TY - JOUR
T1 - Spatial and sociodemographic correlates of gambling participation and disorder among female Filipino migrant workers in Macao, People's Republic of China
AU - Yi, Grace
AU - Huang, Lei
AU - Lam, Agnes I.F.
AU - Latkin, Carl
AU - Hall, Brian J.
N1 - Funding Information:
The authors thank Ms. Julia Lam, Ms. Kitty Tam, and Mr. Pun Chi Ming from Macau-Caritas for their considerable support of this work. We also thank the Center for Teaching and Learning Excellence at The University of Macau for support in using iPads, and in particular, Spencer Benson, PhD, Katrine Wong, PhD, and Chris Fulton, PhD. We also wish to thank the Global and Community Mentsal Health Research Group team, for assistance with data collection and translation efforts. We especially thank our study participants who spent countless nights and weekends with us sharing their stories and placing their trust in us. University of Macau (RSKTO: MYRG2015-00109-FSS) and the Macao (SAR) Government. Stanley Ho Medical Foundation. Johns Hopkins Bloomberg School of Public Health, Center for Global Health.
Publisher Copyright:
© 2019 Elsevier Ltd
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/10
Y1 - 2019/10
N2 - Background and aims: Correlates and risk factors for gambling disorder among vulnerable or transient populations such as transnational migrant workers are unknown. The current study examined sociodemographic and spatial correlates of gambling disorder among female Filipino domestic workers in Macao (SAR), China. Design: Survey-based, respondent-driven sampling study administered from November 2016 to August 2017. Setting: Macao (SAR), which encompassed 38 casinos within its 30.4 km2 area at the time of this study. Participants: Representative sample of N = 1194 female Filipino domestic workers in Macao. Measurements: Symptoms of gambling disorder based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Correlates evaluated included sociodemographic information, proximity to venues, perceived social support, and symptoms of depression and anxiety. Findings: Prevalence of gambling disorder was 5.1%. Multivariable regression analyses indicated that likelihood of gambling participation (i.e., ever gambling) was associated with current indebtedness (RR = 1.56, 95%CI = 1.08–2.25, p = .017) and worse self-reported health (RR = 1.31, 95%CI = 1.04–1.65, p = .02). Increased symptoms of gambling disorder were independently associated with lower perceived social support (RR = 0.92, 95%CI = 0.87–0.98, p = .006), increased dependents relying upon monthly remittances (RR = 1.10, 95%CI = 1.06–1.16, p < .001), increased depression severity (RR = 1.16, 95%CI = 1.07–1.25, p < .001), decreased salary quintile (RR = 0.97, 95%CI = 0.94–1.00, p = .04), and proximity to the nearest Mocha Club gaming venues (RR = 1.04, 95%CI = 1.02–1.07, p = .005). The association between proximity to casinos and increased symptoms of gambling disorder was significant only for domestic workers living apart from employers (RR = 1.07, 95%CI = 1.00–1.14, p = .04). Conclusions: Increased spatial proximity to gambling venues and greater financial and psychosocial burdens are associated with gambling disorder among domestic workers in Macao.
AB - Background and aims: Correlates and risk factors for gambling disorder among vulnerable or transient populations such as transnational migrant workers are unknown. The current study examined sociodemographic and spatial correlates of gambling disorder among female Filipino domestic workers in Macao (SAR), China. Design: Survey-based, respondent-driven sampling study administered from November 2016 to August 2017. Setting: Macao (SAR), which encompassed 38 casinos within its 30.4 km2 area at the time of this study. Participants: Representative sample of N = 1194 female Filipino domestic workers in Macao. Measurements: Symptoms of gambling disorder based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Correlates evaluated included sociodemographic information, proximity to venues, perceived social support, and symptoms of depression and anxiety. Findings: Prevalence of gambling disorder was 5.1%. Multivariable regression analyses indicated that likelihood of gambling participation (i.e., ever gambling) was associated with current indebtedness (RR = 1.56, 95%CI = 1.08–2.25, p = .017) and worse self-reported health (RR = 1.31, 95%CI = 1.04–1.65, p = .02). Increased symptoms of gambling disorder were independently associated with lower perceived social support (RR = 0.92, 95%CI = 0.87–0.98, p = .006), increased dependents relying upon monthly remittances (RR = 1.10, 95%CI = 1.06–1.16, p < .001), increased depression severity (RR = 1.16, 95%CI = 1.07–1.25, p < .001), decreased salary quintile (RR = 0.97, 95%CI = 0.94–1.00, p = .04), and proximity to the nearest Mocha Club gaming venues (RR = 1.04, 95%CI = 1.02–1.07, p = .005). The association between proximity to casinos and increased symptoms of gambling disorder was significant only for domestic workers living apart from employers (RR = 1.07, 95%CI = 1.00–1.14, p = .04). Conclusions: Increased spatial proximity to gambling venues and greater financial and psychosocial burdens are associated with gambling disorder among domestic workers in Macao.
KW - Gambling disorder
KW - Migrant workers
KW - Psychosocial factors
KW - Spatial proximity
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U2 - 10.1016/j.addbeh.2019.05.021
DO - 10.1016/j.addbeh.2019.05.021
M3 - Article
C2 - 31146151
AN - SCOPUS:85066152406
SN - 0306-4603
VL - 97
SP - 49
EP - 55
JO - Addictive Behaviors
JF - Addictive Behaviors
ER -