Gambling, Substance Use, and Help-Seeking Attitudes in a Community-Based Sample of Lao Refugees, Immigrants, and U.S.-Born Citizens

How are gambling and substance use influenced by cultural factors? We explore survey data from a community-based convenience sample of Southeast Asian refugees (N = 200) on gambling behavior, substance use, and attitudes toward help-seeking for addiction. Results revealed a high rate of gambling and smoking but not alcohol or marijuana use problems. Individual items on the South Oaks Gambling Screen were endorsed at a high rate and a large proportion of the sample reported five or more gambling problems (24%, n = 47). Common methods of play included house betting, slots, and casino games. In addition, respondents indicated a significant community impact of gambling problems. Cultural factors may relate to high rates of problem gambling in this community sample, and culturally informed assessment of gambling problems may benefit clinical practice. Nontraditional help-seeking approaches may be common among Southeast Asian refugees. Recommendations for culturally sensitive intervention, assessment, and treatment approaches are discussed. We discuss the roles of culture-specific practices and influences on addictive behaviors in the Southeast Asian community. Public Significance Statement The current community-based convenience sample study of adult Southeast Asian Lao refugees and immigrants revealed a significant impact of gambling behaviors and related problems. Common methods of play included casinos, house betting, and slot machines. Culturally adapted treatment and prevention methods are essential in addressing concerns in Southeast Asian communities.