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Publications (6 of 6) Show all publications
Forsström, D., Sundqvist, K., Samuelsson, E. & Spångberg, J. (2024). Feasibility and results of a pilot online survey to examine prevalence of gambling and problem gambling among Swedish substance abuse inpatients in compulsory care. Cogent Psychology, 11(1), Article ID 2305543.
Open this publication in new window or tab >>Feasibility and results of a pilot online survey to examine prevalence of gambling and problem gambling among Swedish substance abuse inpatients in compulsory care
2024 (English)In: Cogent Psychology, E-ISSN 2331-1908, Vol. 11, no 1, article id 2305543Article in journal (Refereed) Published
Abstract [en]

The comorbidity between problem gambling and substance use/abuse is high in many populations previously studied. However, the occurrence of problem gambling among individuals with substance abuse has not been thoroughly studied, which is especially true for individuals in inpatient or compulsory care. The present early-stage study explored the presence of gambling and problem gambling among inpatients in compulsory care in Sweden who has been court-ordered to treatment for their substance abuse (alcohol and/or drugs). The study furthermore investigates the use of preventive measures and treatment seeking. The most effective strategy to recruit participants (no incentive, incentive and incentive and face-to-face recruitment) was also explored. Twenty-one participants were recruited and seven of them had at-risk or problem gambling and none of them had accessed treatment. The best way of recruiting was to offer a gift certificate and inform about the study face-to-face. The implications are that individuals in compulsory care for substance abuse need to be screened for problem gambling, that recruitment for studies in this population is best carried out by offering incentives and educational efforts and that it might be beneficial for the clients in compulsory care to be offered gambling treatment. 

Keywords
Substance abuse, compulsory care, comorbidity, problem gambling, confirmed cases
National Category
Public Health, Global Health, Social Medicine and Epidemiology Substance Abuse
Identifiers
urn:nbn:se:su:diva-226147 (URN)10.1080/23311908.2024.2305543 (DOI)001154202700001 ()2-s2.0-85183859985 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and WelfarePublic Health Agency of Sweden
Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2024-02-19Bibliographically approved
Spångberg, J., Månsson, J., Törrönen, J. & Samuelsson, E. (2023). Making sense of gambling. Swedish youth navigating between risk and responsibility. International Gambling Studies, 23(1), 57-74
Open this publication in new window or tab >>Making sense of gambling. Swedish youth navigating between risk and responsibility
2023 (English)In: International Gambling Studies, ISSN 1445-9795, E-ISSN 1479-4276, Vol. 23, no 1, p. 57-74Article in journal (Refereed) Published
Abstract [en]

Youth gambling is commonly described in policy and research as a high-risk behavior. To design relevant measures to prevent gambling problems among youth, it is important to understand how youth themselves relate to gambling. To explore how youth navigate their position on gambling in the context of their everyday lives, we conducted qualitative interviews with 35 participants aged 17–21 years in Sweden; 15 had gambled and 20 had experience of others’ gambling. The thematic analysis showed that both gamblers and non-gamblers overall had negative attitudes toward gambling and emphasized repeatedly discourses of personal responsibility in it. The participants used various neutralization techniques to navigate the economic and addictive risks of gambling. Youth who gambled distanced themselves from the risks of gambling by drawing a line between themselves and excessive gamblers, between safe and unsafe gambling, or highlighted how their skills and strategic thinking made gambling less problematic. Also, gambling in liminal circumstances abroad or in alcohol-serving venues offered a safe time and place for gambling by separating it from everyday life practices. The findings provide important cues to how young people locate gambling in their everyday life, which is useful knowledge for policy and prevention.

Keywords
Gambling, youth, risk, neutralizations, motives, Sweden, qualitative
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Public Health Sciences; Sociology; Social Work
Identifiers
urn:nbn:se:su:diva-206741 (URN)10.1080/14459795.2022.2077977 (DOI)000814123000001 ()2-s2.0-85132763624 (Scopus ID)
Projects
REGAPS
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-0709Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-00457
Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2023-06-09Bibliographically approved
Spångberg, J. & Goedecke, K. (2023). The Gendering of Gambling in Sweden. In: Fulvia Prever; Gretchen Blycker; Laura Brandt (Ed.), Behavioural Addiction in Women: An International Female Perspective on Treatment and Research (pp. 260-267). Routledge
Open this publication in new window or tab >>The Gendering of Gambling in Sweden
2023 (English)In: Behavioural Addiction in Women: An International Female Perspective on Treatment and Research / [ed] Fulvia Prever; Gretchen Blycker; Laura Brandt, Routledge, 2023, p. 260-267Chapter in book (Other academic)
Abstract [en]

In 2018, a follow-up study of a 2015 study on the prevalence of gambling in Sweden indicated that women were in the majority among problem gamblers. This suggests a change in the gendering of gambling in Sweden. However, no such change is recognized in help-seeking data. This raises questions: are women in the majority among problem gamblers? If so, what is the significance of this? In this chapter, we discuss gender and gambling in Sweden, giving an overview of recent developments. We argue for a deepened engagement with gender, the gendering of gambling, and a greater methodological diversity within gambling research.

