There are significant gaps in research on gambling and problem gambling among people of African descent in Canada. In this qualitative research the author sought to explore the experiences and perceptions of African Nova Scotians who self-identify as “problem gamblers”, individuals who have been impacted by family members with gambling problems and African Nova Scotian community members. The author also examined the structural and cultural factors that influence help-seeking for African Nova Scotians with gambling problems. The results of the research revealed that problem gambling impacts individuals, family members and the African Nova Scotian community as a whole. African Nova Scotians’ perceptions of gambling, problem gambling and available treatment services prevented service accessibility for gambling related problems. Cultural and structural factors also prevented help-seeking among African Nova Scotians with gambling related problems, hence the underrepresentation of African Nova Scotians in treatment services. / This thesis focuses on the impact of problem gambling on African Nova Scotians and the factors that influence treatment accessibility for gambling related problems.

The general aim of this thesis was to examine risk gambling in the general population from a psychological perspective. This was done in three studies targeting personality, risky alcohol habits and gambling motives, respectively. Initially, 19 530 randomly assigned Swedish citizens were screened for problem gambling via telephone using the two questions in the Lie/Bet questionnaire. This sample constitutes the basis for one of the studies in the thesis. For the other studies, individuals answering yes to one of the questions in the Lie/Bet questionnaire and agreeing to participate further were sent a postal questionnaire. The questionnaire included questions about gambling, personality and gambling motives.   Some of the main results showed that: Negative consequences of gambling were associated with higher levels of impulsivity and negative affectivity. Risk gamblers reported lower levels of negative affectivity compared to the general population. Compared to non-risk gamblers, twice as many of the risk gamblers reported weekly binge drinking during the past 12 months. This association, however, seemed to be explained by shared demographic characteristics, rather than by the risk gambling causing binge drinking. High risk gamblers more often reported that they gambled for the challenge and for coping reasons, compared to low risk gamblers. High risk gamblers had overall stronger motives for gambling. The results also indicated that the level of risk gambling was highly intertwined with gambling motives and could explain some differences in gambling motives between, for example, women/men and younger/older gamblers. One of the focal points in the discussion was that higher levels of negative affectivity may be a cause of elevated problems rather than a cause of risk gambling. Another issue discussed was that the level of risk- /problem gambling may be important to consider when comparing gambling motives across subgroups of gamblers.

<p>Problem gambling, a fairly recent addition to the Diagnostic and Statistical Manual of Mental Disorders, is estimated to affect between two and five percent of the US adult population (Volberg 2001). While present in all racial groups, this disorder is not evenly distributed, as Blacks are more likely than any other group to become problem gamblers (Welte et al. 2006). And while this pattern is consistent with those found with other disorders (Black 1984; Ford and Widiger 1989; Strakowski et al. 1993), it is important to note that thirty years ago, when the first study of problem gambling prevalence was conducted and the disease had only recently been institutionalized, there was no difference in rate of illness by race (Kallick et al. 1979). This dissertation aims to explore this phenomenon: the role of race in the making of problem of gambling. </p><p>Through a multi-site and multi-method approach, this study examines the assumed race neutrality of gambling addiction. By tracing the history of gambling policy and North Carolina's adoption of a lottery program, this study explores how the state further defined problem gambling as a mental illness. Following this, participant observation of state-sponsored problem gambling counselor training workshops provides insight into the ways racialized understandings of behavior are constructed and maintained through counselor education. To gain a sense of how gambling is lived, this study involves participant observation of lottery gambling in convenience stores to interrogate racialized conceptions of behavior and reveal how financial gain motivates gambling across groups.</p> / Dissertation

The impacts of the introduction of casino gambling in Plainville, MA and surrounding communities are of interest in developing informed policy. Problem gambling is a public health issue as associated harms include physical and mental illness, impaired relationships with one’s close social network, impacts on school or work, financial difficulties and illegal behavior. The results of surveys prior to and after the introduction of the casino were used to evaluate potential differences in the prevalence of at-risk and problem gambling, associations amongst health and gambling behavior covariates with at-risk and problem gambling status by year, and changes of covariate relationships with at-risk and problem gambling between years (2014 Total n = 1,090; 2016 Total n = 999; Total N = 2,089). No change in prevalence of at-risk and problem gambling was observed. A borderline significant higher rate in casino gambling between survey years was observed for at-risk and problem gamblers. Future research should aim to explore the influence of gambling availability on vulnerable subgroups of the population to create fully informed policy.

