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What Determines Harm from Addictive Substances and Behaviours?$
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Lucy Gell, Gerhard Bühringer, Jane McLeod, Sarah Forberger, John Holmes, Anne Lingford-Hughes, and Petra S. Meier

Print publication date: 2016

Print ISBN-13: 9780198746683

Published to Oxford Scholarship Online: March 2016

DOI: 10.1093/acprof:oso/9780198746683.001.0001

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Determinants of risky substance use and risky gambling

Determinants of risky substance use and risky gambling

(p.35) Chapter 3 Determinants of risky substance use and risky gambling
What Determines Harm from Addictive Substances and Behaviours?

Jane McLeod

Lucy Gell

John Holmes

Allaman Allamani

Bagga Bjerge

Gerhard Bühringer

Sarah Forberger

Vibeke Frank

Anne Lingford-Hughes

Petra Meier

Maria Neumann

Robin Room

Ben Baumberg

Francisco Jose Eiroa-Orosa

Rosie Lees

Gert-Jan Meerkerk

Laura Schmidt

Martine Stead

Dike van de Mheen

Weirs Reinout

Oxford University Press

Risky substance use and risky gambling describe behaviour that has the potential for, but does not actually result in, harm to the individual engaging in the behaviour, their friends, and family, or wider society. Drawing together evidence from 12 disciplines working in the field of substance use and gambling, this chapter presents determinants of the transition from no use or low-risk use to risky substance use or risky gambling, operating across three levels of analysis: the social, economic, and political environment; the individual; and the cellular and molecular. Determinants within each level of analysis are clustered into domains, such as social and economic marginalization, gender and sexuality, personality traits, and neuroadaptations. There is much interaction between factors operating across the three levels of analysis. A key finding is that the social, economic, and political environment is particularly important for understanding transitions to risky behaviour.

Keywords:   risky substance use, risky gambling, interdisciplinary synthesis, social, economic and political environment, individual factors, cellular and molecular factors

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