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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 harmful substance use and harmful gambling

Determinants of harmful substance use and harmful gambling

(p.77) Chapter 4 Determinants of harmful substance use and harmful gambling
What Determines Harm from Addictive Substances and Behaviours?

Lucy Gell

Jane McLeod

John Holmes

Allaman Allamani

Ben Baumberg

Bagga Bjerge

Gerhard Bühringer

Francisco Jose Eiroa-Orosa

Sarah Forberger

Vibeke Frank

Anne Lingford-Hughes

Gert-Jan Meerkerk

Petra Meier

Maria Neumann

Robin Room

Laura Schmidt

Martine Stead

Dike Van de Mheen

Reinout Wiers

Phil Withington

Oxford University Press

Harmful substance use and harmful gambling describe behaviour that is related to material harms of social, mental, or physical nature for either the user or those around them—harm that would not have occurred in the absence of the substance use or gambling. This chapter presents a broad range of determinants of harmful substance use and harmful gambling, clustered into domains such as marginalization, marketing, economic cycles, intra-individual factors, and biological vulnerabilities. There is much interaction between determinants operating within different domains. In comparison to the determinants of transitions to risky substance use and gambling, where the balance of evidence was stronger for factors at the level of the social, economic, and political environment, the balance of evidence for determinants of transitions to harmful substance use and gambling is predominantly at the individual and cellular and molecular levels of analysis.

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

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