Background: Poor inhibitory control is a hallmark of problem gambling (PG), which is characterised by frequent gambling and unsuccessful efforts to control/stop gambling. Stress and PG demonstrate a cyclical relationship, whereby gambling can act as a coping mechanism for dealing with stressful life events, while consistent gambling engagement can increase stress. To date, few studies examine acute stress effects on inhibitory control (IC) in this group. Purpose: This study compares acute stress effects on IC in PG and healthy control (HC) populations. Methods: Twenty participants with PG and twenty HCs completed self-report measures of mood disturbance (Profile of Mood States; POMS) and impulsivity (Barratt Impulsiveness Scale); saliva samples were collected to measure cortisol. The Trier Social Stress Test was administered to induce an acute stress response, followed by the Stop-Signal Task (SST), a validated measure of IC. Results: Subjective stress responses increased over time in both groups, with the PG group demonstrating significantly higher POMS ratings (p<.05), however, no differences in cortisol levels were observed between groups (p>.05). Moreover, no group differences were observed on the SST (p>.05). Exploratory correlations revealed significant positive and negative correlations between cortisol levels and ‘go’ reaction time and ‘stop’ signal reaction time on the SST, respectively (p<.05). Conclusion: This study is the first, to our knowledge, to directly examine acute psychosocial stress effects on IC in individuals with PG. Our findings show that while both groups display similar cortisol levels, individuals with PG report increased subjective stress relative to HCs. Despite no stress-induced impairments on SST performance, significant correlations were observed between task reaction time and cortisol levels in the PG group. This study helps to better inform clinical practice by providing a comprehensive understanding of the implications of stress and IC on gambling behaviours. / Thesis / Master of Health Sciences (MSc) / Problem gambling (PG) is characterised by problems with impulsivity and inhibitory control. Stress affects inhibitory control and appears heightened in PG, but few studies examine this relationship. This study examined acute stress effects on inhibitory control task performance, which may underlie the loss of control during gambling episodes that is often experienced by those with PG. Participants with PG and healthy controls (HCs) completed questionnaires relating to impulsivity and stress, and were exposed to an acute stressor and provided saliva samples to measure physiological stress (cortisol). Later participants completed a task examining reaction time as a measure of inhibitory control. Results showed that individuals with PG reported increased stress relative to HCs, despite having similar cortisol levels. While acute stress did not impair inhibitory control on the task, significant correlations were observed between task reaction time and cortisol levels, which suggests a strong relationship between inhibitory control and physiological stress response.

