Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Examining the Gambling Behavior of University Students: A Cross-Sectional Survey Applying the Multi-Theory Model (MTM) of Health Behavior Change in a Single Institution

Version 1 : Received: 9 June 2023 / Approved: 12 June 2023 / Online: 12 June 2023 (03:54:54 CEST)

A peer-reviewed article of this Preprint also exists.

Kapukotuwa, S.; Bonsu, L.; Chatterjee, A.; Fudolig, M.; Sharma, M. Examining the Gambling Behavior of University Students: A Cross-Sectional Survey Applying the Multi-Theory Model (MTM) of Health Behavior Change in a Single Institution. Healthcare 2023, 11, 2151. Kapukotuwa, S.; Bonsu, L.; Chatterjee, A.; Fudolig, M.; Sharma, M. Examining the Gambling Behavior of University Students: A Cross-Sectional Survey Applying the Multi-Theory Model (MTM) of Health Behavior Change in a Single Institution. Healthcare 2023, 11, 2151.

Abstract

Gambling among college students can start as a pastime activity. However, this pastime can lead to problem gambling and pathological gambling. This cross-sectional study aimed to identify and explain gambling behavior among university students using a novel fourth-generation multi-theory model (MTM) of health behavior change. Data were collected from a sample of 1,474 university students at a large southwestern university in the U.S. between January 2023 and February 2023, utilizing a validated 39-item survey. The statistical analyses employed in this study encompassed descriptive statistics, independent samples t-tests, and hierarchical regression modeling. Among students who engaged in gambling in the past month, the constructs of participatory dialogue (β = 0.052; p < 0.05), behavioral confidence (β = 0.073; p < 0.0001), and changes in the physical environment (β = 0.040; p = 0.0137) accounted for 27.7% of the variance in the likelihood of initiating the behavior change. Furthermore, the constructs of emotional transformation (β = 0.104; p = 0.0003) and practice for change (β = 0.060; p = 0.0368) accounted for 22.6% of the variance in the likelihood of sustaining quitting gambling behavior. The Multi-Theory Model (MTM) can be employed to design interventions aimed at reducing problem gambling among college students.

Keywords

behavior; theory; addiction; gambling; college students; university students; young adults; betting; gaming

Subject

Public Health and Healthcare, Public Health and Health Services

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