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Thursday, December 07, 2006

Rendell widely underestimates gambling addiction ...

How many ''problem'' or disordered gamblers are boarding the bus from
Philadelphia to Atlantic City? Gov. Ed Rendell implies hardly any per bus.
The research, however, suggests as many as 15. The governor recently told
the Lancaster New Era editorial board that for every one person addicted to
gambling or who lost a pay check to gambling, he can show us 500 who go and
have the time of their life. Let us compare the governor's numbers with
those produced by national experts regarding the prevalence of gambling
problems in the general adult population. For every 500 people there are
about five pathological gamblers and 14 at-risk and problem gamblers. So,
the governor's number is nearly 20 times smaller (1 vs. 19) than what one
would expect to find based on the national research. Using estimates of the
number of disordered gamblers among all adults in Pennsylvania, the scenario
becomes even more distorted. Results from our Mansfield University State
Survey of 2006 suggest that among 500 adult Pennsylvanians, there are 2.5
pathological gamblers and 21.5 at-risk and problem wagerers. Compared with
these numbers, the governor's number is nearly 24 times smaller But wait -
the comparisons above were made using problem gambling rates among the
general population. Among the gambling population, the rates of disordered
gambling are much higher. In the governor's scenario, only gamblers are
described. So, if we stick only to gamblers in the state population and use
their prevalence rate of disordered gambling, for every 500 gamblers there
are about 56.5 at risk, problem and pathological gamblers. Now the
governor's number is more than 50 times smaller It can get a lot worse.
Research shows that gambling addiction increases as the proximity to
gambling decreases and the ease of gambling increases. The governor asks us
to go to Philadelphia with him to see the people boarding the buses. We
surveyed people in Philadelphia and found that for every 500 Philadelphia
gamblers there are about 117 at-risk, problem and pathological gamblers. Now
the governor's number is more than 100 times smaller than what the research
shows (1 vs. 117). It cannot possibly get any worse can it? Oh, yes it can.
The governor did not tell us about the demographic characteristics of people
boarding the bus in Philly. Research shows that teenagers, males and
disadvantaged members of society are more likely to have gambling problems.
Taking one of these subgroups, our results suggest that among 500
African-American gamblers there would be about 153 who experience gambling
problems.

It's even worse than that. The above discussion was based on people who
report gambling problems within the past year. If I were to include people
who have ever had gambling problems in their lifetime, a lot of the numbers
above would likely double in size. Moreover, if we look at combinations of
risk factors, such as being male and a minority group member or being male
and a Philadelphian, then again the rates above would increase. Don't even
ask about the problem of people underreporting (or denying) their gambling
problems to survey researchers like me. That will lead me to underestimate
the extent of the problem!

I believe that leaders in our state really need to become educated about and
should take seriously the numbers and percentages of people who become
problem gamblers in society. The national experts have shown us that these
numbers are far from trivial. They rival those of people who abuse and are
dependent on drugs. Who is going to fight the war on gambling addiction when
we all are pushing for profits from gambling to lower our taxes? As we have
done as a society with drugs and alcohol, we - especially top government
servants - need to properly inform and educate people about the risks
connected to gambling.

Let us start down this road by immediately setting up a task force to
investigate and reduce gambling dependency. Perhaps we should even call it
the ''Pennsylvania Gaming Addiction Board'' before the rest of the expected
60,000 slot machines are put in our backyards. And, don't use a percentage
of the profits from casinos to support this group!

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