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Youth gambling in Alberta : the Alberta Youth Experience Survey 2002 PDF

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TABLE OF CONTENTS EXECUTIVE SUMMARY 3 TABLES Part I: T AYES Methods Table 1: Measuring gambling problem and Findings 3 severity 7 Part II: Related Youth Gambling Table 2: The prevalence of gambling Research 3 among Alberta young people in grades 7 t o 12 8 INTRODUCTION 4 Table 3: Frequency of participation in About TAYES 4 gambling activities, all Alberta youth About This Report 4 (as percentages) 9 Gambling Defined 4 Table 4: Participation in gambling activities, non-problem gamblers versus hazardous Gambling in Alberta 4 or problem gamblers (as percentages) 1 1 PART I: Table 5: Participation in gambling in TAYES METHODS AND FINDINGS 6 the last 12 months, all Alberta youth Method 6 (as percentages) 12 TAYES Results 8 Table 6: Prevalence of gambling problems among Alberta youth who gamble PART II: (as percentages) 13 RELATED YOUTH GAMBLING Table 7; SOGS-RA problems experienced by RESEARCH— A LITERATURE REVIEW 19 Alberta youth who gamble (as percentages).... 14 Research Methods 19 Table 8: A p rofile of gambling among Gambling Screens 19 Canadian youth 21 FIGURES Gambling Behaviour 20 Youth Gambling: Figure 1: Participation in gambling activities at least once in last 12 months, all Alberta A Demographic Profile 22 youth, by grade (as percentages) 10 Risk Factors 23 Figure 2: Use of other substances Discussion and Conclusions 24 by gambling problem severity level 15 REFERENCES 26 Figure 3: Grade level as an indicator APPENDIX 29 of gambling participation levels (as percentages) 15 South Oaks Gambling Screen-Revised Figure 4: Risk behaviour of peers as for Adolescents (SOGS-RA) 29 an indicator of gambling participation levels (as percentages) 16 Figure 5: Number of close friends who gamble as an indicator of gambling participation levels (as percentages) 16 Figure 6: Family history of substance abuse as an indicator of gambling participation levels (as percentages) 17 Figure 7; School disconnection as an indicator of gambling participation levels (as percentages) 17 Figure 8: Signs of leaving school early as an indicator of gambling problem severity (as percentages) 18 Alberta Alcohol and Drug Abuse Commission (AADAC) Suggested citation Alberta Alcohol and Drug Abuse Commission. (2005). Youth Gambling in Alberta: The Alberta Youth Experience Survey 2002. Edmonton, Alberta, Canada; Author. Citation of this source is appreciated. The Albena Youih Experience Siu rvey 2002 o c EXECUTIVE SUMMARY * Youth Gambling in Alberta is one of a series of • Alberta young people who are hazardous or summary reports developed from The Alberta problem gamblers are more likely to have Youth Experience Survey 2002 (TAYES). It focuses a number of risk factors. They are more likely to on the gambling behaviour of Alberta adolescents - b e older in grades 7 to 12. - h ave close friends who smoke, drink, abuse The report is structured in two parts: drugs, break the law, or gamble • Part I p resents TAYES methods and findings family - h ave a h istory of substance abuse in their about youth gambling in Alberta. • Part II e xplores youth gambling research - f eel disconnected from school literature that relates to the TAYES findings. - show signs of leaving school early Part I: TAYES Methods and Findings Part II: Related Youth Gambling • The majority of young people in Alberta Research (58.8%) do not gamble. • Young people in Alberta exhibit the same • An additional third of Alberta youth (31 .7%) general patterns of gambling participation as are non-problem gamblers. other North American youth. • A s mall proportion of Alberta youth are • Research about adolescent gambling is classified as either hazardous gamblers (5.7%) a relatively new field. Further studies are or problem gamblers (3.8%). This represents needed to establish 13,075 and 8,821 young people respectively. - risk factors and underlying causes • The most common youth gambling activities - g ambling patterns, prevalence, and trends (based on a pre-selected list) are playing scratch - l evels of harm related to adolescent gambling tabs (30.8%), playing cards for money (23.0%), and betting on sporting events with friends - valid, reliable screening tools to identify (21.1%). the prevalence and consequences of youth gambling and problem gambling • Grade, gender, and ethnicity are all significantly related to Alberta young people's levels of - standardized operational terminology to participation in gambling. Young people are describe gambling behaviour and facilitate more likely to have gambled or to be hazardous cross-jurisdictional comparisons of youth or problem gamblers if they are gambling research - i n grades 10 to 12 - t he impact of newer, electronic forms - male of gambling (including Internet gambling and video lottery terminals [VLTs]) on young - A boriginal • Neither the region of Alberta nor the size people of the community in which young people live is significantly related to levels of participation in gambling. INTRODUCTION About TAYES lem gambling among youth is defined and measured. It discusses the prevalence of youth The Alberta Youth Experience Survey 2002 (TAYES) gambling, the factors that make young people sought to answer questions about the proportion susceptible to gambling problems, and the of Alberta youth who gambled or used alcohol, consequences of problem gambling. tobacco or other drugs and the proportion of Alberta youth who gambled or used substances Gambling Defined in a harmful way. The survey also sought to investigate the factors that AADAC defines gambling as "the act of risking money or something else of value on an activity • helped protect adolescents from harmful substances with an uncertain outcome" (AADAC, 2004). AADAC (2005) defines problem gambling as • increased adolescents' risk of substance use gambling behaviour that adversely affects gamblers or abuse or gambling or their families, friends, or communities. It defines in 2003, the Alberta Alcohol and Drug Abuse the characteristics of problem gambling as Commission (AADAC) prepared three reports • continuous or periodic loss of control over based on TAYES: a summary report (Alberta Alcohol and Drug Abuse Commission [AADAC], gambling behaviour 2003c), a technical report (AADAC, 2003d), • preoccupation with gambling and with obtain- and an overview of risk and protective factors ing money to gamble (AADAC, 2003b). The current report is one of • irrational thinking a series of special topical reports intended for use • continuation of gambling behaviour despite by professional educators and addictions workers. Like other TAYES topical reports, it is intended to negative consequences provide more detail on TAYES results and relevant Problem gambling can create ongoing, serious literature than is contained in the summary report consequences such as depression, stress-related (AADAC, 2003c). conditions such as insomnia and back pain, Additional copies of this and other reports interpersonal conflict, alienation from family and related to TAYES can be ordered from AADAC or friends, criminal behaviour, and poor performance downloaded for free from the AADAC website. at school or at work (AADAC, 2005). Some researchers suggest there is no clear About This Report transition point between gambling and problem The introduction to this report provides a working gambling. Rather, gambling behaviour varies over definition of gambling and an overview of the the course of a gambler's lifetime and can move gambling scene in Alberta. back and forth between non-problematic and Part I of the report summarizes TAYES results severely problematic (Ontario Problem Gambling Research Centre, 2003; Canadian Health related to youth gambling. It also describes Network, n.d.). the study sample and method. Part II o f the report explores youth gambling Gambling in Alberta research literature that relates to the TAYES Gambling is a rapidly growing industry that creates findings. It discusses youth gambling within the context of gambling in Alberta and Canada employment and generates billions of dollars for government programs, for the tourism industry, for < as a whole. It outlines the various ways that prob- arts and culture, and for charities and communities Ea The Alberta Youth Experience Survey 2002 The Alberta Youth Experience Survey Ji.. across the province. In 2003-2004, gambling raised Horse racing is regulated by the Alberta Racing $226 million for Alberta charities (an increase of Corporation under the Horse Racing Alberta Act. 9.7% from the previous year) and contributed Internet gambling, playing cards for money (except more than 4% ($1.2 billion) to the province's total in casinos), and online or in-person betting on revenue (Alberta Finance, 2004; P. Arnold-Schutta, sporting events are covered under the Criminal persona! communication, April, 2005). Code of Canada. Although the personal and social costs of gambling Gambling age restrictions are set by the Gaming are still not well understood, most Canadians view and Liquor Act and Alberta Gaming and Liquor gambling as a socially accepted activity (Azmier, Commission policy (Alberta Gaming, 2005; J. 2001a). Annett, personal communication, March 2005). Policy dictates that minors cannot buy or redeem Most gambling in Alberta (James, 2003) is lottery tickets, raffle tickets, or pull tickets. governed by Canada's Criminal Code* and The Gaming and Liquor Act dictates that VLTs by the province's Gaming and Liquor Act. The Act is administered and regulated by are allowed only on premises that are off-limits to minors — although the law does not actually the Alberta Gaming and Liquor Commission. It covers prohibit minors from playing VLTs. The Gaming and Liquor