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Gambling in the Czech Republic, Its Correlates and Consequences

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Gambling in the Czech Republic, Its Correlates and Consequences National Monitoring Centre for Drugs and Addiction Gambling in the Czech Republic, Its Correlates and Consequences 2013 Gambling in the Czech Republic, Its Correlates and Consequences Viktor Mravčík, Jakub Černý, Zuzana Leštinová, Pavla Chomynová, Kateřina Grohmannová, Šárka Licehammerová, Aleš Ziegler, Veronika Kocarevová Prague, April 2014 NATIONAL MONITORING CENTRE FOR DRUGS AND ADDICTION SECRETARIAT OF THE GOVERNMENT COUNCIL FOR DRUG POLICY COORDINATION Gambling in the Czech Republic, Its Correlates and Consequences © Office of the Government of the Czech Republic, 2014 National Monitoring Centre for Drugs and Addiction nábřeží E. Beneše 4, 118 01 Praha 1 Tel.: +420 296 153 222 www.drogy-info.cz Team of authors: Viktor Mravčík, Jakub Černý, Zuzana Leštinová, Pavla Chomynová, Kateřina Grohmannová, Šárka Licehammerová, Aleš Ziegler, Veronika Kocarevová Edited by: Viktor Mravčík, M.D., Ph.D. Reviewed by: Jan Řehola, Jaroslav Vacek Responsible editor: Zuzana Leštinová Translated by: Jiří Bareš and Vojtěch Častulík English proofreading: Simon Gill Data visualisation support: Alexandr Čech, Visual Data, www.visualdata.cz Graphic layout support: Missing Element, www.missing-element.com The comprehensive report was adopted by the Government Council for Drug Policy Coordination on May 28th, 2014, and the Government of the Czech Republic on September 15th, 2014, which at the same time approved the Summary and Recommendations of the report. For bibliographical citations: MRAVČÍK, V., ČERNÝ, J., LEŠTINOVÁ, Z., CHOMYNOVÁ, P., GROHMANNOVÁ, K., LICEHAMMEROVÁ, Š., ZIEGLER, A., KOCAREVOVÁ, V. 2014. Gambling in the Czech Republic, Its Correlates and Consequences. MRAVČÍK, V. (Ed.). Praha: Úřad vlády České republiky. ISBN 978-80-7440-116-9 Table of Contents Introduction and Acknowledgements ............................................................................................................................ 1 SUMMARY AND RECOMMENDATIONS ........................................................................................................................ 5 Summary of Findings ............................................................................................................................................................ 7 Gambling Market............................................................................................................................................................... 7 Gambling in the Population .......................................................................................................................................... 7 Problem and Pathological Gambling ........................................................................................................................ 8 Health and Social Consequences ................................................................................................................................ 9 Regulation, Prevention, and Treatment .................................................................................................................. 10 Recommended Measures to Be Adopted in Relation to Gambling in the Czech Republic .................... 12 General Policy and Regulation Recommendations ........................................................................................... 13 Recommendations for Changes in Gambling Operation Parameters and Conditions ........................ 14 PART A....................................................................................................................................................................................... 19 1 Definition, Policy, and Legislative Framework of Gambling ..................................................................... 21 1.1 Background ......................................................................................................................................................... 21 1.2 Gambling Policy and Strategy ..................................................................................................................... 24 1.3 Legal Framework of Gambling .................................................................................................................... 25 1.4 Types of Gambling Settings and Games ................................................................................................. 27 2 The Gambling Market .............................................................................................................................................. 35 2.1 Background ......................................................................................................................................................... 35 2.2 Electronic Gambling/Gaming Machines and Casino Gambling ..................................................... 38 2.3 Gambling Settings ............................................................................................................................................ 43 2.4 Economic Indicators ........................................................................................................................................ 49 PART B ....................................................................................................................................................................................... 61 3 Gambling in the Population .................................................................................................................................. 63 3.1 Background ......................................................................................................................................................... 63 3.2 Gambling in the General Population ........................................................................................................ 64 3.3 Patterns and Context of Gambling in the General Population....................................................... 78 3.4 Sociodemographic Characteristics of People Engaging in Gambling Activities ..................... 85 3.5 Substance Use among Gamblers ............................................................................................................... 88 3.6 Gambling and Mental Health ...................................................................................................................... 91 3.7 Gambling in Specific Populations .............................................................................................................. 92 3.8 Online Gambling on Foreign Portals ........................................................................................................ 98 4 Problem Gambling, Pathological Gambling, and Gambling-related Health Consequences .... 101 4.1 Background ...................................................................................................................................................... 101 4.2 Estimated Level of Problem Gambling in the Czech Republic .................................................... 106 4.3 Characteristics and Patterns of Problem Gambling in the Czech Republic ............................ 114 4.4 Problem Gambling-related Comorbidity ............................................................................................. 134 4.5 Mortality of Pathological Gamblers ....................................................................................................... 141 5 Social Consequences and Correlates of Gambling ................................................................................... 147 5.1 Background ..................................................................................................................................................... 147 5.2 Correlates between Gambling and Socially Negative Phenomena ........................................... 148 5.3 Financial Consequences of Gambling and Indebtedness ............................................................. 158 6 Gambling-related Crime ...................................................................................................................................... 167 6.1 Background ..................................................................................................................................................... 167 6.2 Primary Gambling-related Crime ............................................................................................................ 167 6.3 Secondary Gambling-related Crime ...................................................................................................... 170 PART C ................................................................................................................................................................................... 173 7 Introduction to Regulation and Prevention ................................................................................................. 175 7.1 Information and Educational Activities................................................................................................. 175 7.2 Restrictions on the Availability of Gambling ...................................................................................... 176 7.3 Restrictions on or Alterations of the Ways of Providing Gambling .......................................... 177 7.4 Summary of the Effectiveness of Measures to Prevent Problem Gambling .......................... 177 8 Regulation of Gambling ......................................................................................................................................
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