OBJECTIVES This study sought to investigate the impact of gambling habits on HSUVs and health-related quality of life (HRQoL) using SF-36 measure in the Australian general population. METHODS Using the 2015 wave of Household Income and Labour Dynamics in Australian survey (n = 17,606) age- and gender-specific HSUVs were estimated according to the severity of gambling problem (measured by the Problem Gambling Severity Index). OLS and Tobit regression models were used to control for demographic and other confounding factors. Marginal effects of the gambling statuses for the expected value of HSUV were estimated to calculate quality-adjusted life year (QALY) loss attributed to gambling. RESULTS The predicted HSUVs on Australian weights for low- and moderate-risk and problem gamblers were -0.030 (95%CI -0.060 to -0.000), -0.057 (95%CI -0.089 to -0.025) and -0.181 (95%CI -0.239 to -0.123) less than non-gamblers &/or non-problem gamblers. Low HSUVs related to gambling behavior were predicted by age, gender, education, and employment. Gambling was responsible for 443.44 (95%CI -695.16 to -188.13) QALY losses in 2015 in the Australian general population. CONCLUSION Gambling is significantly and negatively associated with HRQoL and HSUVs and the magnitude of this association is determined by the severity of the gambling problem.

中文翻译：

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赌博问题行为的健康状态效用价值参考集，一项对澳大利亚普通人群的调查：对未来医疗保健评估的影响。

目的本研究旨在探讨使用SF-36量度法在澳大利亚普通人群中赌博习惯对HSUV和健康相关生活质量（HRQoL）的影响。方法根据2015年家庭收入和劳动动态波在澳大利亚的调查（n = 17,606），根据赌博问题的严重程度（由问题赌博严重性指数衡量）估算特定年龄和性别的HSUV。OLS和Tobit回归模型用于控制人口统计学和其他混杂因素。估计赌博状态对HSUV期望值的边际影响，以计算归因于赌博的质量调整生命年（QALY）损失。结果根据澳大利亚权重，对于中低风险和有问题的赌徒，预测的HSUV分别为-0.030（95％CI -0.060至-0.000），-0.057（95％CI -0.089至-0）。025）和-0.181（95％CI -0.239至-0.123）低于非赌徒和/或非问题赌徒。通过年龄，性别，教育程度和就业来预测与赌博行为相关的低HSUV。2015年，赌博对澳大利亚普通人群造成QALY损失443.44（95％CI -695.16至-188.13）。结论赌博与HRQoL和HSUV具有显着的负相关性，这种关联的程度取决于赌博问题的严重性。