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Gambling Despite Nationwide Self-Exclusion-A Survey in Online Gamblers in Sweden - PubMed (original) (raw)

Gambling Despite Nationwide Self-Exclusion-A Survey in Online Gamblers in Sweden

Anders Håkansson et al. Front Psychiatry. 2020.

Abstract

Background: Voluntary self-exclusion is a well-known harm reduction intervention in problem gambling, although primarily in operator-specific or venue-based systems. A nationwide overall self-exclusion system ("Spelpaus") for all licensed gambling was introduced in Sweden in 2019. However, gambling in overseas companies despite national exclusion may be a concern in online gamblers. The present web survey study aimed to study self-reported self-exclusion and gambling despite exclusion in a nationwide multi-operator land-based/online exclusion system. Methods: Web survey in web panel members of a market survey company, carried out in May, 2020 (co-occurring with the COVID-19 pandemic). Past-year online gamblers (n = 997) answered questions about gambling patterns, gambling problems, psychological distress, self-exclusion since "Spelpaus" introduction, and gambling despite self-exclusion. Results: Seven percent reported ever self-excluded at Spelpaus, and this was associated with younger age, female gender, gambling problems, and chance-based games and online poker. In logistic regression, Spelpaus remained strongly associated with past-year online casino gambling, gambling problems, and absence of past-year sports betting. Among those having self-excluded, 38 percent reported gambling despite self-exclusion, most commonly online casino. Conclusions: In online gamblers in a setting with a nationwide self-exclusion system, using this was associated with past-year online casino gambling and gambling problems. Gambling despite self-exclusion appears to be common, and more commonly involves online casino. Stakeholders should aim to increase rates of self-exclusion in high-risk online gamblers, both during and beyond the COVID-19 situation in which the study was carried out. Also, policy makers should use gambling regulation in order to decrease the risk of breaching self-exclusion online, such as through the prohibition of non-registered gambling operators. Further research should focus on in-depth analysis of the reasons for gamblers to enroll or not enroll in multi-operator self-exclusion.

Keywords: behavioral addiction; gambling disorder; harm reduction; online casino; online gambling; problem gambling; self-exclusion.

Copyright © 2020 Håkansson and Widinghoff.

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Conflict of interest statement

The research groups have overall research support from the state-owned gambling operator AB Svenska Spel, and from the regional hospital organization of southern Sweden (Region Skane).

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References

    1. Calado F, Griffiths M. Problem gambling worldwide: an update and systematic review of empirical research (2000-2015). J Behav Addict. (2016) 5:559–613. 10.1556/2006.5.2016.073 - DOI - PMC - PubMed
    1. Potenza MN, Balodis IM, Derevensky J, Grant JE, Petry NM, Verdejo-Garcia A, et al. Gambling disorder. Nat Rev Dis Prim. (2019) 5:51 10.1038/s41572-019-0099-7 - DOI - PubMed
    1. World Health Organization 2018. Gaming Disorder. (2018). Available online at: http://www.who.int/features/qa/gaming-disorder/en/ (accessed August 28, 2020).
    1. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. 5th ed Washington, DC: American Psychiatric Association; (2013). 10.1176/appi.books.9780890425596 - DOI
    1. Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: a systematic review and meta-analysis. Austr N Z J Psychiatry. (2015) 49:519–39. 10.1177/0004867415575774 - DOI - PMC - PubMed

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