Evidence map›Paper›PMID 25879923›Full record

ArticleSubstance abuse treatment, prevention, and policy2015

At-risk and problem gambling among adolescents: a convenience sample of first-year junior high school students in Finland.

Sari Castrén, Marjut Grainger, Tuuli Lahti, Hannu Alho, Anne H Salonen

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  3. Gambling and its associated factors among students of the University of Ilorin, Nigeria.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Sari CastrénClinicum, Internal Medicine, University of Helsinki and Helsinki University Hospital, 00014, Helsinki, Finland. sari.castren@thl.fi.
Marjut GraingerDepartment of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland. marjut.grainger@thl.fi.
Tuuli LahtiDepartment of Tobacco, Gambling and Addiction, National Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland. tuuli.lahti@thl.fi.
Hannu AlhoClinicum, Internal Medicine, University of Helsinki and Helsinki University Hospital, 00014, Helsinki, Finland. hannu.alho@thl.fi.
Anne H SalonenClinicum, Internal Medicine, University of Helsinki and Helsinki University Hospital, 00014, Helsinki, Finland. anne.salonen@thl.fi.
Finnish Institute for Health and Welfare · FIHelsinki University Hospital · FINational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent gambling and substance use are viewed as a public health concern internationally. The early onset age of gambling is a known risk factor for developing gambling problems later in life. The aims of this study are: to evaluate the internal consistency reliability, factorial validity and classification accuracy of the Finnish version of DSM-IV-Multiple Response-Juvenile (DSM-IV-MR-J) criteria measuring at-risk/problem gambling (ARPG); to examine gender differences in gambling participation, ARPG and substance use among first-year junior high school students; and to investigate the association of gambling and gaming (video game playing) participation, substance use and social variables with ARPG.

methodsThis study examined 988 adolescents (mean age 13.4 years) at 11 public schools in Finland between October-December 2013. The response rate was 91.6%. Chi-squared test and binary logistic regression analysis were used.

results'Illegal acts' was the most endorsed and sensitive, but the least specific criteria identifying ARPG. During the past year, 51.6% of the respondents had gambled, 7.9% were identified as at-risk/problem gamblers (DSM-IV-MR-J score ≥ 2), 8.0% had smoked and 8.9% had been drinking for intoxication, and the first three were significantly more common among boys than girls. The odds ratio of being a male past-year at-risk/problem gambler was 2.27, 5.78 for gambling often or sometimes, 2.42 for video game playing weekly or more often and 6.23 for having peer gamblers.

conclusionsOverall, the Finnish version of the DSM-IV-MR-J had acceptable internal consistency reliability and factorial validity. None of the DSM-IV-MR-J criteria were accurate enough to screen ARPG per se. ARPG past-year prevalence was relatively high with males gambling more than females. ARPG was as common as drinking alcohol for intoxication and smoking. Peer gambling was strongly associated with ARPG. Efficient strategies to minimise the risks of gambling problems, tools for prevention and identification of ARPG among the underage are needed.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersAdolescentAdolescent BehaviorChildFamilyFemaleFinlandGamblingHumansMalePeer GroupPrevalencePsychometricsRisk FactorsSchoolsSex Factors

Identifiers

PMID25879923
PMCPMC4381398
OpenAlexW2084178674

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.