title: Piliwaiwai: Problem Gambling in Hawai'i.
abstract: Gambling is illegal in Hawai'i, but it is accessible through technology (eg, the internet), inexpensive trips to Las Vegas, and illegal gaming such as lottery sales, internet gambling, and sports betting. Where there are opportunities to gamble, there is a probability that problem gambling exists. The social costs of gambling are estimated to be as high as $26,300,000 for Hawai'i. Because no peer-reviewed research on this topic exists, this paper has gathered together anecdotal accounts and media reports of illegal gambling in Hawai'i, the existence of Gamblers Anonymous meetings operating on some of the islands, and an account of workshops on problem gambling that were provided by the author on three Hawaiian Islands. Through these lenses of gambling in Hawai'i, it is suggested that there are residents in Hawai'i who do experience problem gambling, yet it is unknown to what extent. Nonetheless, this paper argues that research and perhaps a public health initiative are warranted.
authors.affiliation: Department of Social and Community Health, School of Population Health, University of Auckland, New Zealand.
authors.forename: Robin-Marie
authors.initials: RM
authors.lastname: Shepherd
mesh_terms: D005715:Gambling / Q000453:epidemiology*; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D020407:Internet; D011634:Public Health
keywords: at risk groups; problem gambling; public health