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Miles M, Andersson M, Claesdotter-Knutsson E, Kapetanovic S, Håkansson A. Gambling Habits and Attitudes among Athlete and Non-Athlete High School Students in Skåne Region, Sweden. J Gambl Stud 2025; 41:203-217. [PMID: 38995518 PMCID: PMC11861237 DOI: 10.1007/s10899-024-10333-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2024] [Indexed: 07/13/2024]
Abstract
Previous literature has reported increased rates of gambling problems in athletes compared to non-athletes. More liberal gambling-related attitudes have been suggested as a reason, although this rarely has been researched. The present study aimed to examine gambling experience, gambling problems, and gambling-related attitudes and parental gambling experience in high school students, comparing student-athletes to students at conventional schools. This is a cross-sectional web survey study in high school students (N = 473, 53% at sports high schools, 57% male) at eleven schools in the Skåne region, Sweden, who answered a web survey addressed gambling experiences, parental gambling and gambling-related attitudes, and included validated screening instruments for gambling problems and psychological distress. A history of any gambling was common and increased with age. Problem gambling was detected in 10% (13% of males and 5% of females, p < .001), and was associated with paternal and maternal gambling but not with psychological distress. Sports high school students were not more likely (9%) than other students (10%) to endorse gambling problems and history of each gambling type. However, paternal (but not maternal) gambling was more commonly reported in athletes, who also had more positive attitudes to gambling's effects on society and gambling availability. In contrast to other studies, this study did not demonstrate higher prevalence of gambling or gambling problems among young athletes than among other students, but liberal attitudes towards gambling, and experience of parental gambling on the father's side, were more common among athletes than among non-athletes. Gambling attitudes in adolescents may need to be targeted in future preventive efforts in young athletes and others.
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Affiliation(s)
- Molly Miles
- Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Baravägen 1, Psychiatry, Lund, S-221 00, Sweden
- Malmö Addiction Center, Region Skåne, Sweden
| | - Mitchell Andersson
- Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Baravägen 1, Psychiatry, Lund, S-221 00, Sweden
- Malmö Addiction Center, Region Skåne, Sweden
| | - Emma Claesdotter-Knutsson
- Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Baravägen 1, Psychiatry, Lund, S-221 00, Sweden
- Department of Child and Adolescent Psychiatry', Region Skåne, Sweden
| | - Sabina Kapetanovic
- Högskolan Väst, Western University, Trollhättan, Sweden
- Stockholm University, Stockholm, Sweden
| | - Anders Håkansson
- Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Baravägen 1, Psychiatry, Lund, S-221 00, Sweden.
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Håkansson A, Andersson MJ, Claesdotter-Knutsson E, Kenttä G. Problem gambling among elite ice hockey players in Sweden - elevated prevalence among male, but not female athletes. PHYSICIAN SPORTSMED 2025. [PMID: 40016144 DOI: 10.1080/00913847.2025.2473874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2025] [Revised: 02/14/2025] [Accepted: 02/26/2025] [Indexed: 03/01/2025]
Abstract
OBJECTIVES An emerging body of research reveals a heightened risk of gambling problems among elite athletes, particularly among males, but these studies often suffer from small sample sizes and lack diverse representation across sports and groups. This study aimed to investigate gambling problems and their correlates among elite male and female ice hockey players in Sweden's top leagues. METHODS During the labor union's on-site visits to Swedish ice hockey clubs in the top two tiers for males and the top tier for females, a web-based survey was conducted. Players were screened for gambling problems using the Problem Gambling Severity Index, and for depression, anxiety, and hazardous drinking using other standardized instruments. Estimated study participation was 75-80%. RESULTS Among male athletes, 12% met the criteria for moderate-risk or problem gambling, while none of the females met this threshold. Approximately 24% of male and 2% of female participants reported any degree of at-risk gambling. In males, gambling problems were strongly associated with depressive and anxiety symptoms and with hazardous alcohol consumption. CONCLUSION Gambling problems are 3-4 times more prevalent among elite male ice hockey players compared to young men in the general population. The authors discuss the associated mental health consequences, vulnerability to match-fixing-related fraud, and the need for preventive measures and easy access to treatment.
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Affiliation(s)
- Anders Håkansson
- Faculty of Medicine, Dept of Clinical Sciences Lund, Psychiatry, Lund University, Lund, Sweden
- Region Skåne, Malmö Addiction Center, Sports and Mental Health Research Unit, Sweden
| | - Mitchell J Andersson
- Faculty of Medicine, Dept of Clinical Sciences Lund, Psychiatry, Lund University, Lund, Sweden
- Region Skåne, Malmö Addiction Center, Sports and Mental Health Research Unit, Sweden
| | - Emma Claesdotter-Knutsson
- Faculty of Medicine, Dept of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund University, Lund, Sweden
- Region Skåne, Division of Child and Adolescent Psychiatry, Sweden
| | - Göran Kenttä
- Swedish Sports Confederation, Stockholm, Sweden
- The Swedish School of Sport and Health Sciences, Stockholm, Sweden
- School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
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Vinberg M, Durbeej N, Rosendahl I. Young male athletes at risk for problem gambling: Findings from a cross-sectional study in Sweden. Scand J Psychol 2023; 64:766-775. [PMID: 37283029 DOI: 10.1111/sjop.12934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 05/15/2023] [Accepted: 05/16/2023] [Indexed: 06/08/2023]
Abstract
Previous research has shown that male athletes at the elite level in Sweden have a higher proportion of gambling problems than the average male population in the country. However, there is a knowledge gap in the prevalence of gambling problems among young athletes. To address this gap, this study aimed to explore gambling behavior among young athletes and to examine the associations between individual and environmental factors and problem gambling. The cross-sectional survey comprised questions from the Problem Gambling Severity Index and the Alcohol Use Disorders Identification Test, in addition to self-constructed items on individual and environmental factors. The data were derived from a sample of 1,636 students from the National Sports Education Program (NIU) and 816 grassroots athletes of the same age (16-20 years old). The results showed that male athletes had a higher prevalence of problem gambling compared to female athletes, and that a large proportion of male athletes had gambled during school hours. The prevalence of problem gambling was almost zero for women. The prevalence of problem gambling among male athletes over 18 years of age was 9% in NIU athletes and 3.6% in grassroots athletes, while for men under 18 years of age, the prevalence was 4.9% in NIU athletes and 1.3% in grassroots athletes. The study highlights the importance of considering contextual factors such as the school and team environment in preventing problem gambling among young male athletes.
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Affiliation(s)
| | - Natalie Durbeej
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Ingvar Rosendahl
- Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm County Council, Karolinska Institutet, Stockholm Health Care Services, Stockholm, Sweden
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Part of the Game? Exploring the Prevalence and Normalization of Gambling in Belgian Sports Clubs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116527. [PMID: 35682112 PMCID: PMC9180427 DOI: 10.3390/ijerph19116527] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 05/25/2022] [Accepted: 05/26/2022] [Indexed: 02/06/2023]
Abstract
Gambling and sports are entangled in a close relationship. However, little remains known about gambling behaviors and perceptions in sports. Drawing on normalization theory, this study explores the prevalence and predictors of problem gambling as well as the normalization of gambling (including its availability and accessibility, prevalence, and socio-cultural accommodation) in sports clubs. A cross-sectional study design was implemented, based on an online survey completed by 817 Belgian sports club actors. This survey consisted of the Problem Gambling Severity Index (PGSI) and questions about personal and socio-cultural factors regarding gambling. Data were analyzed with SPSS 26 software, using descriptive statistics and an ordinal logistic regression analysis. These analyses exposed being male, being aged 26-35 years old, and being involved in football (soccer) as factors that might be linked with higher levels of problem gambling in sports. Furthermore, sports betting is especially shown to be normalized in sports clubs given its prevalence, and its frequently organized and discussed character. Moreover, respondents disclosed a lack of formal rules (96%) and education initiatives (98.7%) on gambling in their sports club. Given the indicated support for gambling regulations and educational measures, this study may inform sports organizations about how to help denormalize gambling.
