Williams, Robert
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Browsing Williams, Robert by Author "el-Guebaly, Nady"
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- ItemAdapting the Reno Model for Alberta(Final Report submitted to the Alberta Alcohol and Drug Abuse Commission, 2005-06-01) el-Guebaly, Nady; Currie, Shawn; Hodgins, David C.; Smith, Garry J.; Williams, Robert J.Blaszczynski et al. (2004) are to be complemented for recognizing the need for a globally relevant and comprehensive responsible gambling game plan. Though not yet used in any jurisdiction, the Reno Model has created interest and debate among researchers, regulators and problem gambling service providers. The Reno Model authors have stressed that they do not view their creation as a finished product, only a launch pad for furthering responsible gambling initiatives. With this cooperative spirit in mind, we probe the Reno Model and consider its suitability for use in Alberta.
- ItemDesigning a Longitudinal Cohort Study of Gambling in Alberta: Rationale, Methods, and Challenges(Springer, 2008-12) el-Guebaly, Nady; Casey, David M.; Hodgins, David C.; Smith, Garry J.; Williams, Robert J.; Schopflocher, Donald Peter; Wood, Robert T.Longitudinal research on the determinants of gambling behavior is sparse. This article briefly reviews the previous seventeen longitudinally designed studies, focusing on the methodology for each study. This is followed by a description of our ongoing longitudinal study entitled the Leisure, Lifestyle, & Lifecycle Project (LLLP). Participants for the LLLP were recruited from four locations in Alberta, Canada, including both rural and urban populations. In the LLLP most participants were recruited using random digit dialing (RDD), with 1808 participants from 5 age cohorts at baseline: 13-15, 18-20, 23-25, 43-45, and 63-65. Individuals completed telephone, computer, and face-to-face surveys at baseline, with the data collection occurring between February and October, 2006. At baseline, a wide variety of constructs were measured, including gambling behavior, substance use, psychopathology, intelligence, family environment, and internalizing and externalizing problems. Finally, the conclusions that can be drawn thus far are discussed as well as the plans for three future data collections.
- ItemGambling and problem gambling in Canada in 2018: prevalence and changes since 2002(Sage, 2020) Williams, Robert J.; Leonard, Carrie A.; Belanger, Yale D.; Christensen, Darren R.; el-Guebaly, Nady; Hodgins, David C.; McGrath, Daniel S.; Nicoll, Fiona; Stevens, Rhys M. G.Objective The purpose of this study was to provide an updated profile of gambling and problem gambling in Canada and to examine how the rates and pattern of participation compare to 2002. Method An assessment of gambling and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 24,982 individuals aged 15 and older. The present analyses selected for adults (18+). Results A total of 66.2% of people reported engaging in some type of gambling in 2018, primarily lottery and/or raffle tickets, the only type in which the majority of Canadians participate. There are some significant inter-provincial differences, with perhaps the most important one being the higher rate of electronic gambling machine (EGM) participation in Manitoba and Saskatchewan The overall pattern of gambling in 2018 is very similar to 2002, although participation is generally much lower in 2018, particularly for EGMs and bingo. Only 0.6% of the population were identified as problem gamblers in 2018, with an additional 2.7% being at-risk gamblers. There is no significant inter-provincial variation in problem gambling rates. The inter-provincial pattern of problem gambling in 2018 is also very similar to what was found in 2002 with the main difference being a 45% decrease in the overall prevalence of problem gambling. Conclusions Gambling and problem gambling have both decreased in Canada from 2002 to 2018, although the provincial patterns are quite similar between the two time periods. Several mechanisms have likely collectively contributed to these declines. Decreases have also been reported in several other western countries in recent years and have occurred despite the expansion of legal gambling opportunities, suggesting a degree of inoculation or adaptation in the population.
- ItemPredictors of gambling and problem gambling in Canada(Springer, 2021) Williams, Robert J.; Leonard, Carrie A.; Belanger, Yale D.; Christensen, Darren R.; el-Guebaly, Nady; Hodgins, David C.; McGrath, Daniel S.; Nicoll, Fiona; Smith, Garry J.; Stevens, Rhys M. G.Objectives:The purpose of this study is to provide an updated profile of gamblers and problem gamblers in Canada and to identify characteristics most strongly associated with problem gambling. Methods: An assessment of gambling participation and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 23,952 individuals 18 years and older. Descriptive statistics provided a demographic profile for each type of gambling involvement as well as category of gambler (non-gambler, non-problem gambler, at-risk gambler,problem gambler). A logistic regression identified characteristics that best distinguished problem from non-problem gamblers. Results: Gambling participation and problem gambling both varied as a function of gender, income, educational attainment, and race/ethnicity. However, multivariate analysis identified electronic gambling machine (EGM) participation to be the primary predictor of problem gambling status, with race/ethnicity, presence of a mood disorder, male gender, casino table game participation, older age, a greater level of smoking, participation in speculative financial activity, instant lottery participation, lower household income, and lottery or raffle ticket participation providing additional predictive power. Provincial EGM density and EGM participation rates are also very strong predictors of provincial rates of at-risk and problem gambling. Conclusion: Problem gambling has a biopsychosocial etiology, determined by personal vulnerability factors combined with the presence of riskier types of gambling such as EGMs. Effective prevention requires a multifaceted approach, but constraints on the availability and operation of EGMs would likely have the greatest single public health benefit.