Feb 3, 2025 | RESEARCH, YOUTH GAMBLING
By Nakita Sconsoni, MSW
Read the original article on the BASIS here.
Many adolescents may be exposed to gambling without realizing it. For example, youth who play video games may encounter chance-based mini-games that resemble actual gambling activities like roulette and blackjack, or they may purchase or be rewarded with mystery, in-game prizes, like loot boxes. These simulated gambling activities can lead to at-risk or problem gambling among adolescents. But how do we effectively safeguard young people from experiencing gambling harm? This week, The WAGER reviews a study by Lisa Lole and colleagues that identified adolescents’ views on how they can be better protected from gambling-related harm.
What was the research question?
According to adolescents, what strategies can be used to protect them from gambling-related harm?
What did the researchers do?
The researchers used recruitment agencies and online advertisements to obtain a sample of 89 adolescents aged 12-17 from Australia, and then surveyed them about gambling experiences via one-on-one interviews or an online discussion forum. Participants were screened for problem gambling using the DSM-IV-MR-J criteria and also answered open-ended questions about their gambling engagement. Participants then responded to questions about how adolescents could be protected from gambling harm (1) within their homes, (2) at school, (3) through advertisement/marketing practices, and (4) on a broader regulatory level. The researchers used the thematic analysis approach to analyze participants’ responses.
What did they find?
The most widely-recognized theme among participants was the desire for honesty about how gambling — and its associated harms — is communicated to them and represented in the media. Participants felt that rather than simply prohibiting gambling activities, parents can protect their children from gambling harm by including them in conversations about gambling and educating them about risks and responsible gambling practices (see Figure). Similarly, they felt that schools should use lived experience narratives to educate students about the addictive nature of gambling and the reality of gambling odds. On a broader scale, participants noted that gambling advertisements can be overly positive and misleading, and should not be broadcast on mediums that are frequently used by adolescents such as gaming and social media platforms. Instead, marketing campaigns should provide a more realistic understanding of gambling, including potentially negative outcomes, how to resist the temptation to gamble, and where to access help. Lastly, participants argued for gambling regulation reform, particularly within simulated gambling activities. They advocated for limits on in-game gambling features and in-game spending, as well as stricter age limits.
Figure. Direct quotes from participants on how to prevent gambling harm among adolescents, separated into four categories: (1) strategies that can be implemented with parents/guardians, (2) within the school system, (3) through advertising/marketing practices, and (4) through gambling regulations. Click image to enlarge.
Why do these findings matter?
These findings suggest that adolescents recognize the need for a collective response to gambling prevention and education, with special considerations for young people. This public health effort needs to go beyond any approach that places the burden solely on the individual gambler to “gamble responsibility.” Instead, it should be the responsibility of various stakeholders to protect today’s youth from gambling-related harm, including parents/guardians, the school system (e.g., teachers and counselors), and gambling operators/regulators.
Every study has limitations. What are the limitations of this study?
The researchers did not use representative sampling, the sample size was relatively small, and all participants were from Australia. So, the findings might not be generalizable to adolescents from other areas. This study also relied on self-reported data, which could be subject to recall or social desirability bias.
For more information:
Do you think that you or someone you know might have a gambling problem? Visit the National Council on Problem Gambling for screening tools and resources. For additional resources, including gambling and self-help tools, visit our Addiction Resources page.
— Nakita Sconsoni, MSW
Oct 7, 2024 | RESEARCH, YOUTH GAMBLING
By Kira Landauer, MPH
Read the original article on the BASIS HERE.
Worldwide, many young people gamble before they reach legal gambling age, with a portion experiencing gambling-related problems. To reduce the potential for harm, we need to understand the factors that shape adolescents’ gambling attitudes and behaviors as they grow up. This week, The WAGER reviews a study by Nerilee Hing and colleagues that examined the gambling trajectories of Australian adolescents at different levels of gambling risk, and what influenced these trajectories during various stages of development.
What were the research questions?
What are the gambling trajectories of Australian adolescents at different levels of gambling risk? What influences these trajectories during different developmental stages?
What did the researchers do?
