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gambling in alberta - Research Services - University of Lethbridge

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Compare Changes to those Observed <strong>in</strong> Control Communities/Regions<br />

It is important to be able to disentangle the unique <strong>in</strong>fluence <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> on observed<br />

socioeconomic changes (Walker, 2008c, 2008d). Most socioeconomic impact studies simply<br />

exam<strong>in</strong>e the pre- and post-changes <strong>in</strong> a community after the <strong>in</strong>troduction <strong>of</strong> a new <strong>gambl<strong>in</strong>g</strong><br />

venue/format. However, there are a multitude <strong>of</strong> economic and social forces at work that<br />

account for social/economic changes <strong>in</strong> a community. Furthermore, <strong>gambl<strong>in</strong>g</strong> <strong>of</strong>ten represents<br />

only a small fraction <strong>of</strong> total economic activity with<strong>in</strong> a community.<br />

Similarly, many <strong>of</strong> the adverse effects <strong>of</strong> problem <strong>gambl<strong>in</strong>g</strong> cannot be uniquely attributed to the<br />

<strong>in</strong>troduction <strong>of</strong> a s<strong>in</strong>gle new <strong>gambl<strong>in</strong>g</strong> venue/activity, as most problem gamblers engage <strong>in</strong> a<br />

wide variety <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> activities and also have comorbid conditions that contribute to their<br />

constellation <strong>of</strong> problems (e.g., substance abuse, mental health problems) (Australia<br />

Productivity Commission, 1999; Crockford & el-Guebaly, 1998; Lora<strong>in</strong>s, Cowlishaw, & Thomas,<br />

2011; Walker, 2008d). 12<br />

A much stronger methodology is a matched control comparison where changes <strong>in</strong> the region<br />

receiv<strong>in</strong>g the new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> are compared aga<strong>in</strong>st changes <strong>in</strong> an economically, socially,<br />

and demographically similar region that did not receive this new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>. This<br />

approach does not elim<strong>in</strong>ate the contribut<strong>in</strong>g role <strong>of</strong> comorbidities to people’s problems, but it<br />

does show the unique impact that the <strong>in</strong>troduction <strong>of</strong> legalized <strong>gambl<strong>in</strong>g</strong> has <strong>in</strong> exacerbat<strong>in</strong>g<br />

these problems. This approach has some <strong>of</strong> its own complications, however, as there may be<br />

basel<strong>in</strong>e attitud<strong>in</strong>al differences <strong>in</strong> regions that opt to have the new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> versus<br />

communities that have opted not to have it. Also, the control region must be far enough away<br />

so as not to be secondarily impacted by the <strong>in</strong>troduction <strong>of</strong> the new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>. This<br />

geographic separation makes it more difficult <strong>in</strong> f<strong>in</strong>d<strong>in</strong>g a region that is a good match.<br />

Speculate on What the Situation would have been Without the Introduction <strong>of</strong> the<br />

New Form <strong>of</strong> Gambl<strong>in</strong>g<br />

Most studies compare economic and social <strong>in</strong>dicators after the <strong>in</strong>troduction <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> to<br />

what these <strong>in</strong>dicators were before the <strong>in</strong>troduction <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>. However, <strong>of</strong>ten the<br />

justification for the <strong>in</strong>troduction <strong>of</strong> a new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> is the desire to stem the outflow <strong>of</strong><br />

<strong>gambl<strong>in</strong>g</strong> dollars to neighbour<strong>in</strong>g jurisdictions that already <strong>of</strong>fer this new form <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>.<br />

Thus, an even more relevant comparison than ‘basel<strong>in</strong>e’, is what the likely economic and social<br />

situation would have been if <strong>gambl<strong>in</strong>g</strong> had not been <strong>in</strong>troduced (i.e., the ‘counterfactual<br />

situation’) (Walker, 2008c). The extent to which the <strong>in</strong>troduction <strong>of</strong> domestic <strong>gambl<strong>in</strong>g</strong><br />

opportunities has prevented losses to neighbour<strong>in</strong>g jurisdictions is very difficult to judge, but<br />

nonetheless merits speculation.<br />

12 The latest research shows that the conditions hav<strong>in</strong>g the high comorbidity to problem and pathological <strong>gambl<strong>in</strong>g</strong><br />

are: nicot<strong>in</strong>e dependence (60.1%), substance use disorder (57.5%), mood disorder (37.9%), and anxiety disorders<br />

(37.4%) (Lora<strong>in</strong>s, Cowlishaw, & Thomas, 2011).<br />

27

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