title: Problem Gambling Among Urban and Rural Gamblers in Limpopo Province, South Africa: Associations with Hazardous and Harmful Alcohol Use and Psychological Distress.
abstract: Little is known about the mental health correlates of problem gambling in low- and-middle-income countries such as South Africa and whether these correlates vary by urbanicity. To address this gap, we examined mental health factors associated with problem gambling among gamblers in Limpopo Province, South Africa disaggregated by rural, peri-urban and urban location. A survey of gambling behaviour and mental health was conducted among 900 gamblers. Overall, 28.3 % were at high risk and 38.1 % were at moderate risk for problem gambling. For the entire sample, hazardous/harmful alcohol use was associated with almost twofold increased chance of being at moderate risk (AOR 1.83; 95 % CI 1.08, 3.11) and almost sevenfold greater odds (AOR 6.93; 95 % CI 4.03-11.93) of being at high risk for problem gambling. Psychological distress was associated with being at high risk for problem gambling only (AOR 1.18; 95 % CI 1.14-1.22). After stratifying by urbanicity, hazardous/harmful alcohol use and psychological distress remained associated with high risk gambling across all locations. We found little knowledge of a free gambling helpline and other gambling services-particularly in less urbanised environments [χ(2) (2), 900 = 40.4; p < 0.001]. These findings highlight the need to increase awareness of free helpline services among gamblers and to ensure gambling services include screening and treatment for common mental disorders.
authors: Department of Public Health, University of Limpopo, Turfloop Campus, University Road, Mankweng, 0727, South Africa. Linda.Skaal@ul.ac.za.
authors: Linda
authors: L
authors: Skaal
authors: Department of Psychiatry and Mental Health, University of Cape Town, J2 Groote Schuur Hospital, Anzio Road, Observatory, South Africa. Heidi.sinclair@uct.ac.za.
authors: Heidi
authors: H
authors: Sinclair
authors: Department of Psychiatry and Mental Health, University of Cape Town, J2 Groote Schuur Hospital, Anzio Road, Observatory, South Africa. dan.stein@uct.ac.za.
authors: Dan J
authors: DJ
authors: Stein
authors: Department of Psychiatry and Mental Health, University of Cape Town, J2 Groote Schuur Hospital, Anzio Road, Observatory, South Africa. bmyers@mrc.ac.za.|Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, PO Box 19070, Tygerberg, 7505, South Africa. bmyers@mrc.ac.za.
authors: Bronwyn
authors: B
authors: Myers
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology; D015897:Comorbidity; D005260:Female; D005715:Gambling / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D016017:Odds Ratio; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D013019:South Africa / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: Alcohol use; Problem gambling; Psychological distress; South Africa
references: BMC Public Health. 2012 Aug 11;12:642
references: 22883212
references: J Gambl Stud. 2013 Sep;29(3):417-33
references: 22872466
references: CNS Spectr. 2006 Dec;11(12):924-30
references: 17146406
references: Addiction. 2011 Mar;106(3):490-8
references: 21210880
references: Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):209-15
references: 18058040
references: J Subst Abuse Treat. 2014 Feb;46(2):98-105
references: 24074847
references: Am J Drug Alcohol Abuse. 2010 Sep;36(5):233-41
references: 20560821
references: Health Place. 2012 Sep;18(5):1088-100
references: 22704913
references: J Clin Psychiatry. 2005 May;66(5):564-74
references: 15889941
references: Psychol Addict Behav. 2014 Sep;28(3):769-79
references: 24865462
references: J Gambl Stud. 2007 Sep;23(3):245-57
references: 17216582
references: BMC Psychiatry. 2012 Jul 27;12:89
references: 22839597
references: AIDS Patient Care STDS. 2008 Feb;22(2):147-58
references: 18260806
references: Int J Equity Health. 2012 Jun 12;11:31
references: 22691443
references: Exp Clin Psychopharmacol. 2003 Aug;11(3):202-9
references: 12940499
references: Psychol Med. 2008 Sep;38(9):1351-60
references: 18257941
references: Addict Behav. 2015 Feb;41:199-209
references: 25452066
references: J Gambl Stud. 2015 Dec;31(4):1135-52
references: 25112217
references: J Addict Med. 2013 Sep-Oct;7(5):314-9
references: 23859891
references: J Behav Addict. 2013 Sep 1;2(3):138-144
references: 24443702
references: BMC Fam Pract. 2006 Apr 10;7:25
references: 16606465
references: Psychiatry Res. 2013 Dec 30;210(3):1065-70
references: 23962739
references: Int J Methods Psychiatr Res. 2011 Dec;20(4):215-23
references: 22113964
references: Can J Psychiatry. 2004 Aug;49(8):504-16
references: 15453100
references: Lancet. 2009 Sep 5;374(9692):817-34
references: 19709728
references: J Behav Addict. 2014 Sep;3(3):199-202
references: 25317344
references: Twin Res Hum Genet. 2013 Apr;16(2):525-34
references: 23527679
references: Arch Womens Ment Health. 2009 Apr;12(2):69-74
references: 19238521
references: Glob Health Action. 2013 Jan 29;6:19216
references: 23364100
references: J Gambl Stud. 2000 Winter;16(4):347-76
references: 14634303
references: Psychol Med. 2002 Aug;32(6):959-76
references: 12214795
references: S Afr Med J. 2006 Apr;96(4):323-30
references: 16670806
references: AIDS Care. 2009 Sep;21(9):1163-8
references: 20024776
references: J Gambl Stud. 2015 Sep;31(3):679-94
references: 24927870
references: Ann Clin Psychiatry. 2013 Nov;25(4):250-6
references: 24199214