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133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA |
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Silvia S. Martins, MD, PhD1, Nicholas Ialongo, PhD2, and Howard Chilcoat, ScD1. (1) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway Hampton House 8th floor, Baltimore, MD 21205, 410-614-2852, smartins@jhsph.edu, (2) Department of Mental Hygiene, Johns Hopkins School of Public Health, 624 North Broadway, Baltimore, MD 21205
Objectives: This study describes the incidence of gambling disorders and estimates the associations of gambling disorders with drug use/abuse/dependence, conduct disorders, and deviant peer affiliation among adolescents. Methods: Data were drawn from the JHU PIRC Second Generation Intervention Trial, which started in 1993 and initially consisted of 678 urban first-graders from 9 elementary schools located in western Baltimore. In 11th grade, gambling behavior and disorders were screened through the SOGS-RA (South Oaks Gambling Screen, adolescent- version) in 515 predominantly African-American adolescents (88%). Multinomial logistic regression models (outcomes: no problem gambling, at-risk gambling and problem gambling) were used to test associations of gambling with lifetime and past-year drug use, past year drug abuse/dependence, lifetime and past-year conduct disorders, and with past-year deviant peer affiliation. Results: Incidence of problem and at-risk gambling were 2.72% and 5.28%, respectively. Lifetime and past-year tobacco, marijuana (past-year OR:4.8) and ecstasy use (past-year OR:17.7) signaled increased risk of at-risk gambling. Risk of problem gambling was higher for those with versus without lifetime tobacco and marijuana use and past-year marijuana (OR:5.9) and ecstasy use (OR:13.0). Past-year ecstasy abuse and marijuana dependence signaled increased risk of at-risk and problem gambling, past-year alcohol abuse (OR:14.1) signaled increased risk of problem gambling. Lifetime conduct disorder was significantly associated with at-risk (OR:5.8) and problem gambling (OR:6.6); past-year high affiliation with deviant peers signaled increased risk of at-risk gambling (OR:3.6). Conclusion: Adolescent gambling seems to be strongly associated with adolescent drug and conduct disorders, and might share the same developmental roots.
Learning Objectives: At the conclusion of this session the attendents will be able to
Keywords: Adolescents, African American
Presenting author's disclosure statement:
I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.
The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA