The role of social support in the association between gambling, poor health and health risk-taking

Aims: Studies have shown that gambling is associated with poor health and health risk-taking behaviour. However, little is known about those factors that can influence the association between gambling, health risk-taking and health. Using a population-based School Health Promotion Study of eighth- and ninth-grade Finnish boys and girls (N = 62,956), we investigated the relationships between gambling frequency, health risk-taking and poor health as well as whether social support from parents, friends and school staff could mediate these associations. Methods: Path analysis was used to discover direct and indirect effects of health, health risk-taking and gambling. Results: Social support from parents and school staff decreased gambling among boys and girls, whereas among boys support from friends increased gambling. However, the role of social support as a mediator was very weak. Overall poor health and health risk-taking were associated with increased gambling. Conclusions: Gambling should be considered an important public health issue because it clusters with other unhealthy behaviour patterns. Interventions concerning adolescent gambling should also take other simultaneous risk-taking into consideration. Also social support from parents and school should be noted when trying to decrease adolescents’ gambling.

[1]  R. Jessor,et al.  Predicting Developmental Change in Healthy Eating and Regular Exercise Among Adolescents in China and the United States: The Role of Psychosocial and Behavioral Protection and Risk , 2010 .

[2]  N. Lien,et al.  Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. , 2001, Preventive medicine.

[3]  R. Jessor,et al.  Protective and risk factors in health-enhancing behavior among adolescents in China and the United States: does social context matter? , 2006, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[4]  M. Järvelin,et al.  Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[5]  J. Hallqvist,et al.  Psychosocial health and gambling problems among men and women aged 16-24 years in the Swedish National Public Health Survey. , 2013, European journal of public health.

[6]  F. Chiesi,et al.  A model to explain at-risk/problem gambling among male and female adolescents: gender similarities and differences. , 2013, Journal of adolescence.

[7]  R. Durant,et al.  Gambling and Other Risk Behaviors Among 8th- to 12th-Grade Students , 1998, Pediatrics.

[8]  R. Vilhjalmsson,et al.  Factors related to physical activity: a study of adolescents. , 1998, Social science & medicine.

[9]  K. King,et al.  Effect of social support on adolescents' perceptions of and engagement in physical activity. , 2008, Journal of physical activity & health.

[10]  G. Parcel,et al.  Supportive social relationships and adolescent health risk behavior among secondary school students in El Salvador. , 2006, Social science & medicine.

[11]  N. Chaumeton,et al.  Correlates of gambling among eighth-grade boys and girls. , 2011, The Journal of school health.

[12]  J. Groothoff,et al.  Influence of social support on health among gender and socio-economic groups of adolescents. , 2003, European journal of public health.

[13]  G A Colditz,et al.  A meta-analysis of physical activity in the prevention of coronary heart disease. , 1990, American journal of epidemiology.

[14]  Parsing Protection and Risk for Problem Behavior Versus Pro-social Behavior Among US and Chinese Adolescents , 2014, Journal of youth and adolescence.

[15]  A. Berchtold,et al.  Do youths gamble? You bet! A Swiss population-based study. , 2010, Swiss medical weekly.

[16]  C. McNeely,et al.  School connectedness and the transition into and out of health-risk behavior among adolescents: a comparison of social belonging and teacher support. , 2004, The Journal of school health.

[17]  R. Kaplan,et al.  Sleep discontinuity and impaired sleep continuity affect transition to and from obesity over time: Results from the Alameda County Study , 2010, Scandinavian journal of public health.

[18]  E. Labouvie Problem Behavior and Psychosocial Development; a Longitudinal Study of Youth , 1978 .

[19]  J. Smári,et al.  Prevalence Estimates of Gambling Participation and Problem Gambling among 16–18-year-old Students in Iceland: A Comparison of the SOGS-RA and DSM-IV-MR-J , 2005, Journal of Gambling Studies.

[20]  Mei-Yen Chen,et al.  Adequate sleep among adolescents is positively associated with health status and health-related behaviors , 2006, BMC public health.

[21]  R. Välimaa,et al.  Factors associated with perceived health among 12-year-old school children. Relevance of physical exercise and sense of coherence , 2005, Scandinavian journal of public health.

[22]  Y. Chan,et al.  Irregular Meal Timing Is Associated with Helicobacter pylori Infection and Gastritis , 2012, ISRN nutrition.

[23]  C. Perry,et al.  Depressive symptoms and adolescent eating and health behaviors: a multifaceted view in a population-based sample. , 2004, Preventive medicine.

[24]  Suchitra Krishnan-Sarin,et al.  Health/functioning characteristics, gambling behaviors, and gambling-related motivations in adolescents stratified by gambling problem severity: findings from a high school survey. , 2011, The American journal on addictions.

[25]  T. Torsheim,et al.  Prevalence and Correlates of Problem Gambling in a Representative Sample of Norwegian 17-Year-Olds , 2014, Journal of Gambling Studies.

[26]  S. Delany-Moretlwe,et al.  The association between social support and mental health among vulnerable adolescents in five cities: findings from the study of the well-being of adolescents in vulnerable environments. , 2014, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[27]  S. Kelder,et al.  Perceived Parental Monitoring and Health Risk Behavior among Public Secondary School Students in El Salvador , 2006, TheScientificWorldJournal.