Act also prohibits minors from entering • charitable gaming (including bingos, casinos, casinos and bingo facilities that offer electronic raffles, pull tickets) gaming. • provincial lotteries (including VLTs, slot machines and ticket lotteries) • liquor sales and consumption * The Criminal Code gives provinces sole authority to manage and conduct gambling activities. PART I TAYES METHODS AND FINDINGS Method The young people in the sample ranged from 1 1 to 20 years old, although most (96.2%) were between TAYES 2002 was based on an 84-question survey administered to a representative sample of Alberta 12 and 17. Two per cent (2%) of the sample were between 18 and 20 years old. young people in grades 7 to 12. This report analyzes the data collected for TAYES 2002. Data Collection and Analysis The survey methods are reported in detail in TAYES participants completed an 84-question survey The Alberta Youth Experience Survey 2002: Technical administered by research staff in October and Report {AADAC, 2003d). November 2002. The survey and the process for Ethics, Confidentiality and Consent administering it were tested in one school with TAYES 2002 was conducted in compliance with the students in grades 7 t o 12. (The French-language Health Information Act and the Freedom of version of the survey was tested in a French immersion class.) Information and Protection of Privacy Act. Ethics approval was granted by the Community Research Details about the survey process are outlined in Ethics Board of Alberta. the TAYES technical report (AADAC, 2003d). The report also describes the quality control Active, informed parental consent was obtained in accordance with the requirements of the ethics measures taken to ensure the validity of the data. review board (see the TAYES technical report Chi-square tests were conducted on the six demo- [AADAC, 2003d] for details). The TAYES parental graphic variables used to analyze the gambling consent response rate of 52% is consistent with behaviour of TAYES participants. Details about those of similar surveys that required active analysis methods, statistical significance measures, informed consent. and confidence intervals are provided in the TAYES Schools that took part in the survey kept the technical report (AADAC, 2003d). names of participants and their parents confiden- The Gambling Screen tial. Research staff had no access to these names, TAYES 2002 included 14 questions designed to nor were the names of participating schools collect information about youth gambling. One survey made public. Survey results were reported on question established the prevalence and frequency an aggregate basis and did not identify individuals, of gambling by asking respondents to indicate how communities, or schools. often they participated in eight gambling or betting The Sample activities. Another question determined survey The TAYES 2002 survey sample of 3,394 is represen- participants' age when they first gambled or bet tative of m ost Alberta young people in grades 7 t o for money or possessions. The South Oaks Gambling 12. The survey sample was designed as a stratified Screen-Revised for Adolescents (SOGS-RA)* comprised random cluster sample with selection proportionate an additional 12 questions designed to identify to classroom size. It was stratified by five regions hazardous (at-risk) and problem gambling behaviour. This screen has been used extensively in adolescent aggregated from regional health authority bound- aries as t hey existed in April 2002 and by school gambling studies in Canada and the United States grade. The survey was administered in randomly (Rossen, 2001; Langhinrichsen-Rohling, Rohling, selected classrooms in 89 schools in 39 school Rohde, & S eeley, 2004). SOGS-RA includes divisions throughout the province. Private, federal 16 questions, 12 of which are scored to identify and provincial schools were excluded. problem gambling behaviour (Derevensky s < * The original South Oaks Gambling Screen (SOGS) — published by Henry Lesieur and Sheila Burns in 1987 — was revised and adapted for adolescents by Winters, Stinchfield, and Fulkerson in 1993. MB The Alberta Youth Experience Survey 2002 The Albefia Youih £»pei>ehce Survey 2002 & G upta, 2000; Langhinrichsen-Rohling et al., identify individuals who showed signs of having 2004). Each question deals with a possible gambling problems. Most research studies based gambling problem: a score of 1 (rather than 0) on SOGS-RA use the terms "at-risk gamblers" indicates that the problem applies. The overall and "problem gamblers" instead This report uses SOGS-RA score, which is the sum of the points the terms "hazardous" and "problem gamblers." for all 12 questions, can range from 0 t o 12. In the TAYES study, SOGS-RA scores were used in Only the 12 scored questions of the SOGS-RA conjunction with gambling frequency to construct screen were included in the TAYES questionnaire. a