Health Promotion Strategies to Address Gambling-Related Harm in Indigenous Communities: A Review of Reviews

Abstract

The evolution of commercial gambling and its expansion into digital arenas has increased opportunities for people all over the world—including Indigenous people—to gamble. While there is considerable evidence for the suitability of a health promotion approach to improving the health and well-being of Indigenous communities worldwide, the evidence-base does not extend to the field of gambling research. A systematic review of reviews was conducted to identify relevant reviews in crossover areas of interest: interventions to address gambling-related harm in Indigenous populations and/or health promotion interventions on related health or behavioural outcomes. The quality of reviews was critically assessed—13 fit the inclusion criteria. Principal themes were characterised as being either related to ‘cultural,’ ‘structural,’ or ‘methodological’ factors. Findings indicate that an appropriate model of health promotion to address Indigenous gambling would necessarily involve careful consideration of all three elements. Applying a health promotion approach to the context of Indigenous gambling harms is increasingly relevant considering recent conceptual shifts in key areas, but there is currently limited evidence to guide the implementation and evaluation of such strategies. This review highlights what published evidence is available to strengthen future research in this area.