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SWELOGS – a population study on Gambling and Health, Ulla Romild & Jessika Svensson, Swedish National Institute of Public Health,

SWELOGS – a population study on Gambling and Health, Ulla Romild & Jessika Svensson, Swedish National Institute of Public Health,
Parallel 4, NFHK2011 Turku, Finland

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    Nfhk2011 jessika svensson_parallel4 Nfhk2011 jessika svensson_parallel4 Presentation Transcript

    • SWELOGS – a population study on Gambling and Health Ulla Romild & Jessika Svensson 10th Nordic Public Health Conference, Turku 2011-08-24
    • The Swedish National Institute of Public Health 10th Nordic Public Health Conference, Turku 2011-08-24
    • National aim for the public health policy”The overarching aim ofSweden’s national publichealth policy is to createsocial conditions that willensure good health, on equalterms for the entirepopulation” 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling prevention in Sweden• The Problem Gambling Unit has been placed at the Swedish National Institute of Public Health (SNIPH) since 1999• Has been part of the eleven public health objectives since then• Stands for the bulk of gambling research, treatment and prevention in Sweden 10th Nordic Public Health Conference, Turku 2011-08-24
    • Population studies covering gambling in Sweden• Swedish Gambling Study (SWEGS) 1997/98 with follow up• National Survey of Public Health (Health on Equal Terms 2004-• Swedish Longitudinal Gambling Study (SWELOGS) 2008-2014 10th Nordic Public Health Conference, Turku 2011-08-24
    • Purposes of SWELOGS• to measure the prevalence and incidence of problem gambling with comparability to other jurisdictions• to describe problem gambling in relation to changes in gambling behaviour and environment• to identify relevant target groups for preventive measures• to analyse health related, social and economic consequences• to identify risk and protective factors• develop an improved PG-instrument which is sensitive also to mild forms of problem gambling 10th Nordic Public Health Conference, Turku 2011-08-24
    • Sampling and methods for data collection• The sample consists of 15 000 individuals, aged 16-84, representative for the population• Sample stratification based on predicted probabilities for having gambling problems, age and gender• Data collection, phase I – Telephone interviews from October 2008 until April 2009 – Questionnaires sent by post to those not reached by telephone until August 2009• Around 8 300, or 63 percent, responded 10th Nordic Public Health Conference, Turku 2011-08-24
    • Questionnaire• Gambling (lifetime and past 12 months)• Gambling problems (SOGS, PGSI, FORS) and gambling related questions• Computer gaming• Health, demografics, socio-economy+ register variables from Statistics Sweden 10th Nordic Public Health Conference, Turku 2011-08-24
    • Male and female gambling in different gambling forms60% 56 5340% 32 28 27 24 2020% 17 13 12 13 9 8 9 7 4 3 3 4 40% Lottery Lotto Sports Horses Poker Casino games Vegas TV-shows Bingo Internet (machines) Men (n=4091) Women (n=4076) 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling in Sweden• 70 percent of the population aged 16-84 has gambled in the past 12 months, 44 percent gamble regularly• Minors gamble in all forms including gambling machines• Gambling on casino games, poker and sports are more frequent among men than women• Elderly people, aged 65-84, gamble on lotteries, lotto and horses more often than young people• A third of those who gambled during the past 12 months only gambled in one form 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling problems in Sweden Proportion in Estimated number in theType of gambler the sample population aged 16-84No gambling problem 0 points 92.4% 6 742 900Low risk 1-2 points 5.4% 393 700Moderate risk 3-7 points 1.9% 140 100Problem gambling 8+ points 0.3% 23 700Relatives (among them children) 260000 (76000) 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling problems in Sweden Proportion in Estimated number in the Type of gambler the sample population aged 16-84 No gambling problem 0 points 92.4% 6 742 900 Low risk 1-2 points 5.4% 393 700 Gambling Problems 3-8 points 2.2% 163 800 Relatives (among them children) 260 000 (76 000)The problems for every seventh person with gambling problems aresevere enough to call for treatment 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling problems by gender and age Men Women20% 20% 1615% 15% 13 1010% 9 10% 7 6 5 55% 5% 4 3 3 3 2 2 2 2 1 1 1 10% 0% 16-17 18-24 25-44 45-64 65-84 16-17 18-24 25-44 45-64 65-84 Low risk Gambling problems Low