Korean J Health Promot KJHP Korean Journal of Health Promotion 2234-2141 2093-5676 Korean Society for Health Promotion and Disease Prevention 10.15384/kjhp.2018.18.2.71 Original Article Relationship between Horse Racing Addiction and Health Status Indicators Na Sang-Gu Park Young-Kyu Choi Young-Ah Cho Sung-Min Lee Kyung-Shik Seo Gang-Seok Park Sung-Won Kim Se-Jong Lee Soo-Yeon Department of Family Medicine, Bundang Jesaeng Hospital, Seongnam, Korea. Corresponding author: Young-Ah Choi, MD. Department of Family Medicine, Bundang Jesaeng Hospital, 20 Seohyeon-ro 180-gil, Bundang-gu, Seongnam 13590, Korea. Tel: +82-31-779-0155, Fax: +82-31-779-0169, grchoi1@dmc.or.kr 06 2018 30 06 2018 18 2 71 82 30 03 2018 29 05 2018 Copyright © 2018 Korean Society for Health Promotion and Disease Prevention 2018 Korean Society for Health Promotion and Disease Prevention This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background

The purpose of this study is to investigate relationship between the horse racing addiction and the health status indicators.

 Methods

Surveys were conducted with visitors of the Korea Racing Association in Gyeonggi-do, from September 1 to September 24, 2017. We used the questionnaire, which contains questions to assess the horse racing addiction, mood depression, health-related quality of life, smoking amount, alcohol dependency, etc. Survey data were analyzed through t-test, chi-square test, logistic regression analysis, and multiple regression analysis by SPSS program (IBM Corp., Chicago, IL, USA).

 Results

The pathological gambling group was 47.5% (n=38) of the visitors, and they showed a different racecourse use behavior compared to the normal group. In addition, we found that the pathological gambling group had a significantly different health-related quality of life score and a depression score from the normal group, and that the addiction score and the depression score had a linear correlation.

 Conclusions

Among the racecourse visitors, the ratio of the pathological gambler was considerably high, and the pathological gambling group showed different health-related quality of life score and a depression score compared to the normal group; especially, the depression score has a significant correlation with horse racing addiction. Therefore, the horse racing association and the health authorities should recognize the seriousness of the horse racing addiction, make an effort to select high risk users, and prepare a program to prevent pathological gambling.

 Horse racing Pathological gambling Health status indicators Lee DJ The relationship among gambling motives, irrational gambling belief, gambling addiction and social adaptation of racing sports participants [dissertation] Seoul The Graduate School of Sungkyunkwan University 2007 Korean Dickerson MG Baron E Hong SM Cottrell D Estimating the extent and degree of gambling related problems in the Australian population: A national survey J Gambl Stud 1996 12 2 161 178 Ladouceur R Walker M A cognitive perspective on gambling: Trends in cognitive and behavioural therapies 1st ed New York John Wiley & Sons Ltd 1996 89 120 McCormick RA Taber JI The pathological gambler: Salient personality variables The handbook of pathological gambling 1st ed Illinois Charles C Thomas Pub Ltd 1987 9 39 Lesieur HR Rosenthal RJ Pathological gambling: a review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified) J Gambl Stud 1991 7 1 5 39 Lee BO Lee CH Lee PG Choi MJ Namkoong K Development of Korean version of alcohol use disorders identification test (AUDIT-K) its reliability and validity J Korean Acad Addict Psychiatry 2000 4 2 83 92 Kim SH Kim HJ Lee SI Jo MW Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea Qual Life Res 2012 21 6 1065 1073 Kim SH Ahn J Ock M Shin S Park J Luo N The EQ-5D-5L valuation study in Korea Qual Life Res 2016 25 7 1845 1852 Beck AT Depression: clinical, experimental, and theoretical aspects 1st ed New York Hoeber Medical Division, Harper & Row 1967 345 359 Lee YH The relations between attributional style, life events, event attribution, hopelessness and depression [dissertation] Seoul Seoul National University 1993 Korean Lee HP Kim DJ Sung SK Yang IH Go HJ The psychological and behavioral characteristics of the pathological gamblers in horse racing J Korean Neuropsychiatr Assoc 2000 39 1 46 54 Heo JH An analysis of gambling participant addiction: The case of Seoul horse racing park [dissertation] Suwon Kyonggi University 2001 Korean Park SE An analysis of satisfaction degree of horse racing participant between the sound and the addicted. [dissertation] Suwon Kyonggi University 2002 Korean Jeon JS An exploratory study of comorbidity between gambling disorder and alcohol use disorder: the case of off-track betting place of horse racing users [dissertation] Bucheon Catholic University 2017 Korean Song KY The relationship between degree of participation in horse racing and addiction, social adaption Korean J Sociol Sport 2001 14 2 601 615 Rhee MK Kim KH Kim CN Prevalence estimates, demographics and psychosocial characteristics of pathological gamblers: focusing on comparing two communities in Korea Korean J Health Psychol 2003 8 2 399 414 Correlation of DSM-5 score related to K-BDI score. Calculated by multiple linear regression analyses, adjusted by BMI, smoking amount, EQ-5D, AUDIT-K.

Abbreviations: DSM-5, diagnostic and statistical manual of mental disorders-5; K-BDI, Korean-Beck depression inventory. EQ-5D, EuroQol-5dimension; AUDIT-K, Korean-alcohol use disorders identification test.

 General characteristics of study subjects

Values are presented as number (%).

aCalculated by chi-square test.

 Relationship between horse racing addiction and racecourse use behavior

Values are presented as mean±standard deviation.

aCalculated by t-test.

 Comparison of health status indicators by addiction status

Abbreviations: BMI, body mass index; EQ-5D, EuroQol-5dimension; AUDIT-K, Korean-alcohol use disorders identification test; K-BDI, Korean-Beck depression inventory.

Values are presented as mean±standard deviation or number (%).

aCalculated by t-test.

bCalculated by chi-square test.

 Association of horse racing addiction (logistic regression, ORs with 95% CI) with health status indicators

Abbreviations: OR, odds ratio; CI, confidence interval; BMI, body mass index; EQ-5D, EuroQol-5dimension; AUDIT-K, Korean-alcohol use disorders identification test; K-BDI, Korean-Beck depression inventory.

Calculated by logistic regression analysis.

 Correlation of degree of horse racing addiction related to body-mass index, smoking amount, health-related quality of life, alcohol dependency, and depressed mood

Abbreviations: DSM-5, diagnostic and statistical manual of mental disorders-5; β, standardized regression coefficient; SE, standard error; BMI, body mass index; EQ-5D, EuroQol-5dimension; AUDIT-K, Korean-alcohol use disorders identification test; K-BDI, Korean-Beck depression inventory.

Calculated by multiple linear regression analyses.