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At pretest, a sample from the Hull region was thoroughly surveyed less than 1 month before the opening of the Hull casino on March 23, 1996. A parallel sample from the region of Quebec City was also surveyed during the same period (12). Posttest took place 12 months after pretest. The duration of the interviews varied between 5 and 20 minutes. At pretest, the gambling activities accessible in the 2 regions were the same, the most common being video lottery terminals (VLTs), provincially regulated lottery tickets, and bingo. The residents of the Hull region lived approximately 213 km (127.8 miles) from the nearest casino, that of Montreal. Quebec residents live 254 km (152.4 miles) from the Montreal casino and 126 km (75.6 miles) from the casino in Charlevoix.

Results
At posttest, Hull respondents gamble significantly less often on lotteries than at pretest and less often than Quebec respondents at either pretest and posttest.

A region effect (F1,864 = 6.83, P < 0.01) and a time effect (F1,864 = 11.85, P < 0.001) were observed for bingo, and only a time effect was observed for card games (F1,868 = 10.36, P < 0.01) and dice games (F1,871 = 6.38, P < 0.05). During both pretest and posttest, Hull respondents reported participating less frequently in bingo than the Quebec respondents, and with time, both regions report a significant decrease in their frequency of participation in this activity as well as card and dice games (Table 1).

Amount of Money Lost Gambling. A repeated measures ANOVA with covariates (age, education, and income at pretest) performed on a log transformation of the largest amount of money ever lost in 1 day’s gambling revealed a significant interaction effect (region × time) (F1,799 = 34.61, P < 0.001). The adjusted means of the log indicate that at posttest, Hull respondents reported having lost a significantly higher amount of money in 1day (mean 1.23, SE 0.03) than did Quebec respondents (mean 0.89, SE 0.03), and this amount is significantly more than the amount of money lost at Hull (mean 0.92, SE 0.03) and Quebec (mean 0.89, SE 0.03) pretest. The adjusted averages without log transformations (in Can$) are as follows: Hull pretest mean 89.14, SE 45.42; Quebec pretest mean 33.10, SE 47.42; Hull posttest mean 154.61, SE 69.97; Quebec posttest mean 21.84, SE 73.05.  

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