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Published in: Journal of Gambling Studies 3/2016

Open Access 01-09-2016 | Original Paper

The Public Stigma of Problem Gambling: Its Nature and Relative Intensity Compared to Other Health Conditions

Authors: Nerilee Hing, Alex M. T. Russell, Sally M. Gainsbury, Elaine Nuske

Published in: Journal of Gambling Studies | Issue 3/2016

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Abstract

Problem gambling attracts considerable public stigma, with deleterious effects on mental health and use of healthcare services amongst those affected. However, no research has examined the extent of stigma towards problem gambling within the general population. This study aimed to examine the stigma-related dimensions of problem gambling as perceived by the general public compared to other health conditions, and determine whether the publicly perceived dimensions of problem gambling predict its stigmatisation. A sample of 2000 Australian adults was surveyed, weighted to be representative of the state population by gender, age and location. Based on vignettes, the online survey measured perceived origin, peril, concealability, course and disruptiveness of problem gambling and four other health conditions, and desired social distance from each. Problem gambling was perceived as caused mainly by stressful life circumstances, and highly disruptive, recoverable and noticeable, but not particularly perilous. Respondents stigmatised problem gambling more than sub-clinical distress and recreational gambling, but less than alcohol use disorder and schizophrenia. Predictors of stronger stigma towards problem gambling were perceptions it is caused by bad character, is perilous, non-recoverable, disruptive and noticeable, but not due to stressful life circumstances, genetic/inherited problem, or chemical imbalance in the brain. This new foundational knowledge can advance understanding and reduction of problem gambling stigma through countering inaccurate perceptions that problem gambling is caused by bad character, that people with gambling problems are likely to be violent to other people, and that people cannot recover from problem gambling.
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Literature
go back to reference Abbott, M. W., & Volberg, R. A. (1992). Frequent and problem gamblers in New Zealand. Research series no. 14. Wellington: Department of Internal Affairs. Abbott, M. W., & Volberg, R. A. (1992). Frequent and problem gamblers in New Zealand. Research series no. 14. Wellington: Department of Internal Affairs.
go back to reference Abbott, M. W., Williams, M. M., & Volberg, R. A. (2004). A prospective study of problem and regular nonproblem gamblers living in the community. Substance Use and Misuse, 39(6), 855–884.CrossRefPubMed Abbott, M. W., Williams, M. M., & Volberg, R. A. (2004). A prospective study of problem and regular nonproblem gamblers living in the community. Substance Use and Misuse, 39(6), 855–884.CrossRefPubMed
go back to reference Alem, A., Jacobsson, L., Araya, M., Kebede, D., & Kullgren, G. (1999). How are mental disorders seen and where is help sought in a rural Ethiopian community? A key informant study in Butajira, Ethiopia. Acta Psychiatrica Scandinavia, 397(Suppl), 40–47.CrossRef Alem, A., Jacobsson, L., Araya, M., Kebede, D., & Kullgren, G. (1999). How are mental disorders seen and where is help sought in a rural Ethiopian community? A key informant study in Butajira, Ethiopia. Acta Psychiatrica Scandinavia, 397(Suppl), 40–47.CrossRef
go back to reference Angermeyer, M. C., & Dietrich, S. (2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatrica Scandinavica, 113(3), 163–179.CrossRefPubMed Angermeyer, M. C., & Dietrich, S. (2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatrica Scandinavica, 113(3), 163–179.CrossRefPubMed
go back to reference Australian Bureau of Statistics (ABS). (2011). Census of population and housing. Canberra: ABS. Australian Bureau of Statistics (ABS). (2011). Census of population and housing. Canberra: ABS.
go back to reference Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.CrossRefPubMed Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.CrossRefPubMed
go back to reference Carroll, A., Rodgers, B., Davidson, T., & Sims, S. (2013). Stigma and help-seeking for gambling problems. Canberra: Australian National University. Carroll, A., Rodgers, B., Davidson, T., & Sims, S. (2013). Stigma and help-seeking for gambling problems. Canberra: Australian National University.
