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Telescoping and Gender Differences in the Time Course of Disordered Gambling: Evidence from a General Population Sample
Journal article   Open access   Peer reviewed

Telescoping and Gender Differences in the Time Course of Disordered Gambling: Evidence from a General Population Sample

Wendy S Slutske, Thomas M Piasecki, Arielle R Deutsch, Dixie J Statham and Nicholas G Martin
Addiction, Vol.110(1), pp.144-151
2015
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PDF - Author's Accepted Version626.02 kBDownloadView
Accepted VersionPDF - Author Accepted Version Open Access
url
https://doi.org/10.1111/add.12717View
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Abstract

gender differences disordered gambling telescoping effect
Background and aim: The course of disordered gambling in women has been described as "telescoped" compared with that in men, with a later age at initiation of gambling but shorter times from initiation to disorder. This study examined the evidence, for the first time, for such a telescoping effect in a general population rather than a treatment-seeking sample. Method: Participants in a large community-based Australian twin cohort (2,001 men, 2,662 women) were assessed by structured diagnostic telephone interviews in which they reported the ages at which they had attained various gambling milestones and additional information to be used as covariates (the types of gambling in which they had participated and history of symptoms of alcohol dependence, major depression, and adult antisocial behavior). Cox proportional hazards regression models were used to examine differences between men and women in the time from gambling initiation to the first disordered gambling symptom and a diagnosis of disordered gambling. Results: Men had a higher hazards than women for the time to the first disordered gambling symptom (HR = 3.13, p less than .0001) and to a diagnosis of disordered gambling (HR = 2.53, p less than .0001). These differences persisted after controlling for covariates. Earlier age of initiation was the most potent predictor of progression to the first symptom. Conclusions: When assessed at the general population level, female gamblers do not appear to show a telescoped disordered gambling trajectory compared with male gamblers.

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