Place, publisher, year, edition, pages
Routledge, 2023
National Category
Gender Studies Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:su:diva-217334 (URN)10.4324/9781003203476-33 (DOI)9781003203476 (ISBN)
Available from: 2023-05-24 Created: 2023-05-24 Last updated: 2023-05-24Bibliographically approved
Spångberg, J. & Svensson, J. (2022). Gambling among 16-year-olds and associated covariates: A Nordic comparison. Scandinavian Journal of Public Health, 50(2), 257-268
Open this publication in new window or tab >>Gambling among 16-year-olds and associated covariates: A Nordic comparison
2022 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 2, p. 257-268Article in journal (Refereed) Published
Abstract [en]

Aims: This study aimed to compare the prevalence in different gambling types as well as problem gambling in the Nordic countries, examining gambling, leisure activities, school truancy, parental relations and consumption of alcohol and other substances as covariates for problem gambling.Methods: Cross-country data were provided by the European Survey Project on Alcohol and Other Drugs (ESPAD) 2015. Prevalence of gambling and potential covariates were analysed for Denmark, Finland, Iceland Norway and Sweden (N=13,172 respondents aged 16 years), while analyses regarding problem gambling only included countries that participated in the optional questions on gambling problems (Denmark, Finland and Sweden;N=8108). We tested variables for problem gambling by bivariate logistic regression and multivariate logistic regression.Results: Cross-country differences were found in gambling and problem gambling, as well as differences in covariates for problem gambling. Sweden had the lowest rate of problem gambling. No significant difference was found between Denmark and Finland. Reports of too much gaming, inhalants, slots, betting and online gambling were positively associated with problem gambling, while parental monitoring and parental caring had a negative association. The relevance of the covariates varied across countries.Conclusions: Results indicate that although gambling regulation and its implementation have an important impact on gambling behaviour, we need more research on social, economic and cultural factors and how youth understand and interact with them. Contexts and regulations in other related fields should inform gambling research, policies and interventions.

Keywords
Adolescent, gambling, problem gambling, ESPAD, cross-country analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:su:diva-183648 (URN)10.1177/1403494820923814 (DOI)000540061000001 ()32522086 (PubMedID)
Available from: 2020-07-28 Created: 2020-07-28 Last updated: 2022-06-29Bibliographically approved
Forsström, D., Spångberg, J., Pettersson, A., Brolund, A. & Odeberg, J. (2021). A systematic review of educational programs and consumer protection measures for gambling: an extension of previous reviews. Addiction Research and Theory, 29(5), 398-412
Open this publication in new window or tab >>A systematic review of educational programs and consumer protection measures for gambling: an extension of previous reviews
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2021 (English)In: Addiction Research and Theory, ISSN 1606-6359, E-ISSN 1476-7392, Vol. 29, no 5, p. 398-412Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Besides supply reduction, preventive interventions to reduce harm from gambling include interventions for the reduction of demand and to limit negative consequences. Several interventions are available for gamblers, e.g. limit-setting. Reviews have been published examining the evidence for specific measures as well as evaluating the effect of different measures at an overall level. Only a few of these have used a systematic approach for their literature review. The aim of this systematic review and meta-analysis is twofold. First, to assess the certainty of evidence of different preventive measures in the field of educational programs and consumer protection measures, including both land-based and online gambling. The second is to present shortcomings in eligible studies to highlight what type of information is needed in future studies.

Method: This systematic review included measures administered in both real-life settings and online. Twenty-eight studies fulfilled our inclusion criteria and had low or moderate risk of bias.

Results: The results showed that only two measures (long term educational programs and personalized feed-back) had an impact on gambling behavior. Follow-up period was short, and measures did not include gambling as a problem. The certainty in most outcomes, according to GRADE, was very low. Several shortcomings were found in the studies.

Discussion: We concluded that the support for preventive measures is low and that a consensus statement regarding execution and methods to collect and analyze data for preventive gambling research is needed. Our review can serve as a starting point for future responsible gambling reviews since it evaluated certainty of evidence.

Keywords
prevention, gambling, systematic review, intervention, harm reduction
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychology
Research subject
Public Health Sciences; Psychology
Identifiers
urn:nbn:se:su:diva-179894 (URN)10.1080/16066359.2020.1729753 (DOI)000518824700001 ()
Available from: 2020-03-12 Created: 2020-03-12 Last updated: 2022-06-29Bibliographically approved
Spångberg, J. & Svensson, J. (2020). Associations Between Youth Unemployment and Underage Gambling in Europe. Journal of Gambling Issues (45), 91-110
Open this publication in new window or tab >>Associations Between Youth Unemployment and Underage Gambling in Europe
2020 (English)In: Journal of Gambling Issues, ISSN 1910-7595, no 45, p. 91-110Article in journal (Refereed) Published
Abstract [en]

The aim of this work was to explore the associations between youth unemployment and youth engagement in gambling forms that have age limits, namely, slots, sports betting, and cards, both online and offline. Cross-country data were provided by the 2015 European School Survey Project on Alcohol and Other Drugs, a school survey focused on 16-year-olds. Gambling analyses included 30 countries (n = 81,229 respondents). Descriptive analysis with statistical plot diagrams was used and the computed coefficient of determination adopted to identify correlations. The suggested correlation was further tested by multilevel logistic regression analysis, controlling for gender at Level 1 and for the Inequality Human Development Index, gross domestic product/capita, and public health expenditure at Level 2. Underage gambling was associated with a higher degree of adolescent unemployment. The results indicate that youth unemployment is associated with underage gambling, implying that a broad public health framework is needed in the prevention of problem gambling.

Keywords
underage gambling, youth unemployment, public health, Europe, ESPAD
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:su:diva-191662 (URN)10.4309/jgi.2020.45.5 (DOI)000595726800005 ()
Available from: 2021-03-30 Created: 2021-03-30 Last updated: 2022-06-29Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4264-0623

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