An empirical typology of lifetime and current gambling behaviors: association with health status of older adults.
OBJECTIVE
Despite the low prevalence of gambling problems, older adults experience poorer health status given certain vulnerabilities associated with aging. Thus, we aimed to classify lifetime (LPG) and current (CPG) problem gambling patterns, identify determinants of gambling patterns, and examine their association with current health status.


METHODS
Using older adult gamblers (n = 489) in the Gambling Impact and Behavior Study, Latent Class Analysis classified LPG and CPG subgroups based on 10 DSM-IV criteria: preoccupation, tolerance, withdrawal, loss of control, escape, chasing losses, lying, illegal acts, relationship impairment and financial bailout.


RESULTS
A two-class solution was the best fitting for LPG and CPG groups. Except for illegal acts, the remaining criteria endorsed the distinguishing patterns. We observed 10.8% LPGs, 8.4% CPGs and 2.2% with both. Participation in religious services was protective of both groups. Gambling for excitement and to win money were related to CPG. Further, CPG was significantly related to worse self-rated health.


CONCLUSIONS
Although problem gambling is strongly characterized by number and type of diagnostic criteria, findings support a focus to include targeted assessment of additional clinically meaningful gambling correlates. Research on the moderator of participation in faith-based communities on problem gambling is also warranted.
National University of Singapore, Singapore.
Song-Iee
SI
Hong
Paul
P
Sacco
Renee M
RM
Cunningham-Williams
D000368:Aged; D005260:Female; D005715:Gambling / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires