体育彩票购买成瘾行为特征与健康相关服务OA北大核心CSTPCD

Objective To analyze the characteristics of sports lottery purchase addiction behavior and provide evidence for health-re-lated services and public health intervention strategies for lottery buyers at different risk levels. Methods Based on International Classification of Diseases,11th Revision,and International Classification of Function-ing,Disability,and Health,the psychological and behavioral characteristics of lottery addiction and its functional impairments were analyzed.A questionnaire survey was conducted on 1 920 sports lottery buyers from Zhejiang,Hainan,Hunan,Gansu,Yunnan and Heilongjiang provinces from June to August,2024,using the Risk Level Questionnaire for Sports Lottery Addiction Behavior,the Characteristics Measurement Questionnaire for Sports Lottery Purchase Behavior,and the Functional Impairments Measurement Questionnaire for Sports Lottery Ad-diction Behavior.The health service system and public health intervention measures for sports lottery addiction were comprehensively discussed based on WHO policies and international research findings on gambling addic-tion. Results A total of 1 817 valid questionnaires were collected.There were significant differences in the prevalence of ad-dictive behavior at different risk levels across gender(χ2=12.804,P<0.005),age(χ2=40.825,P<0.001),in-come(χ2=41.522,P<0.001),economic zone(χ2=37.658,P<0.001)and years of lottery purchase history(χ2=66.520,P<0.001).The lottery participation(Z=-5.068,P<0.001),frequency of purchase(Z=-2.561,P=0.01)and expenditure-to-income ratio(Z=-4.062,P<0.001)increased in those with addictive behavior risk.Risk levels of addiction behavior significantly predicted physical harm,negative emotions,influences on work and academic performance,deterioration in interpersonal relationships,and financial problems,and prediction ef-fects increased with risk levels. Conclusion Lottery purchase addiction is predominant in young males with low incomes and short purchase histories,in central and western economic regions,which may be associated with purchase time,frequency and economic expenditure.Addiction behavior may impair individuals'physical,psychological and social functioning.A health-related service system encompassing prevention,intervention,rehabilitation and health promotion is needed to address lottery purchase addiction.Public health intervention strategies should focus on setting health goals,pri-oritizing health needs,mobilizing resources and implementing guidance plans,to provide support and services for groups at different risk levels of addiction to mitigate its harms.