학술논문
Social and economic costs of gambling problems and related harm among UK military veterans.
Document Type
Academic Journal
Author
Harris S; Swansea Centre for Health Economics, Swansea University, Swansea, UK.; Pockett RD; Swansea Centre for Health Economics, Swansea University, Swansea, UK.; Dighton G; School of Psychology, Swansea University, Swansea, UK.; Wood K; School of Psychology, Swansea University, Swansea, UK.; Armour C; School of Psychology, Queen's University Belfast, Belfast, UK.; Fossey M; Veterans and Families Institute for Military Social Research, Anglia Ruskin University, Chelmsford, UK.; Hogan L; School of Human and Behavioural Sciences, Bangor University, Bangor, UK.; Kitchiner N; Veterans' NHS Wales, Cardiff, UK.; Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.; Larcombe J; The Recovery Course, Tonbridge, UK.; Rogers RD; School of Human and Behavioural Sciences, Bangor University, Bangor, UK.; Dymond S; School of Psychology, Swansea University, Swansea, UK s.o.dymond@swansea.ac.uk.; Department of Psychology, Reykjavik University, Reykjavik, Iceland.
Source
Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101761581 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2633-3775 (Electronic) Linking ISSN: 26333767 NLM ISO Abbreviation: BMJ Mil Health Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: Military veterans are at heightened risk of problem gambling. Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) veterans. We investigated the social and economic costs of gambling among a large sample of veterans through differences in healthcare and social service resource use compared with age-matched and gender-matched non-veterans from the UK AF Veterans' Health and Gambling Study.
Methods: An online survey measured sociodemographic characteristics, gambling experience and problem severity, mental health and healthcare resource utilisation. Healthcare provider, personal social service and societal costs were estimated as total adjusted mean costs and utility, with cost-consequence analysis of a single timepoint.
Results: Veterans in our sample had higher healthcare, social service and societal costs and lower utility. Veterans had greater contacts with the criminal justice system, received more social service benefits, had more lost work hours and greater accrued debt. A cost difference of £590 (95% CI -£1016 to -£163) was evident between veterans with scores indicating problem gambling and those reporting no problems. Costs varied by problem gambling status.
Conclusions: Our sample of UK AF veterans has higher healthcare, social service and societal costs than non-veterans. Veterans experiencing problem gambling are more costly but have no reduction in quality of life.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Methods: An online survey measured sociodemographic characteristics, gambling experience and problem severity, mental health and healthcare resource utilisation. Healthcare provider, personal social service and societal costs were estimated as total adjusted mean costs and utility, with cost-consequence analysis of a single timepoint.
Results: Veterans in our sample had higher healthcare, social service and societal costs and lower utility. Veterans had greater contacts with the criminal justice system, received more social service benefits, had more lost work hours and greater accrued debt. A cost difference of £590 (95% CI -£1016 to -£163) was evident between veterans with scores indicating problem gambling and those reporting no problems. Costs varied by problem gambling status.
Conclusions: Our sample of UK AF veterans has higher healthcare, social service and societal costs than non-veterans. Veterans experiencing problem gambling are more costly but have no reduction in quality of life.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)