Experts Warn of Online Gambling's Public Health Risks

The rapid expansion of online gambling has prompted experts to call for public health-focused regulation, highlighting potential risks to individuals and communities.

Key Takeaways:

• 46% of adults and 18% of adolescents worldwide have gambled in the past year
• Online platforms have removed traditional barriers to gambling access
• Experts recommend treating gambling as a public health issue rather than a medical problem

The digital age has transformed gambling into a ubiquitous global industry, with smartphones acting as pocket-sized casinos available 24/7. A recent Lancet report reveals staggering statistics: nearly half of the world's adult population and almost one-fifth of adolescents have engaged in gambling activities within the past year.

While problem gambling affects an estimated 1.4% of gamblers globally, the impact extends far beyond the individual. Each person struggling with gambling addiction typically affects six to eight others in their immediate circle, including family members, colleagues, and employers.

The report's authors, including Harvard Kennedy School professor Malcolm Sparrow, argue for a shift in perspective. They advocate treating gambling as a public health concern rather than solely a medical issue. This approach acknowledges the broader societal implications of gambling behaviors.

Of particular concern is the rise of gambling among young people. An alarming 10% of adolescents have gambled online in the past year, despite age restrictions. Even more troubling, 26% of these young gamblers are at risk for developing gambling disorders – a significantly higher proportion compared to adults.

The online gambling landscape has dramatically altered the industry's dynamics. Digital platforms allow operators to gather detailed data on user behavior, enabling targeted marketing and personalized experiences. This level of sophistication raises questions about consumer protection and responsible gambling practices.

In the United States, the legalization of online sports betting has spread rapidly since 2018. Thirty-seven states and the District of Columbia now permit this form of gambling. The industry's marketing efforts are pervasive, leveraging social media and celebrity endorsements to attract new players.

As lawmakers seek new revenue sources, many have loosened restrictions on online betting without fully considering the potential public health risks and social costs. The Lancet report urges policymakers to implement regulatory measures, such as limiting annual losses, prohibiting credit use, and restricting advertising and game design features that may encourage problematic gambling behaviors.

While Europe has grappled with these issues for longer, North America is just beginning to confront the challenges posed by widespread online gambling. As more data emerges on the public health impacts in the United States, the authors hope that policymakers will take proactive steps to mitigate potential harms and protect vulnerable populations.