Self-Management Strategies for Problem Gambling in the Context of Poverty and Homelessness

IF 1.3 Q4 SUBSTANCE ABUSE Journal of Gambling Issues Pub Date : 2021-09-23 DOI:10.4309/jgi.2021.48.4
F. Matheson, Sarah Hamilton-Wright, Arthur McLuhan, Jing Shi, J. Wiese, David T. Kryszajtys, N. Turner, S. Guilcher
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引用次数: 1

Abstract

Problem gambling and gambling disorder are serious public health issues that disproportionately affect persons experiencing poverty, homelessness, and multimorbidity. Several barriers to service access contribute to low rates of formal treatment-seeking for problem gambling compared with treatments for other addictions. Given these challenges to treatment and care, self-management may be a viable alternative or complement to formal problem gambling interventions. In this study, we described problem gambling self management strategies among persons experiencing poverty and homelessness. We conducted semi-structured interviews with 19 adults experiencing problem gambling and poverty/homelessness, and employed qualitative content analysis to code and analyze the data thematically. We identified five types of self-management strategies: (1) seeking information on problem gambling, (2) talking about gambling problems, (3) limiting money spent on gambling, (4) avoiding gambling providers, and (5) engaging in alternative activities. Although these strategies are consistent with previous research, the social, financial,housing, and health challenges of persons experiencing poverty and homelessness shaped their self-management experiences and approaches in distinct ways. Approaches to problem gambling treatment should attend to the broader context in which persons experience and attempt to self-manage problem gambling.
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贫困和无家可归背景下问题赌博的自我管理策略
问题赌博和赌博障碍是严重的公共卫生问题,对贫困、无家可归和多病人群的影响尤为严重。与其他成瘾的治疗相比,获得服务的几个障碍导致寻求正规治疗的赌博问题率较低。鉴于治疗和护理面临的这些挑战,自我管理可能是正式问题赌博干预措施的可行替代或补充。在本研究中,我们描述了问题赌博自我管理策略的人经历贫困和无家可归。我们对19名经历过问题赌博和贫困/无家可归的成年人进行了半结构化访谈,并采用定性内容分析对数据进行编码和主题分析。我们确定了五种类型的自我管理策略:(1)寻求有关问题赌博的信息,(2)谈论赌博问题,(3)限制在赌博上的花费,(4)避免赌博提供者,(5)参与替代活动。虽然这些战略与以前的研究一致,但贫困和无家可归者面临的社会、财政、住房和健康挑战以不同的方式影响了他们的自我管理经验和做法。问题赌博治疗的方法应该考虑到人们经历和试图自我管理问题赌博的更广泛的背景。
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来源期刊
Journal of Gambling Issues
Journal of Gambling Issues SUBSTANCE ABUSE-
CiteScore
2.20
自引率
0.00%
发文量
17
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