Problem gamblers, problem substance users, and dual-problem individuals: an epidemiological study

Am J Public Health. 1998 Mar;88(3):467-70. doi: 10.2105/ajph.88.3.467.


Objectives: This study compared problem gamblers, problem substance users, dual-problem individuals, and persons without these problems in the general population.

Methods: On the basis of computer-assisted telephone interviews of a random sample of Texas adults (n = 6308) standard instruments were used to gauge substance use and gambling problems in the general population.

Results: Compared with those having a substance use or gambling problem only, dual-problem individuals were more likely to be young, never-married men, without conventional religious affiliations. There was more dysfunctionality (as evidenced by treatment-seeking and problems with the law) among dual-problem respondents than among those troubled exclusively by gambling or substance use problems.

Conclusions: Screening and treatment for gambling problems should be offered in drug treatment and criminal justice arenas.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Gambling*
  • Humans
  • Logistic Models
  • Male
  • Socioeconomic Factors
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / therapy
  • Texas / epidemiology