go back to reference Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., & Busch, J. T. A. (2014). Intervening within and across levels: A multilevel approach to stigma and public health. Social Science and Medicine, 103, 109.CrossRef Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., & Busch, J. T. A. (2014). Intervening within and across levels: A multilevel approach to stigma and public health. Social Science and Medicine, 103, 109.CrossRef
go back to reference Corrigan, P. W. (2004). How stigma interferes with health care. American Psychologist, 59(7), 614–625.CrossRefPubMed Corrigan, P. W. (2004). How stigma interferes with health care. American Psychologist, 59(7), 614–625.CrossRefPubMed
go back to reference Corrigan, P. W., & Fong, M. W. M. (2014). Competing perspectives on erasing the stigma of illness: What says the dodo bird? Social Science and Medicine, 103, 110–117.CrossRefPubMed Corrigan, P. W., & Fong, M. W. M. (2014). Competing perspectives on erasing the stigma of illness: What says the dodo bird? Social Science and Medicine, 103, 110–117.CrossRefPubMed
go back to reference Corrigan, P. W., Markowitz, R. E., Watson, A., Rowan, D., & Kubiak, M. A. (2003). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44, 162–179.CrossRefPubMed Corrigan, P. W., Markowitz, R. E., Watson, A., Rowan, D., & Kubiak, M. A. (2003). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44, 162–179.CrossRefPubMed
go back to reference Corrigan, P. W., & Watson, A. C. (2002a). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16.PubMedPubMedCentral Corrigan, P. W., & Watson, A. C. (2002a). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16.PubMedPubMedCentral
go back to reference Corrigan, P. W., & Watson, A. C. (2002b). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9, 35–53. Corrigan, P. W., & Watson, A. C. (2002b). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9, 35–53.
go back to reference Delfabbro, P. H. (2012). Australasian gambling review (5th ed.). Adelaide: Independent Gambling Authority. Delfabbro, P. H. (2012). Australasian gambling review (5th ed.). Adelaide: Independent Gambling Authority.
go back to reference Dhillon, J., Horch, J. D., & Hodgins, D. C. (2011). Cultural influences on stigmatization of problem gambling: East Asian and Caucasian Canadians. Journal of Gambling Studies, 27(4), 633–647.CrossRefPubMed Dhillon, J., Horch, J. D., & Hodgins, D. C. (2011). Cultural influences on stigmatization of problem gambling: East Asian and Caucasian Canadians. Journal of Gambling Studies, 27(4), 633–647.CrossRefPubMed
go back to reference Dowling, N., Jackson, A. C., Thomas, S. A., & Freydenberg, E. (2010). Children at risk of developing problem gambling. Melbourne: Gambling Research Australia. Dowling, N., Jackson, A. C., Thomas, S. A., & Freydenberg, E. (2010). Children at risk of developing problem gambling. Melbourne: Gambling Research Australia.
go back to reference Feldman, D. B., & Crandall, C. S. (2007). Dimensions of mental illness stigma: What about mental illness causes social rejection? Journal of Social and Clinical Psychology, 26, 137–154.CrossRef Feldman, D. B., & Crandall, C. S. (2007). Dimensions of mental illness stigma: What about mental illness causes social rejection? Journal of Social and Clinical Psychology, 26, 137–154.CrossRef
go back to reference Fernandez Y-Garcia, E., Duberstein, P., Paterniti, D. A., Cipri, C. S., Kravitz, R. L., & Epstein, R. M. (2012). Feeling labeled, judged, lectured, and rejected by family and friends over depression: cautionary results for primary care clinicians from a multi-centered, qualitative study. BMC Family Practice, 13, 64.CrossRefPubMedPubMedCentral Fernandez Y-Garcia, E., Duberstein, P., Paterniti, D. A., Cipri, C. S., Kravitz, R. L., & Epstein, R. M. (2012). Feeling labeled, judged, lectured, and rejected by family and friends over depression: cautionary results for primary care clinicians from a multi-centered, qualitative study. BMC Family Practice, 13, 64.CrossRefPubMedPubMedCentral
go back to reference Gainsbury, S., Hing, N., & Suhonen, N. (2014a). Professional help-seeking for gambling problems: Awareness, barriers and motivators for treatment. Journal of Gambling Studies, 30(2), 503–519.CrossRefPubMed Gainsbury, S., Hing, N., & Suhonen, N. (2014a). Professional help-seeking for gambling problems: Awareness, barriers and motivators for treatment. Journal of Gambling Studies, 30(2), 503–519.CrossRefPubMed
