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Problem gamblers, problem substance users, and dual-problem individuals: an epidemiological study

W Feigelman1, L S Wallisch, H R Lesieur

  • 1Department of Sociology, Nassau Community College, Garden City, NY 11530-6793, USA.

American Journal of Public Health
|March 31, 1998
PubMed
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Dual-problem individuals, experiencing both gambling and substance use issues, are often young, unmarried men. These individuals exhibit greater dysfunctionality, including legal troubles and treatment seeking, compared to those with a single problem.

Area of Science:

  • Addiction research
  • Public health
  • Behavioral science

Background:

  • Problem gambling and substance use disorders are significant public health concerns.
  • Understanding the overlap and distinct characteristics of these conditions is crucial for effective intervention.
  • Previous research has identified co-occurrence but requires further demographic and functional analysis.

Purpose of the Study:

  • To compare individuals with problem gambling, problem substance use, dual diagnoses, and no such problems within the general population.
  • To identify demographic and functional differences among these groups.
  • To inform targeted screening and treatment strategies.

Main Methods:

  • A random sample of 6,308 Texas adults was surveyed using computer-assisted telephone interviews.

Related Experiment Videos

  • Standardized instruments were employed to assess gambling problems and substance use disorders.
  • Data analysis involved comparing the characteristics of individuals across different problem categories.

    • Main Results:

    • Dual-problem individuals were more likely to be young, never-married men without conventional religious affiliations.
    • Compared to single-problem groups, dual-problem individuals reported higher levels of dysfunctionality.
    • Evidence of dysfunctionality included increased treatment-seeking behaviors and encounters with the legal system.

    Conclusions:

    • The findings highlight the distinct profile of dual-problem individuals, suggesting unique risk and vulnerability factors.
    • Screening for gambling problems should be integrated into services for individuals with substance use disorders.
    • The criminal justice system and drug treatment settings are critical points for offering gambling problem screening and interventions.