The expansion of gambling across the Americas poses risks to mental health and wellbeing

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES Lancet Regional Health-Americas Pub Date : 2024-07-29 DOI:10.1016/j.lana.2024.100855
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Abstract

The Americas are facing a significant burden of mental health conditions. The Pan American Health Organisation’s regional Strategy for Improving Mental Health and Suicide Prevention is an important milestone in tackling this challenge. However, absence of any focus on gambling as a potential risk to the health and wellbeing represents a serious omission in the Strategy. In this viewpoint, we review existing scholarship demonstrating unequivocal links between gambling and a variety of mental health conditions and related harms. This is followed by an empirically-grounded discussion of how commercial gambling has recently rapidly expanded across the region and how the risks of this expansion have not been sufficiently considered at the policy level. We then present emerging regional evidence of the negative mental health impacts of gambling expansion. The review concludes by proposing possible policy actions to improve control over the gambling industry and reduce ensuing harms on mental health and wellbeing in the region, with a focus on PAHO’s remit.

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赌博在美洲各地的扩张给心理健康和幸福带来风险
美洲正面临着严重的心理健康问题。泛美卫生组织的 "改善心理健康和预防自杀地区战略 "是应对这一挑战的重要里程碑。然而,该战略没有关注赌博对健康和福祉的潜在风险,这是一个严重的疏漏。在这一观点中,我们回顾了证明赌博与各种精神健康状况及相关危害之间存在明确联系的现有学术研究。随后,我们以实证为基础,讨论了商业赌博最近是如何在整个地区迅速扩张的,以及这种扩张的风险是如何在政策层面没有得到充分考虑的。然后,我们介绍了该地区新出现的有关赌博扩张对心理健康负面影响的证据。审查最后提出了可能采取的政策行动,以加强对该地区赌博业的控制,减少随之而来的对精神健康和福祉的危害,重点是泛美卫生组织的职权范围。
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CiteScore
8.00
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期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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