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Social and economic costs of gambling problems and related harm among UK military veterans

Shaun Harris Orcid Logo, Rhys Pockett Orcid Logo, Glen Dighton Orcid Logo, Katie Wood, C Armour, M Fossey, L Hogan, N Kitchiner, J Larcombe, R D Rogers, Simon Dymond Orcid Logo

BMJ Military Health, Pages: bmjmilitary - 2021

Swansea University Authors: Shaun Harris Orcid Logo, Rhys Pockett Orcid Logo, Glen Dighton Orcid Logo, Katie Wood, Simon Dymond Orcid Logo

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DOI (Published version): 10.1136/bmjmilitary-2021-001892

Abstract

Introduction Military veterans are at heightened risk of problem gambling. Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) veterans. We investigated the social and economic costs of gambling among a large sample of veterans through dif...

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Published in: BMJ Military Health
ISSN: 2633-3767 2633-3775
Published: BMJ 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa57868
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Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) veterans. We investigated the social and economic costs of gambling among a large sample of veterans through differences in healthcare and social service resource use compared with age-matched and gender-matched non-veterans from the UK AF Veterans’ Health and Gambling Study.Methods An online survey measured sociodemographic characteristics, gambling experience and problem severity, mental health and healthcare resource utilisation. Healthcare provider, personal social service and societal costs were estimated as total adjusted mean costs and utility, with cost-consequence analysis of a single timepoint.Results Veterans in our sample had higher healthcare, social service and societal costs and lower utility. Veterans had greater contacts with the criminal justice system, received more social service benefits, had more lost work hours and greater accrued debt. A cost difference of £590 (95% CI −£1016 to −£163) was evident between veterans with scores indicating problem gambling and those reporting no problems. Costs varied by problem gambling status.Conclusions Our sample of UK AF veterans has higher healthcare, social service and societal costs than non-veterans. 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spelling v2 57868 2021-09-13 Social and economic costs of gambling problems and related harm among UK military veterans 10b1bd08dbad1f2681ff1e527af9f9a3 0000-0001-7724-6621 Shaun Harris Shaun Harris true false 8a3882ebcc6a8fb3b2c13fc2ff716bf2 0000-0003-4135-7383 Rhys Pockett Rhys Pockett true false 2a413b069254b5edfb6509b4c3b41ad7 0000-0002-9283-5114 Glen Dighton Glen Dighton true false 779901c0c2475d2e65a144891c67ce81 Katie Wood Katie Wood true false 8ed0024546f2588fdb0073a7d6fbc075 0000-0003-1319-4492 Simon Dymond Simon Dymond true false 2021-09-13 PHAC Introduction Military veterans are at heightened risk of problem gambling. Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) veterans. We investigated the social and economic costs of gambling among a large sample of veterans through differences in healthcare and social service resource use compared with age-matched and gender-matched non-veterans from the UK AF Veterans’ Health and Gambling Study.Methods An online survey measured sociodemographic characteristics, gambling experience and problem severity, mental health and healthcare resource utilisation. Healthcare provider, personal social service and societal costs were estimated as total adjusted mean costs and utility, with cost-consequence analysis of a single timepoint.Results Veterans in our sample had higher healthcare, social service and societal costs and lower utility. Veterans had greater contacts with the criminal justice system, received more social service benefits, had more lost work hours and greater accrued debt. A cost difference of £590 (95% CI −£1016 to −£163) was evident between veterans with scores indicating problem gambling and those reporting no problems. Costs varied by problem gambling status.Conclusions Our sample of UK AF veterans has higher healthcare, social service and societal costs than non-veterans. Veterans experiencing problem gambling are more