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Alcohol Use Associated With Gambling Harm in a Population Representative Australian Sample.

Koen Smit1, Heng Jiang1,2,3, Robin Room1,4

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Drinking alcohol while gambling significantly increases gambling harm. Combined alcohol use behaviors also elevate risk, highlighting the need for restrictions in gambling venues to mitigate harm.

Keywords:
alcohol usealcohol use while gamblingfinancial harmgambling harmheavy episodic drinkingpublic health

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Area of Science:

  • Public Health
  • Behavioral Science
  • Addiction Research

Background:

  • Gambling and alcohol use are prevalent public health issues.
  • Understanding the interplay between alcohol consumption and gambling behavior is crucial for harm reduction strategies.
  • Previous research suggests potential links between these behaviors and adverse outcomes.

Purpose of the Study:

  • To investigate the association between alcohol use while gambling and gambling harm in Victoria, Australia.
  • To determine if heavy episodic drinking (HED) independently predicts gambling harm.
  • To explore whether combined alcohol use behaviors exacerbate gambling-related harm, particularly in economically disadvantaged populations.

Main Methods:

  • Utilized data from the 2023 Victorian Population Gambling and Health Study (N=3114).
  • Employed regression analyses to assess the predictive value of drinking while gambling and HED on gambling harm.
  • Measured gambling harm using the Short Gambling Harm Screen.

Main Results:

  • Alcohol consumption while gambling was significantly associated with increased gambling harm (OR=2.58) and a higher number of harms (IRR=2.57).
  • Heavy episodic drinking (HED) was associated with harm in initial analyses but not independently after controlling for other variables.
  • The combination of HED and drinking while gambling showed a synergistic effect, significantly increasing gambling harm.

Conclusions:

  • Drinking alcohol while gambling is a significant risk factor for gambling harm.
  • Combined alcohol use behaviors, particularly HED with concurrent gambling, elevate risk substantially.
  • Findings support interventions aimed at restricting alcohol availability in gambling venues to reduce harm.