The researchers recruited 89 adolescents from New South Wales, Australia in 2022. They participated in interviews and online discussion communities, where they recounted their gambling experiences chronologically from childhood to present time. Participants were grouped by level of gambling risk based on a validated screen for gambling-related problems: (1) non-gambler (NG), (2) non-problem gambler (NPG), and (3) at-risk gambling or problems with gambling (ARPG). The authors performed thematic analyses to explore the gambling trajectories and their influences for each group during three developmental stages: (1) childhood, (2) early adolescence, and (3) later adolescence.
What did they find?
Childhood
Many participants were first exposed to gambling in childhood (see Figure). Most ARPGs and NPGs were introduced to gambling through their parents, and sometimes passively included in gambling (e.g., gifted scratch tickets). ARPGs, in particular, had positive memories of gambling and remembered it being a fun family activity. Parental gambling was less common for NGs, who became aware of gambling through other sources such as ads.
Early Adolescence
Participants became more aware of gambling options and opportunities during early adolescence through friends, family, ads, and mass media. NGs refrained from gambling, typically because of age restrictions or parental disapproval. Conversely, many ARPGs and NPGs began participating in gambling activities—usually betting privately with friends. Many participants became interested in sports-related betting during this time.
Later Adolescence
The gambling trajectories further diverged in later adolescence. NGs continued to refrain from gambling, and NPGs’ gambling involvement remained consistent or declined. However, ARPGs began to participate in an even wider array of gambling activities, including some high-risk activities like sports betting and skin gambling. They saw gambling as a way to bond with peers—friends often taught and encouraged gambling. Some ARPGs viewed gambling as a way to make money or to demonstrate their skill, unlike most NGs and NPGs.
Figure. Sources influencing the gambling trajectories of Australian adolescents (n = 89) at different levels of gambling risk and during different developmental stages: (1) childhood, (2) early adolescence, and (3) later adolescence. Themes pertaining to a specific risk level are indicated as such. Adapted from Hing et al. 2024.
Why do these findings matter?
Young people’s gambling behaviors evolve as they grow up. This evolution is shaped by multiple interacting sources of influence, including parents, friends, advertisements, and sports. Youth gambling prevention should focus on specific sources of influence at different developmental stages. Educational initiatives, like the Gift Responsibly Campaign, should inform parents of the potential risks of involving their children in gambling activities (e.g., via scratch tickets). Adolescents may also benefit from initiatives that focus on the development of social skills, like resisting peer pressure to gamble.
Every study has limitations. What are the limitations of this study?
Findings from this study might not be generalizable to adolescents in other Australian states or countries, where the gambling landscape and norms are different. This study relied on self-reported data, which may be subject to recall bias.
Figure. Selected suggested improvements to VSE programs, from representatives from various gambling-related sectors in seven jurisdictions (n = 102). Bulleted items are broad suggestions from participants and quotes are direct comments from participants pertaining to the suggested improvement. Click image to enlarge.
Why do these findings matter?
These findings suggest that, to increase the utilization of VSE and reduce gambling-related harms, changes are needed to improve current VSE programs. Changes that facilitate the exclusion process, such as making it easier, more accessible, and more flexible, might increase utilization of these programs. It is common for gamblers who have self-excluded to 
Table: The percentage and total number of helpline calls that referenced selected forms of gambling, by nation of origin and year. The * symbol indicates that the nation experienced a statistically significant change in the percentage of calls referencing that specific form of gambling during the window of observation. The "1" symbol indicates that the relationship was not tested due to violations in the 
Figure. An overview of the four key themes that the researchers identified and relevant quotes from online focus group participants (n = 64).
Why do these findings matter?
The adolescents in this study voiced that the use of celebrities and influencers in gambling advertisements exposes young audiences to gambling, increases trust in gambling brands, and reduces perceived risks associated with gambling. These findings suggest that regulatory efforts—which have already been enacted in the United Kingdom, for example—are needed to protect youth from being influenced by gambling marketing. These regulatory requirements could include monitoring all types of gambling marketing, restricting gambling accessibility (e.g., with strict age verification processes), and creating more public education campaigns (e.g., similar to the