costly but have no reduction in quality of life. Journal Article BMJ Military Health 0 bmjmilitary 2021 BMJ 2633-3767 2633-3775 18 10 2021 2021-10-18 10.1136/bmjmilitary-2021-001892 http://dx.doi.org/10.1136/bmjmilitary-2021-001892 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University Other Forces in Mind Trust 2023-10-20T11:20:42.3807345 2021-09-13T14:02:33.2946194 Faculty of Medicine, Health and Life Sciences Shaun Harris 0000-0001-7724-6621 1 Rhys Pockett 0000-0003-4135-7383 2 Glen Dighton 0000-0002-9283-5114 3 Katie Wood 4 C Armour 5 M Fossey 6 L Hogan 7 N Kitchiner 8 J Larcombe 9 R D Rogers 10 Simon Dymond 0000-0003-1319-4492 11 57868__24102__5b0ac3eb25ca4f77bee94c63d5762d2f.pdf 57868.pdf 2022-05-17T09:41:38.0224645 Output 301427 application/pdf Version of Record true © Author(s) (or their employer(s)) 2021. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license true eng http://creativecommons.org/licenses/by-nc/4.0/
title Social and economic costs of gambling problems and related harm among UK military veterans
spellingShingle Social and economic costs of gambling problems and related harm among UK military veterans
Shaun Harris
Rhys Pockett
Glen Dighton
Katie Wood
Simon Dymond
title_short Social and economic costs of gambling problems and related harm among UK military veterans
title_full Social and economic costs of gambling problems and related harm among UK military veterans
title_fullStr Social and economic costs of gambling problems and related harm among UK military veterans
title_full_unstemmed Social and economic costs of gambling problems and related harm among UK military veterans
title_sort Social and economic costs of gambling problems and related harm among UK military veterans
author_id_str_mv 10b1bd08dbad1f2681ff1e527af9f9a3
8a3882ebcc6a8fb3b2c13fc2ff716bf2
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8ed0024546f2588fdb0073a7d6fbc075
author_id_fullname_str_mv 10b1bd08dbad1f2681ff1e527af9f9a3_***_Shaun Harris
8a3882ebcc6a8fb3b2c13fc2ff716bf2_***_Rhys Pockett
2a413b069254b5edfb6509b4c3b41ad7_***_Glen Dighton
779901c0c2475d2e65a144891c67ce81_***_Katie Wood
8ed0024546f2588fdb0073a7d6fbc075_***_Simon Dymond
author Shaun Harris
Rhys Pockett
Glen Dighton
Katie Wood
Simon Dymond
author2 Shaun Harris
Rhys Pockett
Glen Dighton
Katie Wood
C Armour
M Fossey
L Hogan
N Kitchiner
J Larcombe
R D Rogers
Simon Dymond
format Journal article
container_title BMJ Military Health
container_volume 0
container_start_page bmjmilitary
publishDate 2021
institution Swansea University
issn 2633-3767
2633-3775
doi_str_mv 10.1136/bmjmilitary-2021-001892
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
url http://dx.doi.org/10.1136/bmjmilitary-2021-001892
document_store_str 1
active_str 0
description Introduction Military veterans are at heightened risk of problem gambling. Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) veterans. We investigated the social and economic costs of gambling among a large sample of veterans through differences in healthcare and social service resource use compared with age-matched and gender-matched non-veterans from the UK AF Veterans’ Health and Gambling Study.Methods An online survey measured sociodemographic characteristics, gambling experience and problem severity, mental health and healthcare resource utilisation. Healthcare provider, personal social service and societal costs were estimated as total adjusted mean costs and utility, with cost-consequence analysis of a single timepoint.Results Veterans in our sample had higher healthcare, social service and societal costs and lower utility. Veterans had greater contacts with the criminal justice system, received more social service benefits, had more lost work hours and greater accrued debt. A cost difference of £590 (95% CI −£1016 to −£163) was evident between veterans with scores indicating problem gambling and those reporting no problems. Costs varied by problem gambling status.Conclusions Our sample of UK AF veterans has higher healthcare, social service and societal costs than non-veterans. Veterans experiencing problem gambling are more costly but have no reduction in quality of life.
published_date 2021-10-18T11:20:44Z
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score 11.012924

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