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Article: Primary care patients reporting concerns about their gambling frequently have other co-occurring lifestyle and mental health issues

TitlePrimary care patients reporting concerns about their gambling frequently have other co-occurring lifestyle and mental health issues
Authors
Issue Date2006
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcfampract/
Citation
Bmc Family Practice, 2006, v. 7 How to Cite?
AbstractBackground: Problem gambling often goes undetected by family physicians but may be associated with stress-related medical problems as well as mental disorders and substance abuse. Family physicians are often first in line to identify these problems and to provide a proper referral. The aim of this study was to compare a group of primary care patients who identified concerns with their gambling behavior with the total population of screened patients in relation to co-morbidity of other lifestyle risk factors or mental health issues. Methods: This is a cross sectional study comparing patients identified as worrying about their gambling behavior with the total screened patient population for co morbidity. The setting was 51 urban and rural New Zealand practices. Participants were consecutive adult patients per practice (N = 2,536) who completed a brief multi-item tool screening primary care patients for lifestyle risk factors and mental health problems (smoking, alcohol and drug misuse, problem gambling, depression, anxiety, abuse, anger). Data analysis used descriptive statistics and non-parametric binomial tests with adjusting for clustering by practitioner using STATA survey analysis. Results: Approximately 3/100 (3%) answered yes to the gambling question. Those worried about gambling more likely to be male OR 1.85 (95% CI 1.1 to 3.1). Increasing age reduced likelihood of gambling concerns - logistic regression for complex survey data OR = 0.99 (CI 95% 0.97 to 0.99) p = 0.04 for each year older. Patients concerned about gambling were significantly more likely (all p < 0.0001) to have concerns about their smoking, use of recreational drugs, and alcohol. Similarly there were more likely to indicate problems with depression, anxiety and anger control. No significant relationship with gambling worries was found for abuse, physical inactivity or weight concerns. Patients expressing concerns about gambling were significantly more likely to want help with smoking, other drug use, depression and anxiety. Conclusion: Our questionnaire identifies patients who express a need for help with gambling and other lifestyle and mental health issues. Screening for gambling in primary care has the potential to identify individuals with multiple co-occurring disorders. © 2006Goodyear-Smith et al; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/172126
ISSN
2015 Impact Factor: 1.641
2015 SCImago Journal Rankings: 0.978
References

 

DC FieldValueLanguage
dc.contributor.authorGoodyearSmith, Fen_US
dc.contributor.authorArroll, Ben_US
dc.contributor.authorKerse, Nen_US
dc.contributor.authorSullivan, Sen_US
dc.contributor.authorCoupe, Nen_US
dc.contributor.authorTse, Sen_US
dc.contributor.authorShepherd, Ren_US
dc.contributor.authorRossen, Fen_US
dc.contributor.authorPerese, Len_US
dc.date.accessioned2012-10-30T06:20:16Z-
dc.date.available2012-10-30T06:20:16Z-
dc.date.issued2006en_US
dc.identifier.citationBmc Family Practice, 2006, v. 7en_US
dc.identifier.issn1471-2296en_US
dc.identifier.urihttp://hdl.handle.net/10722/172126-
dc.description.abstractBackground: Problem gambling often goes undetected by family physicians but may be associated with stress-related medical problems as well as mental disorders and substance abuse. Family physicians are often first in line to identify these problems and to provide a proper referral. The aim of this study was to compare a group of primary care patients who identified concerns with their gambling behavior with the total population of screened patients in relation to co-morbidity of other lifestyle risk factors or mental health issues. Methods: This is a cross sectional study comparing patients identified as worrying about their gambling behavior with the total screened patient population for co morbidity. The setting was 51 urban and rural New Zealand practices. Participants were consecutive adult patients per practice (N = 2,536) who completed a brief multi-item tool screening primary care patients for lifestyle risk factors and mental health problems (smoking, alcohol and drug misuse, problem gambling, depression, anxiety, abuse, anger). Data analysis used descriptive statistics and non-parametric binomial tests with adjusting for clustering by practitioner using STATA survey analysis. Results: Approximately 3/100 (3%) answered yes to the gambling question. Those worried about gambling more likely to be male OR 1.85 (95% CI 1.1 to 3.1). Increasing age reduced likelihood of gambling concerns - logistic regression for complex survey data OR = 0.99 (CI 95% 0.97 to 0.99) p = 0.04 for each year older. Patients concerned about gambling were significantly more likely (all p < 0.0001) to have concerns about their smoking, use of recreational drugs, and alcohol. Similarly there were more likely to indicate problems with depression, anxiety and anger control. No significant relationship with gambling worries was found for abuse, physical inactivity or weight concerns. Patients expressing concerns about gambling were significantly more likely to want help with smoking, other drug use, depression and anxiety. Conclusion: Our questionnaire identifies patients who express a need for help with gambling and other lifestyle and mental health issues. Screening for gambling in primary care has the potential to identify individuals with multiple co-occurring disorders. © 2006Goodyear-Smith et al; licensee BioMed Central Ltd.en_US
dc.languageengen_US
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcfampract/en_US
dc.relation.ispartofBMC Family Practiceen_US
dc.titlePrimary care patients reporting concerns about their gambling frequently have other co-occurring lifestyle and mental health issuesen_US
dc.typeArticleen_US
dc.identifier.emailTse, S: samsont@hku.hken_US
dc.identifier.authorityTse, S=rp00627en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1186/1471-2296-7-25en_US
dc.identifier.scopuseid_2-s2.0-33646863914en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33646863914&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume7en_US
dc.identifier.eissn1471-2296-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridGoodyearSmith, F=7003842417en_US
dc.identifier.scopusauthoridArroll, B=7005327802en_US
dc.identifier.scopusauthoridKerse, N=6701834549en_US
dc.identifier.scopusauthoridSullivan, S=7202445302en_US
dc.identifier.scopusauthoridCoupe, N=8834631800en_US
dc.identifier.scopusauthoridTse, S=7006643163en_US
dc.identifier.scopusauthoridShepherd, R=8692038600en_US
dc.identifier.scopusauthoridRossen, F=6506701302en_US
dc.identifier.scopusauthoridPerese, L=16432755700en_US
dc.identifier.citeulike686970-

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