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. 2024 May 9;24(1):1270.
doi: 10.1186/s12889-024-18286-3.

'Getting addicted to it and losing a lot of money… it's just like a hole.' A grounded theory model of how social determinants shape adolescents' choices to not gamble

Nerilee Hing  1 , Hannah Thorne  2 , Lisa Lole  3 , Kerry Sproston  4 , Nicole Hodge  4 , Matthew Rockloff  3
Affiliations

'Getting addicted to it and losing a lot of money… it's just like a hole.' A grounded theory model of how social determinants shape adolescents' choices to not gamble

Nerilee Hing et al. BMC Public Health. .

Abstract

Background: Gambling abstinence when underage lowers the risk of harmful gambling in later life. However, little research has examined why many young people refrain from gambling, even though this knowledge can inform protective strategies and lower risk factors to reduce underage gambling and subsequent harm. This study draws on the lived experience of adolescent non-gamblers to explore how social determinants while growing up have shaped their reasons and choices to not gamble.

Methods: Fourteen Australian non-gamblers, aged 12-17 years, participated in an in-depth individual interview (4 girls, 3 boys) or online community (4 girls, 3 boys). Questions in each condition differed, but both explored participants' gambling-related experiences while growing up, including exposure, attitudes and behaviours of parents and peers, advertising, simulated gambling and motivations for not gambling. The analysis used adaptive grounded theory methods.

Results: The grounded theory model identifies several reasons for not gambling, including not being interested, being below the legal gambling age, discouragement from parent and peers, concern about gambling addiction and harm, not wanting to risk money on a low chance of winning, and moral objections. These reasons were underpinned by several social determinants, including individual, parental, peer and environmental factors that can interact to deter young people from underage gambling. Key protective factors were parental role modelling and guidance, friendship groups who avoided gambling, critical thinking, rational gambling beliefs, financial literacy and having other hobbies and interests.

Conclusions: Choices to not gamble emanated from multiple layers of influence, implying that multi-layered interventions, aligned with a public health response, are needed to deter underage gambling. At the environmental level, better age-gating for monetary and simulated gambling, countering cultural pressures, and less exposure to promotional gambling messages, may assist young people to resist these influences. Interventions that support parents to provide appropriate role modelling and guidance for their children are also important. Youth education could include cautionary tales from people with lived experience of gambling harm, and education to increase young people's financial literacy, ability to recognise marketing tactics, awareness of the risks and harms of gambling, and how to resist peer and other normalising gambling influences.

Keywords: Adolescents; Gambling; Grounded theory; Protective factors; Qualitative methods; Social determinants; Youth.

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Conflict of interest statement

I declare that the authors have no competing interests as defined by BMC, or other interests that might be perceived to influence the results and/or discussion reported in this paper.

Figures

Fig. 1
Fig. 1
Social determinants of reasons for not gambling amongst adolescents
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References

    1. Calado F, Alexandre J, Griffiths MD. Prevalence of adolescent problem gambling: a systematic review of recent research. J Gambl Stud. 2017;33(2):397–424. doi: 10.1007/s10899-016-9627-5. - DOI - PMC - PubMed
    1. Riley BJ, Oster C, Rahamathulla M, Lawn S. Attitudes, risk factors, and behaviours of gambling among adolescents and young people: a literature review and gap analysis. Int J Environ Res Public Health. 2021;18(3):984. doi: 10.3390/ijerph18030984. - DOI - PMC - PubMed
    1. Burge AN, Pietrzak RH, Molina CA, Petry NM. Age of gambling initiation and severity of gambling and health problems among older adult problem gamblers. Psychiatr Serv. 2004;55(12):1437–9. doi: 10.1176/appi.ps.55.12.1437. - DOI - PubMed
    1. Kessler RC, Hwang I, LaBrie R, Petukhova M, Sampson NA, Winters KC, et al. DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychol Med. 2008;38(9):1351–60. doi: 10.1017/S0033291708002900. - DOI - PMC - PubMed
    1. Rossen F, Butler R, Denny S. An exploration of youth participation in gambling & the impact of problem gambling on young people in New Zealand. Auckland: Auckland UniServices Limited; 2011.

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