Problem Gambling Services All Provider Meeting - May 2013
Problem Gambling Services All-Provider Meeting May 9, 2013
AgendaIntroductions and AnnouncementsNatasha Pineda – PG Prevention SpecialistLegislative UpdateReport from the Latino Advisory CommitteeData Update from Herbert and LouisReport from the Asian-American AdvisoryCommitteePolicy discussion re: private providers beingadded as problem gambling treatment providers
Cultural Change: Transforming Latino Families, InfluencingGambling BehaviorPathological Gambling DSM IVCriteria:-Preoccupation - Lying-Tolerance - Loss of Control-Chasing - Illegal Acts-Withdrawal - Bailouts-Escape- Risking Important RelationshipsStrong Latino Family Unit Cohesive LatinoFamilyLess Psychological Problems Less Risk for(Rivera, et al. 2008) SubstanceAbuse(Ojeda,Patterson &Strathdee,2008)Acculturation StressFragments Latino FamilyMoreRisk forSubstance Abuse(Alegria, et al. 2007)Higher Psychological Distress(Rivera, et al. 2008 and Alegria, et al., 2007)Family issues:-Rage - Distrust-Betrayal - Loss ofrespect-Financial crisis - Isolation-Domestic violence - Resentment-Child neglect - Grief and loss- More prevalence for gambling in youthLow-acculturated Latinos experience sub-clinicalgambling problems at a higher rate than others, butLatinos show similar prevalence for pathologicalgambling relative to other gamblers (Campos, 2012).40% of Hispanic students in 6thgrade, 43% ofHispanic students in 8thgrade and 40% of Hispanicstudents in 11thgrade reported to have gambled inpast 30 days (OR Student Wellness Survey, 2010).Latino Advisory Committee on Problem Gambling, OregonProblem Gambling Services Unit, Oregon Health Authority
Michael Campos, Ph.D.UCLA Gambling Studies ProgramPhone: 310.825.6427E-mail: firstname.lastname@example.org
AcknowledgementsRichard J. Rosenthal, M.D.Office of Problem Gambling (OPG)UCLA Gambling Studies Program (UGSP)Rachel Volberg, Ph.D.
Prevalence of Gambling ProblemsStudies show elevated prevalence rates forproblem or pathological gambling amongHispanics relative to Non-Hispanic Caucasians(Stinchfield, 1997; Welte et al., 2001;Westermeyer et al., 2005)
Help Seeking for GamblingProblemsSource: Caudrado, 1999
Prevalence of Gambling Problems3.0%**1.8%1.5% 1.5%0.0%0.5%1.0%1.5%2.0%2.5%3.0%Problem Gambling Pathological GamblingHispanic All Others** p < 0.01
Prevalence of Gambling Problemsby GenderNote: Percentages with different superscripts are significantly different at p < 0.05 or less.
Preferred Games for Past YearGamblers* p < 0.05; ** p < 0.01**** ***
Preferred Games for Past YearMale Gamblers****** p < 0.05; ** p < 0.01
Preferred Games for Past YearFemale Gamblers***** p < 0.05; ** p < 0.01
Key PointsProblem, but not pathological gambling, is higheramong Hispanics relative to Non-Hispanics,particularly among males.Past year gambling is lower among Hispanic femalesrelative to Non-Hispanic females.Counter to expectations, we did not see a preferencefor action oriented games among Hispanic males.
Prevalence of Gambling Problemsby US AcculturationNote: Percentages with different superscripts are significantly different at p < 0.05 or less.
Key PointsWhen acculturation was taken into accountit was the high-acculturated Hispanics weremore likely to play action oriented games.Low-acculturated were more likely to playlottery or slot machines.Counter to expectations, the data did notsupport the preference for action oriented
ConclusionsStudies show elevated prevalence rates forpathological gambling; our data show moreproblem gambling, particularly amongmales, but similar prevalence forpathological gambling.Hispanics may be less likely to seek help forgambling problems.Preferred types of games among Hispanicssimilar to those for all other groups