The risk of gambling problems in the general population: a reconsideration

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dc.contributor.authorHarrison, Glenn W.
dc.contributor.authorLau, Morten I.
dc.contributor.authorRoss, Don
dc.date.accessioned2020-01-08T16:18:48Z
dc.date.available2020-01-08T16:18:48Z
dc.date.issued2019-10-18
dc.date.updated2020-01-08T16:01:08Z
dc.descriptionThis accepted manuscript includes the technical appendices.en
dc.description.abstractWe examine the manner in which the population prevalence of disordered gambling has usually been estimated, on the basis of surveys that suffer from a potential sample selection bias. General population surveys screen respondents using seemingly innocuous “trigger,” “gateway” or “diagnostic stem” questions, applied before they ask the actual questions about gambling behavior and attitudes. Modeling the latent sample selection behavior generated by these trigger questions using up-to-date econometrics for sample selection bias correction leads to dramatically different inferences about population prevalence and comorbidities with other psychiatric disorders. The population prevalence of problem or pathological gambling in the United States is inferred to be 7.7%, rather than 1.3% when this behavioral response is ignored. Comorbidities are inferred to be much smaller than the received wisdom, particularly when considering the marginal association with other mental health problems rather than the total association. The issues identified here apply, in principle, to every psychiatric disorder covered by standard mental health surveys, and not just gambling disorder. We discuss ways in which these behavioral biases can be mitigated in future surveys.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHarrison, G. W., Lau, M. I. and Ross, D. (2019) 'The Risk of Gambling Problems in the General Population: A Reconsideration', (includes technical appendices), Journal of Gambling Studies, doi: 10.1007/s10899-019-09897-2en
dc.identifier.doi10.1007/s10899-019-09897-2en
dc.identifier.endpage27en
dc.identifier.issn1573-3602
dc.identifier.journaltitleJournal of Gambling Studiesen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9466
dc.language.isoenen
dc.publisherSpringeren
dc.rights© Springer Science+Business Media, LLC, part of Springer Nature 2019. This is a post-peer-review, pre-copyedit version of an article published in Journal of Gambling Studies. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10899-019-09897-2en
dc.subjectGambling disorderen
dc.subjectPrevalence studiesen
dc.subjectSample selection biasen
dc.subjectBias correctionen
dc.subjectEconometricsen
dc.subjectDiagnostic stem questionsen
dc.subjectComorbiditiesen
dc.titleThe risk of gambling problems in the general population: a reconsiderationen
dc.typeArticle (peer-reviewed)en
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