{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:57:48Z","timestamp":1792033068635,"version":"4.4.0"},"reference-count":21,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T00:00:00Z","timestamp":1526342400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2018,5,15]]},"abstract":"<jats:sec sec-type=\"background\">\n          <jats:title>Background<\/jats:title>\n          <jats:p>The prevention paradox (PP) describes a situation in which a greater number of cases of a disease-state come from low-risk members of a population, because they are more prevalent than high-risk members. Past research has provided only tangential and disputed evidence to support the application of the PP to gambling-related harm.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"aims\">\n          <jats:title>Aims<\/jats:title>\n          <jats:p>To assess whether the PP applies to gambling, the prevalence of a large set (72) of diverse harmful consequences from gambling was examined across four risk categories for problem gambling, including no-risk, low-risk, moderate-risk, and problem-gambling.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"methods\">\n          <jats:title>Methods<\/jats:title>\n          <jats:p>Respondents who had gambled on non-lottery forms in the past 6 months completed an online survey (<jats:italic>N<\/jats:italic>\u2009=\u20091,524, 49.4% male). The data were weighted to the known prevalence of gambling problems in the Victorian community.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"results\">\n          <jats:title>Results<\/jats:title>\n          <jats:p>The prevalence of gambling harms, including severe harms, was generally higher in the combined categories of lower risk categories compared to the high-risk problem-gambling category. There were some notable exceptions, however, for some severe and rare harms. Nevertheless, the majority of harms in the 72-item list, including serious harms such as needing temporary accommodation, emergency welfare assistance, experiencing separation or end of a relationship, loss of a job, needing to sell personal items, and experiencing domestic violence from gambling, were more commonly associated with lower risk gamblers.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"conclusion\">\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>Many significant harms are concentrated outside the ranks of gamblers with a severe mental health condition, which supports a public-health approach to ameliorating gambling-related harm.<\/jats:p>\n        <\/jats:sec>","DOI":"10.1556\/2006.7.2018.41","type":"journal-article","created":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T07:51:04Z","timestamp":1527061864000},"page":"410-422","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":111,"title":["Prevalence of gambling-related harm provides evidence for the prevention paradox"],"prefix":"10.1556","volume":"7","author":[{"given":"Matthew","family":"Browne","sequence":"first","affiliation":[{"name":"School of Health, Medical and Applied Sciences, Central Queensland University, Branyan, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Rockloff","sequence":"additional","affiliation":[{"name":"School of Health, Medical and Applied Sciences, Central Queensland University, Branyan, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Journal of Gambling Studies","article-title":"Validation of the Short Gambling Harm Screen (SGHS): A tool for assessment of harms from gambling","author":"Browne, M.","year":"2017","unstructured":"Browne, M.\n            , \n            \n              Goodwin, B.\u00a0C.\n            , & \n            \n              Rockloff, M.\u00a0J.\n           (2017). Validation of the Short Gambling Harm Screen (SGHS): A tool for assessment of harms from gambling. Journal of Gambling Studies. Advance online publication. doi:10.1007\/s10899-017-9698-y"},{"issue":"2","key":"B2","series-title":"International Gambling Studies,","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1080\/14459795.2017.1304973","article-title":"A population-level metric for gambling-related harm","volume":"17","author":"Browne, M.","year":"2017","unstructured":"Browne, M.\n            , \n            \n              Greer, N.\n            , \n            \n              Rawat, V.\n            , & \n            \n              Rockloff, M.\n           (2017). A population-level metric for gambling-related harm. International Gambling Studies,17(2), 163\u2013175. doi:10.1080\/14459795.2017.130497310.1080\/14459795.2017.1304973"},{"key":"B3","series-title":"Journal of Gambling Issues,","first-page":"28","article-title":"What is the harm? 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Journal of Gambling Issues,36,28\u201350. doi:10.4309\/jgi.2017.36.2"},{"issue":"3","key":"B4","series-title":"Journal of Behavioral Addictions,","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1556\/2006.6.2017.059","article-title":"The dangers of conflating gambling-related harm with disordered gambling","volume":"6","author":"Browne, M.","year":"2017","unstructured":"Browne, M.\n            , & \n            \n              Rockloff, M.\u00a0J.\n           (2017). The dangers of conflating gambling-related harm with disordered gambling. 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