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Updated: Feb 12, 2026

Establishing a Competing Risk Regression Nomogram Model for Survival Data
Published on: October 23, 2020
Deriving lower-risk gambling limits from data collected in four cross-sectional Finnish surveys
Jukka Kontto1, Tanja Grönroos2,3, Jussi Palomäki2,4,5
11Department of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
This study analyzed Finnish gambling data from 2011-2023 to establish lower-risk gambling guidelines (LRGGs). Stricter limits for gambling types and expenditure were found in recent years, informing LRGG implementation.
Area of Science:
- Public Health
- Behavioral Science
- Addiction Research
Background:
- Examines the relationship between gambling participation and gambling-related harms (GRHs) in Finland.
- Utilizes four nationally representative cross-sectional datasets spanning 2011, 2015, 2019, and 2023.
- Informs the development of Lower-Risk Gambling Guidelines (LRGGs).
Purpose of the Study:
- To establish lower-risk limits for gambling participation based on gambling-related harms.
- To analyze trends in gambling participation and associated risks over time.
- To provide evidence for the implementation of Lower-Risk Gambling Guidelines in Finland.
Main Methods:
- Analysis of 14,163 adult participants who gambled in the past year across four datasets.
- Calculation of lower-risk limits for gambling frequency, number of gambling types, and gambling expenditure as a percentage of income (GEPI).
- Derivation of gambling-related harm indicators from the Problem Gambling Severity Index (PGSI).
Main Results:
- Lower-risk limits for gambling frequency remained consistent (6 days/month).
- The limit for the number of gambling types decreased in 2023 (2 types) compared to earlier data (3 types).
- Stricter lower-risk limits for GEPI were observed in 2019 and 2023 (2.0%) versus 2011-2015 (3.0%).
Conclusions:
- Recent Finnish data indicate more stringent risk limits for gambling types and expenditure.
- Original LRGGs were deemed suitable despite observed shifts in risk limits.
- Findings support the ongoing implementation and refinement of LRGGs in Finland.
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