Problem Gamblers, Problem Substance Users, and Dual-Problem Individuals: An Epidemiological Study.

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. (Am J Public Health. 1998;88:467-470) [ABSTRACT FROM AUTHOR]