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Swelogs, The Swedish Longitudinal Gambling Study, a longitudinal study conducted within a government authority

Gambling, Politics and Social Issues – International Research Conference, Helsinki

September 22nd, 2015

Ulla Romild, Public Health Agency of Sweden

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The Public Health Agency of Sweden in brief

On 1 January 2014, the Swedish National Institute of Public Health (Folkhälsoinstitutet), the Swedish Institute for Communicable Disease Control (Smittskyddsinstitutet) and parts of the National Board of Health and Welfare (Socialstyrelsen) merged into a single agency:

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The Public Health Agency of Sweden…• is a national expert authority with overall

responsibility for public health issues • has national coordination responsibility within the

disease control area• is headquartered in Solna and in Östersund• has approximately 490 employees.

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Swelogs Advisory Board•Max Abbott, NZ•Per Binde•Jakob Jonsson•Anders Stymne•Anders Tengström•Rachel Volberg, US

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Swelogs’ overarching goal

Swelogs aims at developing evidence-based methods and strategies for prevention of

harmful gambling.

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Theoretical underpinning

•The bio-psycho-social model•A public health perspective

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A Public Health Perspective

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Swelogs’ five main objectives

•Study changes in incidence and prevalence of PG. •Describe problem gambling in relation to changes in gambling

behavior and gambling related environmental factors. • Identify relevant target groups for prevention.•Examine the health-related, social and economic

consequences of problem gambling.•Establish risk factors and protective factors of gambling

behaviours/habits.

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Sampling Strategy

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kp values Gender Age-groups 2008 Total 16-24 25-34 35-64 65-84

03.0kp male 307 2,757

203 89,754

742 985,291

749 432,879

2,001 1,510,681

female 347 375,622

444 516,388

512 1,789,951

697 756,867

2,000 3,438,828

1.003.0 kp male 582 342,966

632 400,130

422 801,697

364 214,761

2,000 1,759,554

female 1477 141,629

243 38,339

242 35,092

38 3625

2,000 218,685

kp1.0 male 2184 200,786

938 92,634

285 84,338

93 8,606

3,500 386,364

female 1,029 1,323

1,230 2638

1,231 2283

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3,499 6,255

Total 5,926 1,065,083

3,690 1,139,883

3,434 3,698,652

1,950 1,416,749

15,000 7,320,367

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Swelogs’ survey plan

EpidemiologicalTrack

In-depth track

Follow-up track

ID I I IN~2 00022-91 yrs

FU IN=578

23-83 yrs

ID IN=2 40018-86 yrs

ID I IN~2 00020-89 yrs

2014 2015

EP IN=15 00016-84 yrs

EP I IN=8 20017-85 yrs

EP I I IN=7 10019-87 yrs

EP IVN~7 00021-89 yrs

2008/2009 2009/2010 2011 2012 2013

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Original sample 2008: N=15,000; 16-84 yrs

EP1, 2008/2009:n=8,165 Lost at baseline:

6,837

EP2, 2009/2010:n=6,017 Lost from EP1 to EP2:

2,148

EP3, 2012: n: 3,897+291=4,188

EP4, 2014:n: (2,847+135)+123+454=3,559

Lost from EP2 to EP3: 2,120

Lost from EP3 to EP4: 1,206

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Topics covered in SwelogsEP1 EP2 EP3 EP4

Gambling participation

X(also first time)

X X X

PG measurements

SOGS, PGSI, FORS

SOGS, PGSI PGSI PGSI

Gambling related issues

X x X X

TV- and computer gaming

X x X x

Health issues X X X XSocial issues x - X xDemographics* X x X XAdvertisement X

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*most demographics from national registers

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Transitions in different PGSI categories

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Incidence (new PGSI 3+)

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New prevalence study

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www.folkhalsomyndigheten.sewww.folkhalsomyndigheten.se/spelprevention/

ulla.romild@folkhalsomyndigheten.se