go back to reference Gainsbury, S., Russell, A., & Blaszczynski, A. (2014b). Are psychology university student gamblers representative of non-university students and general gamblers? A comparative analysis. Journal of Gambling Studies, 30, 11–25.CrossRefPubMed Gainsbury, S., Russell, A., & Blaszczynski, A. (2014b). Are psychology university student gamblers representative of non-university students and general gamblers? A comparative analysis. Journal of Gambling Studies, 30, 11–25.CrossRefPubMed
go back to reference Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. London: Penguin. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. London: Penguin.
go back to reference Hing, N., Holdsworth, L., Tiyce, M., & Breen, H. (2014). Stigma and problem gambling: Current knowledge and future research directions. International Gambling Studies, 14(1), 64–81.CrossRef Hing, N., Holdsworth, L., Tiyce, M., & Breen, H. (2014). Stigma and problem gambling: Current knowledge and future research directions. International Gambling Studies, 14(1), 64–81.CrossRef
go back to reference Hing, N., Nuske, E., & Gainsbury, S. (2012). Gamblers at risk and their help-seeking behaviour. Melbourne: Gambling Research Australia. Hing, N., Nuske, E., & Gainsbury, S. (2012). Gamblers at risk and their help-seeking behaviour. Melbourne: Gambling Research Australia.
go back to reference Hodgins, D., & el-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction, 95(5), 777–789.CrossRefPubMed Hodgins, D., & el-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction, 95(5), 777–789.CrossRefPubMed
go back to reference Holdsworth, L., Nuske, E., & Hing, N. (2015). A grounded theory of the influence of significant live events, psychological co-morbidities and related social factors on gambling involvement. International Journal of Mental Health & Addiction, 13(2), 257–273.CrossRef Holdsworth, L., Nuske, E., & Hing, N. (2015). A grounded theory of the influence of significant live events, psychological co-morbidities and related social factors on gambling involvement. International Journal of Mental Health & Addiction, 13(2), 257–273.CrossRef
go back to reference Holdsworth, L., Nuske, E., Tiyce, M., & Hing, N. (2013). Impacts of gambling problems on partners: Partners’ interpretations. Asian Journal of Gambling Issues and Public Health, 3, 11.CrossRef Holdsworth, L., Nuske, E., Tiyce, M., & Hing, N. (2013). Impacts of gambling problems on partners: Partners’ interpretations. Asian Journal of Gambling Issues and Public Health, 3, 11.CrossRef
go back to reference Holmes, E. P., Corrigan, P. W., Williams, P., Canar, J., & Kubiak, M. A. (1999). Changing attitude about schizophrenia. Schizophrenia Bulletin, 25, 447–456.CrossRefPubMed Holmes, E. P., Corrigan, P. W., Williams, P., Canar, J., & Kubiak, M. A. (1999). Changing attitude about schizophrenia. Schizophrenia Bulletin, 25, 447–456.CrossRefPubMed
go back to reference Horch, J., & Hodgins, D. (2008). Public stigma of disordered gambling: Social distance, dangerousness, and familiarity. Journal of Social and Clinical Psychology, 27(5), 505–528.CrossRef Horch, J., & Hodgins, D. (2008). Public stigma of disordered gambling: Social distance, dangerousness, and familiarity. Journal of Social and Clinical Psychology, 27(5), 505–528.CrossRef
go back to reference Horch, J., & Hodgins, D. (2013). Stereotypes of problem gambling. Journal of Gambling Issues, 28, 1–19.CrossRef Horch, J., & Hodgins, D. (2013). Stereotypes of problem gambling. Journal of Gambling Issues, 28, 1–19.CrossRef
go back to reference Jones, E. E., Farina, A., Hastorf, A. H., Marcus, H., Miller, D. T., & Scott, R. A. (1984). Social stigma: The psychology of marked relationships. New York, NY: Freeman. Jones, E. E., Farina, A., Hastorf, A. H., Marcus, H., Miller, D. T., & Scott, R. A. (1984). Social stigma: The psychology of marked relationships. New York, NY: Freeman.
go back to reference Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89, 1328–1333.CrossRefPubMedPubMedCentral Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89, 1328–1333.CrossRefPubMedPubMedCentral
go back to reference Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511–541.CrossRefPubMed Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511–541.CrossRefPubMed
go back to reference Mak, W. W. S., Poon, C. Y. M., Pun, L. Y. K., & Cheung, S. F. (2007). Meta-analysis of stigma and mental health. Social Science and Medicine, 65, 245–261.CrossRefPubMed Mak, W. W. S., Poon, C. Y. M., Pun, L. Y. K., & Cheung, S. F. (2007). Meta-analysis of stigma and mental health. Social Science and Medicine, 65, 245–261.CrossRefPubMed
