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The data indicate an increase at posttest in gambling participation in casinos among residents in the Hull region (both gambling at the casino’s tables and playing casino machines). This result empirically confirms the conclusions reported in several cross-sectional studies (7,12). During this same period, the frequency of participation in lotteries decreased significantly among Hull respondents only. This result could be explained by a saturation of the gambling market in the Hull region—lotteries may have lost part of their territory in favour of casino games. Other games, like bingo, cards, and dice games also show a decrease, but this decrease is similar in the 2 regions.

A significant increase among Hull respondents in the largest amount of money lost in 1 day while gambling is an informative finding. Hull respondents specifically reported having spent more money in the Hull casino over the last 12 months than Quebec City respondents reported spending in the 3 casinos in the province. This result is certainly not surprising considering that after 1 year of operation, the Hull casino has already generated revenues of Can$145 811 000, and 46% of the people that have gone to the casino are from this geographical area (residing at most 80 km from the casino; see 14).
Clinical Implications


The establishment of a casino increases gambling levels.
Respondants reported an increase in the negative effects of gambling among relatives and neighbors subsequent to a casino opening.
The degree of support for a casino decreases over time after its establishment.
 

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