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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Problem-gambling severity and psychiatric disorders among American-Indian/Alaska native adults
Journal of psychiatric research, v 74, pp 55-62
01 Mar 2016
PMID: 26741278
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Little is known about the association between problem-gambling severity and psychiatric disorders among American-Indian/Alaska-Native (AI/AN) individuals. Thus, we examined these factors among a nationally representative sample of AI/AN and other American adults in the USA.
Using the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) data, we conducted separate Wald tests and multinomial logistic regression analyses comparing AI/AN to black/African American, white/Caucasian, and all other racial/ethnic groups, respectively.
Relative to other American adults, AI/AN adults were least likely to report non-/low-frequency gambling (NG: AI/AN 66.5%, white/Caucasian 70.5%, black/African American 72.8%, other racial/ethnic group 72.3%) and most likely to report low-risk gambling (LRG: AI/AN 30.1%, white/Caucasian 26.5%, black/African American 23.4%, other racial/ethnic group 24.7%). The association between at-risk/problem-gambling (ARPG) and any past-year Axis-I disorder was stronger among AI/AN versus other American adults. Although ARPG and LRG were associated with multiple past-year Axis-I and lifetime Axis-II psychiatric disorders in both AI/AN and other American adults, LRG was more strongly associated with both Axis-I disorders (particularly major depression, generalized anxiety disorder and nicotine dependence) and Cluster-B Axis-II (particularly antisocial personality disorder) disorders in AI/AN versus other American adults.
A stronger association between problem-gambling severity and past-year psychiatric disorders among AI/AN relative to other American adults suggests the importance of enhancing mental health and problem-gambling prevention and treatment strategies that may help AI/AN individuals.
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Details
- Title
- Problem-gambling severity and psychiatric disorders among American-Indian/Alaska native adults
- Creators
- Grace Kong - Yale UniversityPhilip H. Smith - Yale UniversityCorey Pilver - Center for Healthcare Organization and Implementation Research (CHOIR), Boston, MA, United StatesRani Hoff - Yale UniversityMarc N. Potenza - Yale University
- Publication Details
- Journal of psychiatric research, v 74, pp 55-62
- Publisher
- Elsevier
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000370905000010
- Scopus ID
- 2-s2.0-84958041266
- Other Identifier
- 991022031023304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Psychiatry