{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T02:10:30Z","timestamp":1793412630991,"version":"4.5.0"},"reference-count":40,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,11,8]]},"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During the adolescent period, risk-taking behaviour increases. These behaviours can compromise the successful transition from adolescence to adulthood. The purpose of this study was to examine social support as a mediator of the relation between problem behaviour and gambling frequency among Finnish adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were obtained from the national School Health Promotion Study (SHPS) from the years 2010 and 2011 (N=102\u2005545). Adolescents were classified in the most homogeneous groups based on their problem behaviour via latent class analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Path analysis indicated that social support was negatively associated with problem behaviour, and problem behaviour and social support were negatively related (except for social support from friends among boys) to gambling. Social support from parents and school mediated, albeit weakly, the relations between problem behaviour and gambling among girls and boys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Problem behaviour may affect gambling through social support from school and parents. Thus prevention and intervention strategies should focus on strengthening adolescents' social support. In addition, because of the clustering of different problem behaviours instead of concentrating on a single form of problem behaviour multiple-behaviour interventions may have a much greater impact on public health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-012468","type":"journal-article","created":{"date-parts":[[2016,12,24]],"date-time":"2016-12-24T13:59:30Z","timestamp":1482587970000},"page":"e012468","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Social support as a mediator between problem behaviour and gambling: a cross-sectional study among 14\u201316-year-old Finnish adolescents"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6515-4789","authenticated-orcid":false,"given":"Tiina","family":"R\u00e4s\u00e4nen","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomi","family":"Lintonen","sequence":"additional","affiliation":[{"name":"Finnish Foundation for Alcohol Studies, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asko","family":"Tolvanen","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Konu","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,12,22]]},"reference":[{"key":"2025121512304377000_6.12.e012468.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2005.03.009"},{"key":"2025121512304377000_6.12.e012468.2","doi-asserted-by":"crossref","unstructured":"Igra V , Irwin CE . Theories of adolescent risk-taking behavior. In: DiClemente RJ , Hansen WB , Ponton LE, eds . Handbook of adolescent health risk behaviour. New York: Plenum Press, 1996:35\u201351.","DOI":"10.1007\/978-1-4899-0203-0_3"},{"key":"2025121512304377000_6.12.e012468.3","first-page":"295","article-title":"Risk-taking behaviour in adolescence: a literature review","volume":"13","author":"Leather","year":"2009","journal-title":"J Child Healthcare"},{"key":"2025121512304377000_6.12.e012468.4","unstructured":"Jessor R , Jessor SL . Problem behavior and psychosocial development: a longitudinal study of youth. New York: Academic Press, 1977."},{"key":"2025121512304377000_6.12.e012468.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-014-0130-y"},{"key":"2025121512304377000_6.12.e012468.6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.15288\/jsad.2009.70.134","article-title":"Gambling, alcohol, and other substance use among youth in the United States","volume":"70","author":"Barnes","year":"2009","journal-title":"J Stud Alcohol Drugs"},{"key":"2025121512304377000_6.12.e012468.7","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.jadohealth.2009.02.002","article-title":"Association between problem gambling and conduct disorder in a national survey of adolescents and young adults in the United States","volume":"45","author":"Welte","year":"2009","journal-title":"J Adolesc Health"},{"key":"2025121512304377000_6.12.e012468.8","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1007\/s10899-014-9481-2","article-title":"Relationship between gambling severity and attitudes in adolescents: findings from a population-based study","volume":"31","author":"Gori","year":"2015","journal-title":"J Gambl Stud"},{"key":"2025121512304377000_6.12.e012468.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2011.00180.x"},{"key":"2025121512304377000_6.12.e012468.10","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1186\/1471-2458-14-982","article-title":"Attitudes towards gambling in Finland: a cross-sectional population study","volume":"14","author":"Salonen","year":"2014","journal-title":"BMC Public Health"},{"key":"2025121512304377000_6.12.e012468.11","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1007\/s11469-010-9279-0","article-title":"Your mother should know: a comparison of maternal and paternal attitudes and behaviors related to gambling among their adolescent children","volume":"9","author":"Shead","year":"2011","journal-title":"Int J Ment Health Addiction"},{"key":"2025121512304377000_6.12.e012468.12","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1007\/s10899-013-9363-z","article-title":"Teacher awareness and attitudes regarding adolescent risky behaviours: is adolescent gambling perceived to be a problem?","volume":"30","author":"Derevensky","year":"2014","journal-title":"J Gambl