that there are other concerns in a time of health crisis, people may not consider the adoption of such measures to be a priority. However, the government has primarily undertaken them to prevent the negative economic consequences gambling can bring about, not only in the altering of people’s moods which can lead to major depressive disorder, but also economic ruin which may lead Illustration 13. Tweet – Prohibition of Gambling Advertising
[Minister for Consumer Affairs, @garzon ‘’With regards gambling we have detected that there has been a growing incidence of online betting. That is why we have prohibited the advertising of gambling in any medium, except during the hours of 1am to 5am.”]
Such is the importance in the early prevention of behavioural addictions, for, as time passes, it becomes even harder to ‘kick the habit’, and in this particular instance, the new addict would continue to play after lockdown. It is consequently important that such measures are adopted in order to prevent negative effects on the physical and mental health of these potential gamblers (-consummogob,2020) (See Illustration 13).
Although such measures might be thought of as exaggerated or out of place, the reality is that our economic behaviour is governed by a multitude of internal and external variables. For example, one usually thinks about shopping in terms of prices. But how much are people willing to spend to buy things? This and other similar questions are dealt with by Consumer Psychology, a branch of study which analyses the behaviour of the individual when faced with varyingly complex economic decisions. The prototype for such investigations concern games of chance, that is, a situation where money may be won or lost dependent upon probabilities that the researcher manipulates.
It has been demonstrated that there are some people who are conservative in their value judgements, whilst others take more risks. It has also been observed that these personal variables are modified when subjected to temporary or continued consumption of certain addictive substances.
Based on this type of research, other variables, which may be implicated in whether an individual might assume lesser or greater economic costs are analysed, such as obesity. But are there differences in what an individual is willing to pay based on whether or not they are overweight? An answer to this has been sought by research undertaken by the Agricultural and Food Economics Unit, Agricultural Research and Technology Centre of Aragon, Agro-Food Institute of Aragon, University of Zaragoza (Spain), together with the Economic, Agricultural and Food Resources Area, Michigan State University (USA) (De-Magistris, López-Galán, & Caputo, 2016).
The study involved 309 participants, graded as to whether or not they were overweight (those with a body mass index greater than 30 (weight in kilograms divided by height squared) were overweight), and whether or not they accepted their own image in the mirror (using the standardised Body Image State Scale questionnaire (Cash, Fleming, Alindogan, Steadman, & Whitehead, 2002). Four groups were formed, not overweight with acceptance of mirror image; not overweight with non-acceptance of mirror image; overweight with acceptance of mirror image, and overweight with non-acceptance of mirror image.
The study entailed the participants being shown normal or healthy potato crisps, and they had to indicate what price they would be willing to pay for them, with a choice of four pre-set prices.
The results showed that the overweight participants with non-acceptance of their mirror image were those willing to pay the maximum price for a bag of healthy potato crisps, indicating that a willingness to pay for something does not depend solely on price. On the contrary, and as may be understood by the law of supply and demand, other variables such as physiological (overweight) and psychological (personal image) must be taken into account.
Based on these results, in times of lockdown, a gambler may not think of the money they are spending in a logical or reasonable manner, governed by their income and expenditure, but they might well exhibit exorbitant spending behaviour without thinking of any future consequences, thus possibly leading to economic ruin.
For this reason, the aforementioned measures have been very well received amongst anti-gambling associations.
Whilst the measures adopted via the immediate ban on advertising might not appear to be the best way in which to ‘educate’ the public, experience with other types of health interventions have demonstrated that, despite the greatest of invested efforts, changes are often very slow to take effect.
For example, there remains today much to be done towards the eradication of obesity throughout the world. (@ONU_es, 2019) (See Illustration 14).
This is a public health problem increasingly affecting more countries, whether they are in the ‘first world’ or those still developing.
This tends to invalidate the explanatory theories for such obesity (appearing at increasingly younger ages) as due to the superabundance and ease of access to food. Social theories are currently being considered to explain how populations with limited food resources, such as developing countries, suffer these same obesity rates (amongst both adults and children).
Although its effects are not as obvious as other public health problems such as smoking or alcoholism, it has many consequences, particularly upon the quality of life of the patient, whose physical activity gradually becomes limited, due to the accumulation of body fat.
[Obesity is one of the main triggers for diabetes. USA has more than double the number of overweight adults than the world average. Learn more about the risk factors here #DíaMundialDeLaDiabetespaho.org/hq/index.php?o..
To combat this problem, efforts have been made in ‘educating’ from infancy, so children learn to eat a healthy diet. At the same time, in a supplementary manner, many secondary schools and universities provide specific training regarding good nutrition, highlighting the disorders that may arise, such as anorexia or obesity, amongst others. But should health programmes associated with obesity be customised?
This question has been addressed in research by the University of Calgary together with the Health Services of the University of Alberta (Canada) (Russell-Mayhew et al, 2016).
The study analysed 67 awareness programmes on nutrition taught in secondary schools and universities distributed throughout the country. The content of each course was analysed in order to verify how each one dealt with the specific problem of obesity. The results showed a total lack of coordination between the courses, both in terms of the topic and how it was approached, in such a way that only 30% considered obesity as a public health problem. 85% of the courses were oriented to nursing issues in the field of work performance, whilst only 15% of programmes included information on promotion of health via nutrition and adequate exercise. Few programmes emphasised the social and discrimination problems faced by obese patients.
It must be borne in mind that awareness-raising amongst the population is the first step towards achieving some kind of social change, but, if the programmes aimed at such work are inadequate, the problem of obesity will be difficult to solve. The same is true in the changing of behavioural habits or to prevent future addictions, where it is important that clear and precise information is given, with special emphasis on the mediating psychological aspects, so the individual understands what is being said is for the benefit of them and their future health.
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