Abstract

Objectives We report the prevalence of and risk and protective factors for DSM-IV sub-threshold gambling (1–4 criteria) and pathological gambling disorder (PGD; 5–10 criteria) in a non-clinical household sample of St. Louis area gamblers. Methods Of the 7689 individuals contacted via Random Digit Dialing, 3292 were screened eligible. Of these, 1142 from households in 6 contiguous regions in Missouri and Illinois consented to participate and were mailed a St. Louis Area Personality, Health, and Lifestyle (SLPHL) Survey. Results Post-stratification weighted data ( n = 913) indicate lifetime prevalence rates of 12.4% sub-threshold and 2.5% PGD (conditional prevalence = 21.5% and 4.3% respectively). Risk and protective factors for gambling severity varied in the sample. Conclusions Targeted prevention messages are warranted specifically for gamblers of varying risk for PGD.

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