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Following the opening of the casino, significantly more participants in Hull chose the “no opinion” response concerning the impact of a casino compared with the control group (c2 = 11.95, df 2, n = 878, P < 0.004). Nevertheless, both groups still perceived a positive impact on tourism (Table 4).

Lifetime Prevalence. To facilitate comparison with the lifetime prevalence results from a prevalence study replication, a nonparametric repeated measures ANOVA (region × time; Proc CATMOD; 13) was performed on lifetime prevalence (for the 3 categories non-problem gamblers, at-risk gamblers, and probable pathological gamblers). Results revealed a significant region × time interaction effect for the level of at-risk gamblers in relation to time (c2 = 7.58, df 1, n = 864, P < 0.01). In the Hull area, the percent of at-risk gamblers had almost doubled over 1 year (Table 2).

Discussion

Our report represents the first published longitudinal study to empirically evaluate the impact of the establishment of a casino on gambling habits, using a paired-subject design and a control group. The results confirm the hypothesis that an increase in the availability of gambling activities is followed by increased participation in these activities, even within as short a period as 1 year. The study design allows us to demonstrate a causal link between the establishment of the casino and a subsequent increase in self-reported gambling levels.
 

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