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U.S. National Gambling Impact and Behavior Study. Dean R. Gerstein AGRI Fifth Annual Conference The Banff Centre, April 21, 2006. Overview of the Gambling Impact & Behavior Study.
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U.S. National Gambling Impact and Behavior Study Dean R. Gerstein AGRI Fifth Annual Conference The Banff Centre, April 21, 2006
Overview of the Gambling Impact & Behavior Study • U.S. National Gambling Impact Study Commission, 1997–99: commissioned an independent study of gambling behavior and impact by a research consortium • First national survey of gambling behavior and problems in a generation • Measured costs and benefits, but not a fully balanced analysis—focused on casinos, no CB ratios
Gambling Impact & Behavior Data • National telephone survey: 2,417 adults • Onsite random intercept survey: 530 adult patrons, 5 types of gaming facilities • Statistical time series study: socioeconomic trends in 100 places, half near recently opened casinos • Key informant telephone surveys of 10 places near recently opened casinos
New Diagnostic Screen for Gambling Problems (NODS) • New DSM-IV-based survey module developed to diagnose pathological gamblers • Field-tests yielded strong reliability, validity • Hierarchical taxonomy • Numerous publications from original authors and other studies • Accelerated screener has been developed
Taxonomy of Gamblers • Low-risk gambler: • Bet less than 5 times in life • OR never lost more than $100 • OR affirmed zero DSM-IV criteria • At-risk gambler: 1–2 criteria • Problem gambler: 3–4 criteria • Pathological gambler: 5+ criteria
Measures • Survey items and time series data (as available) measured: • Illegal activity, criminal history • Family issues over gambling • Mental disorders and treatment • Job loss, bankruptcy
Adverse National Population Impact: Demographics • 2½ million adult pathological gamblers (1.2%), 3 million problem (1.5%) • 15 million at risk (8%), 148 million low-risk (74%), 29 million never gambled (15%). • Pathological, problem, at-risk rates higher among African Americans • Pathological rates lower for age 65+, college grads, wealthy (hh incomes >$100K) – but college grads more at-risk
National Impact: Two Other Highlights • Presence of a casino within 50 miles (versus 50 to 250 miles) is associated with roughly double the prevalence of problem and pathological gamblers • Pathological and problem gamblers are less than 3% of adults, account for roughly 15 percent of casino, lottery, and pari-mutuel receipts
National Adverse Impacts: Monetized Costs • Pathological and problem gamblers in the United States cost society approximately $5 billion per year and an additional $40 billion in lifetime costs for productivity reductions, social services, and creditor losses. • Note: these calculations do not capture intrafamilial costsof divorce and family disruption associated with problem or pathological gambling.
Community Impact of Casinos: Statistical Findings • In communities proximate to newly opened casinos: • Per capita bankruptcy, health indicators, violent crimes not significantly changed (nonviolent and minor crime rates could not be analyzed statistically). • Unemployment rates, welfare outlays, and unemployment insurance decline about one-seventh.
Community Impact of Casinos, continued • Construction, hospitality, transportation, recreation, and amusement earnings rise, but bar, restaurant, and general merchandise earnings fall • Race tracks are vulnerable to casino competition. • There appears to be more a shift in the types and locations of work than net improvement in local standards of living.
Community Impact of Casinos: Local perceptions • Community leaders widely perceive that the following increase: • Indebtedness • Youth crime, forgery and credit card theft • Domestic violence, child neglect • Problem gambling, and alcohol/drug offenses.
Lessons • Use multiple data collection and analytic strategies • Sharpen the tools • Advance by increments
For More Information • For the datasets, please visit: http://www.icpsr.umich.edu:8080/ ABSTRACTS/02778.xml?format=SAMHDAFor the comprehensive report, including findings, instruments, and methodology: http://purl.oclc.org/norc/dlib/ngis.htmTo contact the presenter:gersteindr@aol.com