Utilization of preventive offers by migrants with gambling-related problems

Background People with a migration background are less likely to gamble than nonmigrants but are more likely to experience problems from their gambling or be at risk of developing problems. Objective This literature review aims to identify the barriers to access for migrants with gambling-related problems. Particular focus will be given to their use of preventive services and strategies that can be used to increase the likelihood of utilizing service support. Methods The narrative literature review includes studies and review articles published between 2014 and 2019. Results Barriers that lead to the non-use of prevention services include embarrassment, stigma, the wish to handle problem on own or within the family, and the lack of association of gambling-related problems with addiction. In addition to language problems, the lack of familiarity with the health care system as well as the lack of understanding of the applied concepts represent barriers to access. Often, the health care system is also inadequately adapted to the needs of migrants. In order to decrease access barriers for preventive offers to reduce gambling-related problems, stronger involvement of the target group is needed. Conclusions In line with the Ottawa Charter, participatory approaches must be further developed. The earlier the target groups participate in the defining the problem and selecting preventive services, the lower the barriers to using these services and to changing health-related behavior patterns.