go back to reference Martin, J. K., Pescosolido, B. A., & Tuch, S. A. (2000). Of fear and loathing: The role of disturbing behaviour labels, and causal attributions in shaping public attitudes toward people with mental illness. Journal of Health and Social Behavior, 41, 208–223.CrossRef Martin, J. K., Pescosolido, B. A., & Tuch, S. A. (2000). Of fear and loathing: The role of disturbing behaviour labels, and causal attributions in shaping public attitudes toward people with mental illness. Journal of Health and Social Behavior, 41, 208–223.CrossRef
go back to reference Patford, J. L. (2008). For poorer: How men experience, understand and respond to problematic aspects of a partner’s gambling. Gambling Research, 19(1 & 2), 7–20. Patford, J. L. (2008). For poorer: How men experience, understand and respond to problematic aspects of a partner’s gambling. Gambling Research, 19(1 & 2), 7–20.
go back to reference Patford, J. L. (2009). For worse, for poorer and in ill health: How women experience, understand and respond to a partner’s gambling problems. International Journal of Mental Health Addiction, 7, 177–189.CrossRef Patford, J. L. (2009). For worse, for poorer and in ill health: How women experience, understand and respond to a partners gambling problems. International Journal of Mental Health Addiction, 7, 177–189.CrossRef
go back to reference Rockloff, M. J., & Schofield, G. (2004). Factor analysis of barriers to treatment for problem gambling. Journal of Gambling Studies, 20(2), 121–126.CrossRefPubMed Rockloff, M. J., & Schofield, G. (2004). Factor analysis of barriers to treatment for problem gambling. Journal of Gambling Studies, 20(2), 121–126.CrossRefPubMed
go back to reference Rusch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences and initiatives to reduce stigma. European Psychiatry, 20, 529–539.CrossRefPubMed Rusch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences and initiatives to reduce stigma. European Psychiatry, 20, 529–539.CrossRefPubMed
go back to reference Saugeres, L., Thomas, A., Moore, S., & Bates, G. (2012). Gamblers tell their stories. Melbourne: Victorian Responsible Gambling Foundation. Saugeres, L., Thomas, A., Moore, S., & Bates, G. (2012). Gamblers tell their stories. Melbourne: Victorian Responsible Gambling Foundation.
go back to reference Slutske, W. S., Blaszczynski, A., & Martin, N. G. (2009). Sex differences in the rates of recovery, treatment-seeking, and natural recovery in pathological gambling: Results from an Australian community-based twin survey. Twin Research and Human Genetics, 12(05), 425–432.CrossRefPubMed Slutske, W. S., Blaszczynski, A., & Martin, N. G. (2009). Sex differences in the rates of recovery, treatment-seeking, and natural recovery in pathological gambling: Results from an Australian community-based twin survey. Twin Research and Human Genetics, 12(05), 425–432.CrossRefPubMed
go back to reference Socall, D. W., & Holtgraves, T. (1992). Attitudes toward the mentally ill. The Sociological Quarterly, 33(3), 435–445.CrossRef Socall, D. W., & Holtgraves, T. (1992). Attitudes toward the mentally ill. The Sociological Quarterly, 33(3), 435–445.CrossRef
go back to reference Suurvali, H., Cordingley, J., Hodgins, D. C., & Cunningham, J. (2009). Barriers to seeking help for gambling problems: A review of the empirical literature. Journal of Gambling Studies, 25(3), 407–424.CrossRefPubMed Suurvali, H., Cordingley, J., Hodgins, D. C., & Cunningham, J. (2009). Barriers to seeking help for gambling problems: A review of the empirical literature. Journal of Gambling Studies, 25(3), 407–424.CrossRefPubMed
go back to reference Tavares, H., Martins, S. S., Zilberman, M. L., & el-Guebaly, N. (2002). Gamblers and treatment-seeking: Why haven’t they come earlier? Addictive Disorders and Their Treatment, 1(2), 65–69.CrossRef Tavares, H., Martins, S. S., Zilberman, M. L., & el-Guebaly, N. (2002). Gamblers and treatment-seeking: Why haven’t they come earlier? Addictive Disorders and Their Treatment, 1(2), 65–69.CrossRef
go back to reference Weiner, B. (1986). An attributional theory of motivation and emotion. New York, NY: Springer.CrossRef Weiner, B. (1986). An attributional theory of motivation and emotion. New York, NY: Springer.CrossRef
go back to reference Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55(5), 738.CrossRefPubMed Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55(5), 738.CrossRefPubMed
Metadata
Title
The Public Stigma of Problem Gambling: Its Nature and Relative Intensity Compared to Other Health Conditions
Authors
Nerilee Hing
Alex M. T. Russell
Sally M. Gainsbury
Elaine Nuske
Publication date
01-09-2016
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 3/2016
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-015-9580-8

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