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Håkansson A, Durand-Bush N, Kenttä G. Problem Gambling and Problem Gaming in Elite Athletes: a Literature Review. Int J Ment Health Addict 2021; 21:1-17. [PMID: 34867124 PMCID: PMC8634748 DOI: 10.1007/s11469-021-00692-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/11/2021] [Indexed: 11/25/2022] Open
Abstract
Researchers have raised concerns about mental health in elite athletes, including problem gambling, where research hitherto is scarce. While gambling has been assessed in the younger student-athlete population, neither gambling nor the recently recognized behavioral addiction of gaming disorder has been sufficiently addressed in the elite athlete population. The present systematic literature review aimed to summarize research knowledge on the prevalence and correlates of problem gambling and problem gaming in elite athletes. Research papers were searched systematically using the Scopus, PsycINFO, and PubMed/MEDLINE databases and evaluated following a PRISMA paradigm. For the elite athlete population, eight reports on problem gambling and one report on problem gaming were found. While at least five papers indicated an increased risk of problem gambling in elite athletes compared to the general population, one study from Australia indicated the opposite. Problem gambling was generally more common in male athletes. Knowledge of problem gaming prevalence is thus far limited. It is concluded that increased research in problem gambling and problem gaming in elite athletes is warranted.
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Affiliation(s)
- Anders Håkansson
- Dept. of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden
- Clinical Sports and Mental Health Unit, Malmö Addiction Center, Region Skåne, Malmö, Sweden
- Malmö Addiction Center, Region Skåne, Södra Förstadsgatan 35, plan 4. S-205 02, Malmö, Sweden
| | - N. Durand-Bush
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
- Canadian Centre for Mental Health and Sport, Orleans, Canada
| | - G. Kenttä
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
- The Swedish School of Sport and Health Sciences, Stockholm, Sweden
- Swedish Sport Federation, Stockholm, Sweden
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Håkansson A, Jönsson C, Kenttä G. Match-Fixing Causing Harm to Athletes on a COVID-19-Influenced Gambling Market: A Call for Research During the Pandemic and Beyond. Front Psychol 2021; 12:712300. [PMID: 34621216 PMCID: PMC8490709 DOI: 10.3389/fpsyg.2021.712300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 08/20/2021] [Indexed: 11/13/2022] Open
Abstract
Match-fixing, although not a new problem, has received growing attention during the COVID-19 pandemic, which has been reported in the media to have increased the risk of match-fixing events. Gambling is a well-documented addictive behavior, and gambling-related fraud, match-fixing, is a challenge to the world of sports. Most research on match-fixing has a judicial or institutional perspective, and few studies focus on its individual consequences. Nevertheless, athletes may be at particular risk of mental health consequences from the exposure to or involvement in match-fixing. The COVID-19 crisis puts a spotlight on match-fixing, as the world of competitive sports shut down or changed substantially due to pandemic-related restrictions. We call for research addressing individual mental health and psycho-social correlates of match-fixing, and their integration into research addressing problem gambling, related to the pandemic and beyond.
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Affiliation(s)
- A Håkansson
- Faculty of Medicine, Dept of Clinical Sciences Lund, Psychiatry, Lund University, Lund, Sweden.,Region Skåne, Malmö Addiction Center, Clinical Sports and Mental Health Unit, Malmö, Sweden
| | - C Jönsson
- Region Skåne, Malmö Addiction Center, Clinical Sports and Mental Health Unit, Malmö, Sweden.,FIFPRO (Global Representative for Professional Football Players), Hoofddorp, Netherlands.,Spelarföreningen, National Representative for Football Players, Stockholm, Sweden
| | - G Kenttä
- The Swedish School of Sport and Health Sciences, Stockholm, Sweden.,School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.,Swedish Sport Federation, Stockholm, Sweden
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