f our-level scale of gambling problem severity The questions and details about how each was • Non-gamblers indicated no gambling behaviour scored are included in the appendix. • Non-problem gamblers reported SOGS-RA scores identify problem gambling in one of two ways (Poulin, 2000); - g ambling about once a week and having no problems (SOGS-RA = 0 ), or • by using narrow criteria, which consider only the question scores - g ambling less frequently (from once a month to several times a y ear) and having one • by using broad criteria, which consider SOGS-RA of 1 2 p ossible problems (SOGS-RA = 1 ) scores in conjunction with gambling frequency • Hazardous ("at-risk") gamblers reported In both approaches, predetermined cut-off scores - g ambling weekly and having one problem are used to classify adolescents as non-gamblers, (SOGS-RA = 1), or non-problem gamblers, at-risk gamblers, or prob- lem gamblers. - g ambling less frequently and having two or TAYES 2002 used broad criteria to interpret survey more problems (SOGS-RA ^ 2 ) participants' SOGS-RA scores. (This approach was • Problem ("potential problem") gamblers reported also used in adolescent gambling studies conduct- - g ambling daily (regardless of the SOGS-RA ed in t he Atlantic provinces in 1998.) To facilitate score), or comparisons of the study's gambling results with its results for alcohol, tobacco, and illicit drug use, - g ambling weekly and having two or more problems (SOGS-RA ^ 2 ) TAYES used the labels "hazardous gamblers" to identify individuals at risk of developing gambling Table 1 shows how gambling severity levels were assigned. problems and "potential problem gamblers" to Table 1: Measuring gambling problem severity Gambling frequency SOGS-RA score 0 SOGS-RA score 1 SOGS-RA score 2 or higher Not at all Non-gamblers N/A N/A Several times a y ear Non-problem gamblers Non-problem gamblers Hazardous gamblers Less than once a month Non-problem gamblers Non-problem gamblers Hazardous gamblers About once a month Non-problem gamblers Non-problem gamblers Hazardous gamblers About once a week Non-problem gamblers Hazardous gamblers Problem gamblers Daily Problem gamblers Problem gamblers Problem gamblers Limitations TAYES results cannot be generalized to youth who Methodological limitations of TAYES are identified are not attending school (e.g., street youth), or in the technical report (AADAC, 2003d). Only limi- to youth who go to private, federal, or provincial tations relevant to the analysis of youth gambling schools since these groups were not included behaviour are identified in the following section. in the sample. Using a multi-stage stratified sample design The SOGS-RA screening tool used in the TAYES requires weighting to adjust the sample propor- study imposes additional limitations (see tions to reflect the subpopulation values in their "Gambling Screens" in Part II o f this report). More true proportions. Using weighted data has two research is needed to assess the construct validity implications: of the SOGS-RA. As well, the cut-off points used in this study may overestimate the prevalence of 1) If t he sample is not representative of the strata, problem gambling. Because the area of adolescent applying a weight factor exaggerates the bias. gambling is fairly new and different studies of 2) Using weighted data increases level of youth gambling use different screens and cut-off significance. points, comparisons across studies are difficult. As a result, for better representation of the popula- TAYES Results tion, the frequencies reported in this summary were based on weighted data. However, statistical Gambling Behaviour tests were conducted on unweighted data so TAYES findings for Alberta young people in grades that significance levels could be estimated more 7 to 12 show that the majority (58.8%) do not accurately. gamble. Almost a third (31.7%) gamble, but have The small number of young people in some no gambling problems. A s mall percentage (5.7%) subgroups precluded the use of statistical tests are classified as hazardous gamblers, and 3.8% for some proportional differences. For this reason, have gambling problems (see Table 2) hazardous and problem gamblers were often reported together. Table 2: The prevalence of gambling among Alberta young people in grades 7 t o 12* Gambling classification level Percentage of Alberta youth 58.8 Non-gamblers (no gambling behaviour) Non-problem gamblers (gamble and report 0 o r 1 of 12 possible problems) 31.7 Hazardous gamblers (gamble frequently and report 1 problem OR gamble less frequently and report 2 o r more problems) 5.7 Problem gamblers (gamble daily OR gamble weekly and report 2 o r more problems) 3.8 s * G ambling problems were identified by using SOGS-RA scores in conjunction with gambling frequency. See p. 7 f or details. The Alberta Youth Experience Survey 2002

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