The National Council on Problem Gambling (NCPG) has released new findings from its National Survey on Gambling Attitudes and Gambling Experiences (NGAGE 3.0), offering an updated picture of how Americans are gambling—and what they believe about gambling.
The first NGAGE survey was conducted in 2018, just as states began legalizing sports betting following a landmark Supreme Court decision that opened the door for rapid expansion across the country. A follow-up survey in 2021 revealed a sharp increase in risky gambling behavior. At the time, researchers weren’t sure whether the spike reflected the spread of sports betting or the stress and isolation from the COVID-19 pandemic.
The 2024 survey, conducted after pandemic restrictions had largely lifted, shows that gambling-related risks have stabilized. About 8% of U.S. adults—nearly 20 million people—reported experiencing at least one sign of potentially problematic gambling “many times” in the past year. That number is down from 11% in 2021 but still higher than the 7% reported before sports betting became widely available.
“While it’s reassuring that the increases in problematic gambling behavior we saw in the 2021 survey seem to have abated along with the easing of the COVID-19 pandemic, maladaptive gambling remains a significant public health problem,” says Don Feeney, who helped design the NGAGE surveys. “Increased efforts at prevention and education are essential if we are to reduce gambling-related harm.”
The survey also sheds light on who is most at risk. Younger adults, men, online gamblers and sports bettors were among the groups most likely to report signs of risky play. Those who gamble frequently or participate in many different gambling activities are especially vulnerable.
“The best predictors of a gambling problem aren’t participation in any particular form of gambling,” explains Don. “Instead, the best predictors are the intensity of gambling involvement—how frequently someone is gambling—and the breadth of involvement—how many different forms of gambling someone is involved with.”
Even as legalized sports betting has expanded to 39 states, Washington, D.C. and Puerto Rico, the overall share of Americans placing sports bets has remained steady at about 23%. However, the ways people are betting are changing. The number of sports bettors making parlay bets—wagers that combine multiple outcomes for the chance of a large payout—has nearly doubled since 2018. Researchers note that these types of bets can be especially appealing to those trying to “win back” losses quickly, a pattern often associated with risky play.
Another key finding involves public attitudes toward gambling addiction. While nearly three in four adults agree that gambling addiction is similar to drug or alcohol addiction, fewer than 40% consider its consequences “very severe.” Many still believe gambling problems stem from a lack of willpower or moral weakness rather than recognizing them as treatable health conditions.
There is, however, some encouraging progress. Awareness of problem gambling helplines has increased, and most people understand that helplines exist to help people struggling with gambling problems.
“We’ve learned that we can improve awareness that there’s help for a gambling problem, and that awareness is greatest among those most in need of receiving services,” says Don. “However, these are the same people who are most skeptical that treatment works. We need to make the effectiveness of treatment an integral part of our message.”
Despite the progress, challenges remain. Public funding for problem gambling services has increased—from about $80 million in 2018 to $134 million in 2023—but seven states still provide no funding at all. On average, states spend just 35 cents per resident on prevention, education and treatment programs.
Continued investment and public awareness are critical to preventing gambling-related harm. Prevention and education work, but more people need to understand that help works too—and that recovery from gambling problems is possible.
The survey underscores that even as gambling becomes more common, many people still misunderstand the risks. Open discussion about gambling addiction, promoting the effectiveness of treatment and making help easy to find is necessary to keep gambling a form of entertainment rather than a source of harm.