Off-campus UMass Amherst users: To download campus access dissertations, please use the following link to log into our proxy server with your UMass Amherst user name and password.

Non-UMass Amherst users: Please talk to your librarian about requesting this dissertation through interlibrary loan.

Dissertations that have an embargo placed on them will not be available to anyone until the embargo expires.



Access Type

Open Access Thesis

Document Type


Degree Program

Public Health

Degree Type

Master of Science (M.S.)

Year Degree Awarded


Month Degree Awarded



The impacts of the introduction of casino gambling in Plainville, MA and surrounding communities are of interest in developing informed policy. Problem gambling is a public health issue as associated harms include physical and mental illness, impaired relationships with one’s close social network, impacts on school or work, financial difficulties and illegal behavior. The results of surveys prior to and after the introduction of the casino were used to evaluate potential differences in the prevalence of at-risk and problem gambling, associations amongst health and gambling behavior covariates with at-risk and problem gambling status by year, and changes of covariate relationships with at-risk and problem gambling between years (2014 Total n = 1,090; 2016 Total n = 999; Total N = 2,089). No change in prevalence of at-risk and problem gambling was observed. A borderline significant higher rate in casino gambling between survey years was observed for at-risk and problem gamblers. Future research should aim to explore the influence of gambling availability on vulnerable subgroups of the population to create fully informed policy.


First Advisor

Brian W. Whitcomb

Second Advisor

Rachel A. Volberg

Included in

Epidemiology Commons