Stud"},{"key":"2025121512304377000_6.12.e012468.13","doi-asserted-by":"publisher","DOI":"10.1111\/1532-7795.1303004"},{"key":"2025121512304377000_6.12.e012468.14","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021635516758"},{"key":"2025121512304377000_6.12.e012468.15","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-010-9526-5"},{"key":"2025121512304377000_6.12.e012468.16","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199612000-00018"},{"key":"2025121512304377000_6.12.e012468.17","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s10899-010-9181-5","article-title":"Family influences on adolescent gambling behavior: a review of the literature","volume":"26","author":"McComb","year":"2010","journal-title":"J Gambl Stud"},{"key":"2025121512304377000_6.12.e012468.18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10899-005-9000-6","article-title":"Parental modeling, attachment, and supervision as moderators of adolescent gambling","volume":"22","author":"Magoon","year":"2006","journal-title":"J Gambl Stud"},{"key":"2025121512304377000_6.12.e012468.19","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1111\/add.12399","article-title":"Parental monitoring trajectories and gambling among a longitudinal cohort of urban youth","volume":"109","author":"Lee","year":"2014","journal-title":"Addiction"},{"key":"2025121512304377000_6.12.e012468.20","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.18.2.170"},{"key":"2025121512304377000_6.12.e012468.21","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.19.2.165"},{"key":"2025121512304377000_6.12.e012468.22","doi-asserted-by":"publisher","DOI":"10.1037\/a0013182"},{"key":"2025121512304377000_6.12.e012468.23","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s13011-015-0003-8","article-title":"At-risk and problem gambling among adolescents: a convenience sample of first-year junior high school students in Finland","volume":"10","author":"Castr\u00e9n","year":"2015","journal-title":"Subst Abuse Treat Prev Policy"},{"key":"2025121512304377000_6.12.e012468.24","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-014-9455-4"},{"key":"2025121512304377000_6.12.e012468.25","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1111\/j.1521-0391.2014.12142.x","article-title":"Examining potential school contextual influences on gambling among high school youth","volume":"23","author":"Lee","year":"2014","journal-title":"Am J Addict"},{"key":"2025121512304377000_6.12.e012468.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2013.12.006"},{"key":"2025121512304377000_6.12.e012468.27","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.1468-2397.2009.00701.x","article-title":"Prevalence of gambling problems among adolescents in the Nordic countries: an overview of national gambling surveys 1997\u20132009","volume":"20","author":"Kristiansen","year":"2011","journal-title":"Int J Soc Welfare"},{"key":"2025121512304377000_6.12.e012468.28","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.55.12.1437"},{"key":"2025121512304377000_6.12.e012468.29","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.06.003"},{"key":"2025121512304377000_6.12.e012468.30","unstructured":"Helld\u00e1n A , Helakorpi S , Virtanen S , et al . Health behaviour and health among the Finnish adult population. National Institute for Health and Welfare (THL), Report 15\/2013, 2013. http:\/\/urn.fi\/URN:ISBN:978-952-245-931-2"},{"key":"2025121512304377000_6.12.e012468.31","first-page":"166","article-title":"The co-occurrence of gambling with substance use and conduct disorder among youth in the United States","volume":"20","author":"Barnes","year":"2011","journal-title":"Am J Addict"},{"key":"2025121512304377000_6.12.e012468.32","doi-asserted-by":"publisher","DOI":"10.1023\/A:1012201221601"},{"key":"2025121512304377000_6.12.e012468.33","unstructured":"Luopa P , Kivim\u00e4ki H , Matikka A , et al . Nuorten hyvinvointi Suomessa 2000\u20132013\u2014Kouluterveyskyselyn tulokset. [Wellbeing of adolescents in Finland 2000\u20132013.The Results of the School Health Promotion study]. National Institute for Health and Welfare (THL). Report 25\/2014."},{"key":"2025121512304377000_6.12.e012468.34","first-page":"1","article-title":"Gambling and problem behavior among 14- to 16-year-old boys and girls in Finland","volume":"31","author":"R\u00e4s\u00e4nen","year":"2015","journal-title":"J Gambl Issues"},{"key":"2025121512304377000_6.12.e012468.35","unstructured":"Muth\u00e9n LK , Muth\u00e9n BO (1998\u20132015). Mplus user's guide. 7th edn. Los Angeles, CA: 2015."},{"key":"2025121512304377000_6.12.e012468.36","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701575396"},{"key":"2025121512304377000_6.12.e012468.37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-9004.2007.00054.x"},{"key":"2025121512304377000_6.12.e012468.38","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1017\/S095457940800014X","article-title":"A model-based cluster analysis approach to adolescent problem behaviors and young adult outcomes","volume":"20","author":"Mun","year":"2008","journal-title":"Dev Psychopathol"},{"key":"2025121512304377000_6.12.e012468.39","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/josh.12246","article-title":"Girls and boys gambling with health and well-being in Finland","volume":"85","author":"R\u00e4s\u00e4nen","year":"2015","journal-title":"J Sch Health"},{"key":"2025121512304377000_6.12.e012468.40","doi-asserted-by":"publisher","DOI":"10.1093\/her\/17.5.670"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-012468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T20:30:56Z","timestamp":1765830656000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-012468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":40,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2016,12,22]]},"published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1136\/bmjopen-2016-012468"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-012468","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}