Introduction: The present study employed data from Waves I and II of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC) to compare gambling prevalence rates across gender and world regions (e.g., Africa, Asia, Europe, and Latin America). Methods: Responses from first generation (n. =. 5363), second generation (n. =. 4826), third generation (n. =. 4746), and native-born Americans (n. =. 19,715) were subjected to a series of multinomial regression analyses, after controlling for sociodemographic variables such as age, gender, race/ethnicity, household income, education level, region of the United States, and urbanicity. Results: The prevalence of gambling and problem gambling was markedly lower among first-generation immigrants than that of native-born Americans and second and third-generation immigrants. Results also point to inter- and intra-generational dynamics related to gender, age of arrival and duration in the United States, and world region from which participants emigrated. Additionally, we found that second-generation immigrants and nonimmigrants were significantly more likely to meet criteria for disordered gambling compared to first-generation immigrants in general. Conclusions: Compared to first-generation immigrants, male and female immigrants of subsequent generations and nonimmigrants were significantly more likely to report involvement in all problem gambling behaviors examined. Findings suggest that gambling prevalence rates increase across subsequent generations, and are more likely to occur in women than among men. © 2014 Elsevier Ltd.

Immigrant Immigration Gambling Substance use disorder

educational status immigrant South and Central America Latin America regression analysis Europe human epidemiology immigration sex difference Asia Self Report statistics and numerical data controlled study geographic distribution ethnology Urbanization United States income Humans migrant American male Emigrants and Immigrants gambling female Africa race prevalence Article adult gender age Sex Factors normal human ethnicity