体育彩票购买成瘾行为特征与健康相关服务

doi:10.3969/j.issn.1006-9771.2024.11.005

Abstract

Abstract:

Objective To analyze the characteristics of sports lottery purchase addiction behavior and provide evidence for health-related services and public health intervention strategies for lottery buyers at different risk levels.

Methods Based on International Classification of Diseases, 11th Revision, and International Classification of Functioning, Disability, and Health, the psychological and behavioral characteristics of lottery addiction and its functional impairments were analyzed. A questionnaire survey was conducted on 1 920 sports lottery buyers from Zhejiang, Hainan, Hunan, Gansu, Yunnan and Heilongjiang provinces from June to August, 2024, using the Risk Level Questionnaire for Sports Lottery Addiction Behavior, the Characteristics Measurement Questionnaire for Sports Lottery Purchase Behavior, and the Functional Impairments Measurement Questionnaire for Sports Lottery Addiction Behavior. The health service system and public health intervention measures for sports lottery addiction were comprehensively discussed based on WHO policies and international research findings on gambling addiction.

Results A total of 1 817 valid questionnaires were collected. There were significant differences in the prevalence of addictive behavior at different risk levels across gender (χ²= 12.804, P < 0.005), age (χ²= 40.825, P < 0.001), income (χ²= 41.522, P < 0.001), economic zone (χ²= 37.658, P < 0.001) and years of lottery purchase history (χ²= 66.520, P < 0.001). The lottery participation (Z = -5.068, P < 0.001), frequency of purchase (Z = -2.561, P = 0.01) and expenditure-to-income ratio (Z = -4.062, P < 0.001) increased in those with addictive behavior risk. Risk levels of addiction behavior significantly predicted physical harm, negative emotions, influences on work and academic performance, deterioration in interpersonal relationships, and financial problems, and prediction effects increased with risk levels.

Conclusion Lottery purchase addiction is predominant in young males with low incomes and short purchase histories, in central and western economic regions, which may be associated with purchase time, frequency and economic expenditure. Addiction behavior may impair individuals' physical, psychological and social functioning. A health-related service system encompassing prevention, intervention, rehabilitation and health promotion is needed to address lottery purchase addiction. Public health intervention strategies should focus on setting health goals, prioritizing health needs, mobilizing resources and implementing guidance plans, to provide support and services for groups at different risk levels of addiction to mitigate its harms.

Key words: sports lottery, addictive behavior, gambling disorder, health related service

CLC Number:

R749.99

ZHANG Dongjun, GAN Zheng, LIU Lian. Characteristics and health-related service of addictive behavior in sports lottery purchase[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1272-1280.

Figures/Tables 4

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References 25

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被试基本特征		n
地区	浙江省湖州市	137
	浙江省宁波市	177
	海南省海口市	156
	海南省三亚市	145
	湖南省长沙市	160
	湖南省岳阳市	149
	甘肃省兰州市	146
	甘肃省天水市	142
	云南省昆明市	154
	云南省西双版纳市	149
	黑龙江省哈尔滨市	149
	黑龙江省双鸭山市	153
购彩年限/年	≤ 1	609
	1~3	478
	4~6	325
	7~10	198
	> 10	207
性别	男	1038
性别	女	779
学历	初中及以下	199
	高中	347
	大专	513
	本科	644
	硕士及以上	114
年龄/岁	< 30	755
	30~44	692
	45~59	294
	≥ 60	76
月收入/元	≤ 2000	305
	2001~4000	458
	4001~6000	569
	6001~8000	237
	> 8000	248

项目	无风险	低风险	中风险	成瘾倾向	χ²值	P值
流行情况	713	246	274	584
性别					12.804	0.005
男性	402	135	137	364
女性	311	111	137	220
年龄/岁					40.825	< 0.001
< 30	269	95	122	269
30~44	276	83	94	239
45~59	126	58	49	61
≥ 60	42	10	9	15
收入/元					41.522	< 0.001
≤ 2000	96	23	52	134
2001~4000	168	62	73	155
4001~6000	244	84	79	162
6001~8000	106	36	34	61
> 8000	99	41	36	72
高等教育					2.099	0.552
是	223	79	79	165
否	490	167	195	419
所处经济带					37.658	< 0.001
东部经济带	261	105	95	154
中部经济带	112	35	44	118
西部经济带	218	69	78	226
东北经济带	122	37	57	86
购彩年限/年					66.520	< 0.001
< 1	235	66	91	217
1~3	158	61	68	191
4~6	129	54	46	96
7~10	108	21	30	39
> 10	83	44	39	41

项目	PGSI = 0 (n = 713)	PGSI ≥ 1 (n = 1104)	Z值	P值
参与时间/min	10(5, 20)	10(5, 30)	-5.068	< 0.001
购彩频率/(d·周^-1)	3(1, 4)	3(1, 5)	-2.561	0.010
购彩支出占收入比/%	1.67(0.5, 6)	2.36(0.67, 6.42)	-4.062	< 0.001
购彩金额/元	80(20, 200)	100(20, 300)	-1.798	0.072

功能障碍	方程1 生理危害		方程2 消极情绪		方程3 工作学业影响		方程4 人际关系恶化		方程5 经济问题
功能障碍	B	β	B	β	B	β	B	β	B	β
无风险
低风险	0.495	0.058^b	0.354	0.055^b	0.388	0.059^b	0.251	0.038^a	0.373	0.056^b
中风险	0.662	0.081^c	0.527	0.085^c	0.381	0.061^b	0.375	0.059^b	0.504	0.079^c
成瘾倾向	4.299	0.688^c	3.290	0.692^c	3.438	0.713^c	3.388	0.791^c	3.428	0.697^c
R²	0.428		0.433		0.467		0.457		0.441

Characteristics and health-related service of addictive behavior in sports lottery purchase

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