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Home > Harms measurement: how do we measure population harm?

Gambling Research Exchange Ontario. (2019) Harms measurement: how do we measure population harm? Guelph, ON: Gambling Research Exchange Ontario.

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This white paper reviews methods used by agencies like the World Health Organization (WHO) to measure overall population health, and the total population harm caused by health risks such as alcohol. The paper explains measures including: burden of disease (BoD), health-related quality of life (HRQL), quality adjusted life years (QALY), disability adjusted life years (DALY), and years lost to disability (YLD). Recently, the QALY measure was used to measure populated-level gambling harm in New Zealand and in Victoria, Australia. These projects used the Problem Gambling Severity Index (PGSI) to measure gambling severity, but there are limitations to this application as the PGSI was developed as a clinical screening tool and not for population assessment. This paper discusses recent work that addresses the limitations of current gambling harm assessment tools, and recommendations for the development of new aggregate-level harm indicators.

Item Type
Publication Type
International, Report
Drug Type
Behavioural addiction
Intervention Type
Harm reduction, Screening / Assessment
March 2019
8 p.
Gambling Research Exchange Ontario
Corporate Creators
Gambling Research Exchange Ontario
Place of Publication
Guelph, ON
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