Pacific peoples in New Zealand are identified as having the highest risk and prevalence of problem and pathological gambling behaviours. Despite increasing awareness of gambling related harms in New Zealand there is a dearth of research on Pacific gambling, the reasons for problem gambling and the risks gambling poses for these populations. This thesis examines contemporary Samoan gambling and problem gambling through the perceptions and in-depth understandings of thirty-two Samoan participants. Pacific research methodologies premised on Pacific epistemologies, practices and protocols provide the cultural framework that supports the qualitative methods used in this research. These cultural methodologies also provide the context within which data gathered is analysed, interpreted and discussed. The method used within this thesis is an amalgam of Pacific and grounded theory approaches. The research identifies Samoan cultural factors that play a major role in understanding contemporary Samoan gambling. It links the deep-rooted cultural understandings of va/teu le va that are associated with early Samoan games and sports with contemporary Samoan gambling behaviours and practices. The research provides cultural understandings of the complex conditions and processes within which contemporary Samoan gambling and problem gambling are embedded, constituted and differentiated for Samoan people in New Zealand. These understandings are used to explore the extent to which gambling impacts harm Samoan individuals, families and communities. The research also describes cultural factors that are associated with motivations for contemporary Samoan gambling. It demonstrates that concepts such as ‘winning’, ‘fundraising’ and ‘socialising’ act as primary motivations for engagement and explores ways in which these drivers challenge the va and teu le va that are inherent within fa’aSamoa. The potency of these new motivations is illustrated through consideration of cultural practices such as fa’alavelave, status acquisition, religion and hospitality. These factors are not only complex but they also play an important role in the initiation, development and maintenance of Samoan gambling. This thesis articulates a broad knowledge base of cultural factors, practices, influences and understandings that are associated with contemporary Samoan gambling in New Zealand. It highlights how Samoan (problem) gambling while often rationalised in terms of aiga enhancing precepts is in reality most often undermining and eroding of aiga values and practices. In light of these findings, contextually effective Samoan solutions incorporated into Public Health interventions are recommended as a means of addressing the alarming gambling-related issues facing Samoan people in New Zealand. A greater emphasis on aiga/familial interventions rather than focusing on individuals is crucial since aiga and close social networks are identified as playing an important role in the development and maintenance of gambling behaviour and can also be effective catalysts and supports for behavioural change. Further research is indicated to better understand and develop the knowledge-base on contemporary Samoan gambling with specific relevance to Samoan youth and adult populations in New Zealand. / Whole document restricted, but available by request to UoA members, use the feedback form to request access.

Problem gambling is the subclinical form of pathological gambling and both are characterized by difficulties in the limiting of money and time spent on gambling. Genetic and personality factors have been implicated in gambling disorders (PG). As PG is classified as an impulse-control disorder, the serotonin (5-HT) system has been suggested to be involved. We sought to better understand the complex relationship between personality traits, PG, and 5-HT genes. We investigated ten 5-HT candidate genes for association with PG and personality traits. We also examined personality traits for association with PG. We found that MAOA and HTR3A haplotypes were associated with Agreeableness and Conscientiousness personality domains, PG was associated with high Neuroticism and low Conscientiousness scores, and the MAOA gene may play a role in PG. Our findings contribute to the better understanding of how 5-HT genes may be involved in the neurobiological mechanisms underlying PG and personality.

Problem gambling is the subclinical form of pathological gambling and both are characterized by difficulties in the limiting of money and time spent on gambling. Genetic and personality factors have been implicated in gambling disorders (PG). As PG is classified as an impulse-control disorder, the serotonin (5-HT) system has been suggested to be involved. We sought to better understand the complex relationship between personality traits, PG, and 5-HT genes. We investigated ten 5-HT candidate genes for association with PG and personality traits. We also examined personality traits for association with PG. We found that MAOA and HTR3A haplotypes were associated with Agreeableness and Conscientiousness personality domains, PG was associated with high Neuroticism and low Conscientiousness scores, and the MAOA gene may play a role in PG. Our findings contribute to the better understanding of how 5-HT genes may be involved in the neurobiological mechanisms underlying PG and personality.

