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Colby MH, Hires B, Le L, Sauma D, Yau MY, Chu MT, Rubin HL. Unpacking the root causes of gambling in the Asian community: Contesting the myth of the Asian gambling culture. Front Public Health 2022; 10:956956. [PMID: 36408001 PMCID: PMC9670317 DOI: 10.3389/fpubh.2022.956956] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 09/30/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction Problem gambling is a public health issue both in the United States and internationally and can lead to mental health and socioeconomic concerns for individuals, families, and communities. Large epidemiological studies on problem gambling have neglected to include working-class, immigrant Asian Americans, who are at higher risk for problem gambling. The lack of data on Asian American gambling may explain a subsequent lack of culturally and linguistically appropriate treatment and prevention services. Additionally, the invisibility of Asian American data in published literature has helped to perpetuate a commonly held myth of an Asian gambling culture. This stereotype of the "Asian gambler" is a form of anti-Asian racism which serves to ignore and minimize the root causes of problem gambling in the Asian American community. Methods Utilizing a community-based participatory research approach, 40 interviews were conducted with the local Khmer (n = 12), Chinese (n = 20), Korean (n = 3), and Vietnamese (n = 5) immigrant communities in the Greater Boston region to assess how problem gambling manifests in the local Asian community. Interviews were conducted in language by bilingual/bicultural community fieldworkers experienced in serving their respective communities. Flyers and social media were used to recruit participants. The interviews were coded into themes which provided a better understanding of the patterns of systemic issues contributing to problem gambling in the Asian American community. Results Interviewees provided insights into the underlying issues of poverty and social and cultural loss due to immigration as root causes for problem gambling in the Asian American community. The interviews indicate that many individuals in these Asian immigrant communities, who are striving to make a living off low-wage and stressful jobs, struggle to integrate into American society. They often lack culturally appropriate and accessible social and recreational activities, a void that casinos capitalize on through targeted behaviors. Discussion Research must address the social and structural barriers in the Asian American communities rather than relying on the "Asian gambler" stereotype and assuming interventions for a general American problem gambler will work for Asian immigrants. The research points to a need for gambling interventions and services that are centered on lived experiences.
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Affiliation(s)
- Mia Han Colby
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States,*Correspondence: Mia Han Colby
| | - Ben Hires
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States,ADAPT Coalition, Clinical and Translational Science Institute, Tufts University, Boston, MA, United States,Boston Chinatown Neighborhood Center (BCNC), Boston, MA, United States
| | - Lisette Le
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States,ADAPT Coalition, Clinical and Translational Science Institute, Tufts University, Boston, MA, United States,Vietnamese American Initiative for Development (VietAID), Dorchester, MA, United States
| | - Dawn Sauma
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States,ADAPT Coalition, Clinical and Translational Science Institute, Tufts University, Boston, MA, United States,Asian Task Force Against Domestic Violence (ATASK), Boston, MA, United States
| | - Man Yoyo Yau
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States,ADAPT Coalition, Clinical and Translational Science Institute, Tufts University, Boston, MA, United States,Boston Chinatown Neighborhood Center (BCNC), Boston, MA, United States
| | - MyDzung Thi Chu
- ADAPT Coalition, Clinical and Translational Science Institute, Tufts University, Boston, MA, United States,Tufts Medical Center, Institute for Clinical Research and Health Policy Studies, Boston, MA, United States
| | - Heang Leung Rubin
- Asian Center for Addressing Research, Education, and Services (CARES), Boston, MA, United States
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Abstract
It is generally assumed that gamblers, and particularly people with gambling problems (PG), are affected by negative perception and stigmatisation. However, a systematic review of empirical studies investigating the perception of gamblers has not yet been carried out. This article therefore summarises empirical evidence on the perception of gamblers and provides directions for future research. A systematic literature review based on the relevant guidelines was carried out searching three databases. The databases Scopus, PubMed and BASE were used to cover social scientific knowledge, medical-psychological knowledge and grey literature. A total of 48 studies from 37 literature references was found. The perspective in these studies varies: Several studies focus on the perception of gamblers by the general population, by subpopulations (e. g. students or social workers), or by gamblers on themselves. The perspective on recreational gamblers is hardly an issue. A strong focus on persons with gambling problems is symptomatic of the gambling discourse. The analysis of the studies shows that gambling problems are thought to be rather concealable, whereas the negative effects on the concerned persons‘ lives are rated to be quite substantial. PG are described as “irresponsible” and “greedy” while they perceive themselves as “stupid” or “weak”. Only few examples of open discrimination are mentioned. Several studies however put emphasis on the stereotypical way in which PG are portrayed in the media, thus contributing to stigmatisation. Knowledge gaps include insights from longitudinal studies, the influence of respondents‘ age, culture and sex on their views, the relevance of the type of gambling a person is addicted to, and others. Further studies in these fields are needed.
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