE PSYCHIATRIC INSTITUTE DEPARTMENT OF PSYCHIATRY, COLUMBIA UNIVERSITY
  2. 2. Acknowledgments  NIH grants DA019606, DA023200, MH082773  New York State Office of Alcohol and Substance Abuse Services (OASAS)  American Foundation for Suicide Prevention  New York State Psychiatric Institute
  3. 3. CNS Spectrums March 2009; 14(3) :132-142
  4. 4. The present study…  Is the first national study to focus on racial/ ethnic differences in gambling disorders  Investigates the prevalence and conditional prevalence of gambling disorders  Compares sociodemographic and clinical characteristics among disordered gamblers from racial/ethnic groups
  5. 5. METHODS
  6. 6. 2001-2002 NESARC Sample  Nationally representative sample of 43,093 individuals  18+ years old  Residing in the continental US, district of Columbia, Alaska and Hawaii  Non-institutionalized civilians  Face-to-face interviews
  7. 7. NESARC Assessment  NIAAA Alcohol Use Disorder and Associated Disabilities Interview Schedule –DSM-IV version (AUADIS-IV)  Symptom questions that operazionalized DSM-IV criteria for :   Nicotine dependence   Alcohol and drug abuse and dependence   Mood, anxiety and personality disorders  Number of medical conditions, Number of stressful life events (SRRS) and Disability score (SF-12V2)
  8. 8. Disordered gambling in the NESARC  All respondents who had gambled 5 or more times in at least 1 year of their life (N=11,153) were asked about the symptoms of DSM-IV pathological gambling  Disordered gamblers: Individuals meeting at least 3 criteria for DSM-IV pathological gambling (PG)  Gambling venues, course and treatment measures assessed only among pathological gamblers
  9. 9. Disordered Gambling (N=567)
  10. 10. RESULTS
  11. 11. Prevalence and Conditional prevalence of Disordered gamblingSignificantly different from Non-Hispanic Whites
  12. 12. Prevalence and Conditional prevalence of Pathological gamblingSignificantly different from Non-Hispanic Whites
  13. 13. Sociodemographic characteristicsNote: Only significant differences from non-Hispanic Whites are shown
  14. 14. Psychopathology rates and disabilityNote: Only significant differences from non-Hispanic Whites are shown
  15. 15. PG criteria, course and venues of gambling preferred   Mean number of DSM-IV PG criteria: 6.4   Mean age of PG onset: 31 years old   Mean age of PG remission: 37 years old   36.7% did not meet criteria for PG in the last year   71% are engaged in casino gambling and 53% in non- casino gambling No differences across racial/ethnic groups were foundNote: Assessed only among pathological gamblers (N=195)
  16. 16. Treatment seeking rates No differences across racial/ethnic groups were foundNote: Assessed only among pathological gamblers (N=195)
  17. 17. LIMITATIONS &CONCLUSIONS
  18. 18. Limitations  Assessment of pathological and disordered gambling were based on self-report  NESARC does not provide information on adolescents  Native Americans and Asians were combined into one group  Analyses of gambling correlates were conducted only among pathological gamblers
  19. 19. Conclusions  Prevalence of disordered gambling differs across racial/ethnic groups  Blacks and Hispanics face increased socioeconomic adversity than non-Hispanic Whites  Despite social adversity, Black and Hispanics are less likely to present substance use disorders.  Similarities in symptom patterns, course and treatment seeking rates suggest no racial or cultural impact on the presentation of pathological gambling
  20. 20. Funding and Support  NESARC was sponsored and conducted by NIAAA and supported by NIDA  This research was also supported by NIH and AFSP grants and the NYSPI
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