Pacific peoples in New Zealand are identified as having the highest risk and prevalence of problem and pathological gambling behaviours. Despite increasing awareness of gambling related harms in New Zealand there is a dearth of research on Pacific gambling, the reasons for problem gambling and the risks gambling poses for these populations. This thesis examines contemporary Samoan gambling and problem gambling through the perceptions and in-depth understandings of thirty-two Samoan participants. Pacific research methodologies premised on Pacific epistemologies, practices and protocols provide the cultural framework that supports the qualitative methods used in this research. These cultural methodologies also provide the context within which data gathered is analysed, interpreted and discussed. The method used within this thesis is an amalgam of Pacific and grounded theory approaches. The research identifies Samoan cultural factors that play a major role in understanding contemporary Samoan gambling. It links the deep-rooted cultural understandings of va/teu le va that are associated with early Samoan games and sports with contemporary Samoan gambling behaviours and practices. The research provides cultural understandings of the complex conditions and processes within which contemporary Samoan gambling and problem gambling are embedded, constituted and differentiated for Samoan people in New Zealand. These understandings are used to explore the extent to which gambling impacts harm Samoan individuals, families and communities. The research also describes cultural factors that are associated with motivations for contemporary Samoan gambling. It demonstrates that concepts such as ‘winning’, ‘fundraising’ and ‘socialising’ act as primary motivations for engagement and explores ways in which these drivers challenge the va and teu le va that are inherent within fa’aSamoa. The potency of these new motivations is illustrated through consideration of cultural practices such as fa’alavelave, status acquisition, religion and hospitality. These factors are not only complex but they also play an important role in the initiation, development and maintenance of Samoan gambling. This thesis articulates a broad knowledge base of cultural factors, practices, influences and understandings that are associated with contemporary Samoan gambling in New Zealand. It highlights how Samoan (problem) gambling while often rationalised in terms of aiga enhancing precepts is in reality most often undermining and eroding of aiga values and practices. In light of these findings, contextually effective Samoan solutions incorporated into Public Health interventions are recommended as a means of addressing the alarming gambling-related issues facing Samoan people in New Zealand. A greater emphasis on aiga/familial interventions rather than focusing on individuals is crucial since aiga and close social networks are identified as playing an important role in the development and maintenance of gambling behaviour and can also be effective catalysts and supports for behavioural change. Further research is indicated to better understand and develop the knowledge-base on contemporary Samoan gambling with specific relevance to Samoan youth and adult populations in New Zealand. / Whole document restricted, but available by request, use the feedback form to request access.

Pacific peoples in New Zealand are identified as having the highest risk and prevalence of problem and pathological gambling behaviours. Despite increasing awareness of gambling related harms in New Zealand there is a dearth of research on Pacific gambling, the reasons for problem gambling and the risks gambling poses for these populations. This thesis examines contemporary Samoan gambling and problem gambling through the perceptions and in-depth understandings of thirty-two Samoan participants. Pacific research methodologies premised on Pacific epistemologies, practices and protocols provide the cultural framework that supports the qualitative methods used in this research. These cultural methodologies also provide the context within which data gathered is analysed, interpreted and discussed. The method used within this thesis is an amalgam of Pacific and grounded theory approaches. The research identifies Samoan cultural factors that play a major role in understanding contemporary Samoan gambling. It links the deep-rooted cultural understandings of va/teu le va that are associated with early Samoan games and sports with contemporary Samoan gambling behaviours and practices. The research provides cultural understandings of the complex conditions and processes within which contemporary Samoan gambling and problem gambling are embedded, constituted and differentiated for Samoan people in New Zealand. These understandings are used to explore the extent to which gambling impacts harm Samoan individuals, families and communities. The research also describes cultural factors that are associated with motivations for contemporary Samoan gambling. It demonstrates that concepts such as ‘winning’, ‘fundraising’ and ‘socialising’ act as primary motivations for engagement and explores ways in which these drivers challenge the va and teu le va that are inherent within fa’aSamoa. The potency of these new motivations is illustrated through consideration of cultural practices such as fa’alavelave, status acquisition, religion and hospitality. These factors are not only complex but they also play an important role in the initiation, development and maintenance of Samoan gambling. This thesis articulates a broad knowledge base of cultural factors, practices, influences and understandings that are associated with contemporary Samoan gambling in New Zealand. It highlights how Samoan (problem) gambling while often rationalised in terms of aiga enhancing precepts is in reality most often undermining and eroding of aiga values and practices. In light of these findings, contextually effective Samoan solutions incorporated into Public Health interventions are recommended as a means of addressing the alarming gambling-related issues facing Samoan people in New Zealand. A greater emphasis on aiga/familial interventions rather than focusing on individuals is crucial since aiga and close social networks are identified as playing an important role in the development and maintenance of gambling behaviour and can also be effective catalysts and supports for behavioural change. Further research is indicated to better understand and develop the knowledge-base on contemporary Samoan gambling with specific relevance to Samoan youth and adult populations in New Zealand. / Whole document restricted, but available by request to UoA members, use the feedback form to request access.