gambling in alberta - Research Services - University of Lethbridge
gambling in alberta - Research Services - University of Lethbridge
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