risk Gambling problems 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling problems• The proportion of people gambling during the past 12 months has decreased from 88% to 70%• 2.2 percent of the Swedish population aged 16-84 have gambling problems and an additional 5.4 percent are considered at risk of developing gambling problems• Gambling problems can be found in all segments of the population but are unevenly distributed in respect to gender, age and socio-economic background• Gambling problems are most frequent among people gambling over the Internet and gambling on bingo, machines, poker or casino games• Men and women with similar patterns of gambling are at almost equal risk of having gambling problems 10th Nordic Public Health Conference, Turku 2011-08-24
    • Health in relation to gambling problems Men Women100% 100% 86 85 83 8180% 74 80% 74 68 60 60% 5660% 54 43 37 40%40% 30 20%20% 9 0% 0% No gambling Low risk Moderate risk/ No gambling Low risk Moderate risk Problem problems Problem problems gambling gambling Good general health Good general health Good mental health Good mental health 10th Nordic Public Health Conference, Turku 2011-08-24
    • Smoking and gambling problems Men Women15% 15% 1310% 10% 8 8 6 55% 5% 4 3 3 2 1 1 0,50% 0% No smoking Smoking Daily smoking No smoking Smoking Daily smoking oc casionally oc casionally Low risk Gambling problems Low risk Gambling problems 10th Nordic Public Health Conference, Turku 2011-08-24
    • Alcohol consumption and gambling problems Men Women20% 20% 1615% 15%10% 10% 8 6 55% 5% 3 2 1 10% 0% Not at risk Risky alcohol Not at risk Risky alcohol consumption consumption Low risk Gambling problems Low risk Gambling problems 10th Nordic Public Health Conference, Turku 2011-08-24
    • Key findings gambling and health• The mental health is worse among people with gambling problems compared to those without gambling problems• Men with gambling problems have worse health, drink and smoke more than men without gambling problems• Women with gambling problems are more lonely than women without gambling problems• Internet gamblers have a somewhat better health but smoke and drink more than those not gambling on the Internet. Some of the differences can probably be explained by the lower average age among the Internet gamblers. 10th Nordic Public Health Conference, Turku 2011-08-24
    • Problem gambling (PGSI 3+) in different clusters Heavy gamblers 11% Poker gamblers Social gamblers 5%Occasional gamblers 2% Habitual gamblers 2% Seldom gamblers 1% Non gamblers 0 0% 2% 4% 6% 8% 10% 12% 14% 10th Nordic Public Health Conference, Turku 2011-08-24
    • Gambling clusters Heavy gamblers 9% Poker gamblersSocial gamblers 5 % Non gamblers 5% 30% Occasional gamblers 10% Habitual gamblers Seldom gamblers 29% 18% 10th Nordic Public Health Conference, Turku 2011-08-24
    • Problem gamblers (PGSI 3+) Seldom gamblers 6% Habitual gamblersHeavy gamblers 29% 43% Occasional gamblers Social gamblers gamblers Poker 11 % 11% 11% 10th Nordic Public Health Conference, Turku 2011-08-24
    • Conclusions after EP I 10th Nordic Public Health Conference, Turku 2011-08-24
    • Need for problem gambling prevention• Problem gambling treatment is needed all over the country• Continuous need for information and educational measures• One target group is young men without secure footing on the labour market• Improved control of age limits• Extended responsible gaming for casino, poker, machines and Internet gambling 10th Nordic Public Health Conference, Turku 2011-08-24
    • Study objectives of the first wave• To describe gambling patterns• To measure the extent of existing gambling problems in Sweden• To identify the most affected groups in society• To investigate how gambling problems correlate with other factors such as gambling patterns, social situation, health and economy• To develop enhanced measuring instruments for gambling problems 10th Nordic Public Health Conference, Turku 2011-08-24
    • Main differences and similaritiescompared to SWEGS• The proportion of people gambling during the past 12 months has decreased from 88% to 70%• The decrease is evident in all gambling forms except card games for men and horses for women• There are still more men than women gambling and developing gambling problems• Minor gambling is less frequent, but young people are still a target group for gambling problems even though they gamble less than the adult population• Gambling problems remain at the same level• The proportion of young men, 18-24 years old, with gambling problems has doubled• The proportion of men aged 24-44 years old with severe gambling problems has doubled 10th Nordic Public Health Conference, Turku 2011-08-24