Differences in gambling problem severity and gambling and health/functioning characteristics among Asian-American and Caucasian high-school students

Psychiatry Res. 2013 Dec 30;210(3):1071-8. doi: 10.1016/j.psychres.2013.10.005. Epub 2013 Oct 18.

Abstract

Studies of Asian-American adults have found high estimates of problematic gambling. However, little is known about gambling behaviors and associated measures among Asian-American adolescents. This study examined gambling perceptions and behaviors and health/functioning characteristics stratified by problem-gambling severity and Asian-American and Caucasian race using cross-sectional survey data of 121 Asian-American and 1659 Caucasian high-school students. Asian-American and Caucasian adolescents significantly differed on problem-gambling severity, with Asian-American adolescents more often reporting not gambling (24.8% vs. 16.4%), but when they did report gambling, they showed higher levels of at-risk/problem gambling (30.6% vs. 26.4%). Parental approval or disapproval of adolescent gambling also significantly differed between races, with Asian-American adolescents more likely to perceive both parental disapproval (50.0% vs. 38.2%) and approval (19.3% vs. 9.6%) of gambling. Asian-American adolescents were also more likely to express concern about gambling among close family members (25.2% vs. 11.6%). Among Asian-American adolescents, stronger associations were observed between at-risk/problem gambling and smoking cigarettes (interaction odds ratio=12.6). In summary, differences in problem-gambling severity and gambling perceptions indicate possible cultural differences in familial attitudes towards gambling. Stronger links between cigarette smoking and risky/problematic gambling amongst Asian-American adolescents suggest that prevention and treatment efforts targeting youth addictions consider cultural differences.

Keywords: Adolescence; Asian American; Family; Gambling.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology
  • Asian / psychology*
  • Asian / statistics & numerical data
  • Attitude
  • Behavior, Addictive / ethnology
  • Behavior, Addictive / psychology*
  • Cross-Sectional Studies
  • Female
  • Gambling / ethnology
  • Gambling / psychology*
  • Health Surveys
  • Humans
  • Male
  • Odds Ratio
  • Severity of Illness Index
  • Smoking
  • Students / psychology*
  • Students / statistics & numerical data
  • Vereinigte Staaten
  • White People / psychology*
  • White People / statistics & numerical data
  • Young Adult