By Kira Landauer, MPH
Read the original article on the BASIS HERE.
Despite the growing popularity of gambling, most consumers, operators, and regulators recognize that this activity carries the potential for harm. Research indicates that some types of gambling appear to be more harmful than other types. To reduce harms from gambling, it is important to identify the gambling forms that are most often associated with harm. From there, researchers can work to identify the specific mechanisms that could make these forms more harmful than others and introduce factors to mitigate this risk. This week, The WAGER reviews a study by Virve Marionneau and colleagues that identified the forms of gambling most often referenced by callers of gambling support helplines in Denmark, Finland, and Sweden during the period 2019–2022.
What were the research questions?
(1) Which forms of gambling are most often referenced in calls to gambling support helplines in Denmark, Finland, and Sweden during 2019–2022? (2) Are these rates changing over time?
What did the researchers do?
The researchers collected data from four years of calls and chats to three different gambling support helplines from Denmark, Finland, and Sweden. All three helplines collect data on the types of gambling that clients have engaged in or identify as having led to harm. The researchers coded products into one of nine forms of gambling: (1) land-based sports betting, (2) online sports betting, (3) horse games (online and land-based), (4) land-based casino, (5) online casino, (6) poker, (7) land-based EGMs outside casinos, (8) lotteries, and (9) other. Then they performed linear regression to examine whether these longitudinal trends changed over time during the study period.
What did they find?
Online gambling, and online casinos in particular, constituted the main concerns among callers to all three helplines. Furthermore, the share of calls that referenced online casinos grew in all three nations, while calls focusing on land-based forms decreased. For example, in Denmark, the percentage of calls referencing online casinos rose from 35.7% in 2019 to 46.8% in 2022. At the same time, the percentage of calls focused on land-based sports betting decreased from 23.0% in 2019 to a mere 4.8% in 2022. Interestingly, however, the rate of change in calls relating to land-based sports betting in Finland and Sweden failed to reach statistical significance (see table).
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 breach VSE, in part because VSE regulations are often specific to only one venue type (e.g., casinos) and don’t extend to unauthorized online gambling operators. Stricter enforcement of VSE is needed to prevent breaches. This approach might include state/national, or even global, comprehensive registers. Such registers should include all gambling venues and locations, and additional measures could be taken to block unlicensed operators. Finally, gamblers should have access to a wide array of treatment and support services in addition to VSE (e.g., financial counseling).
Every study has limitations. What are the limitations of this study?
Participants were not evenly distributed across gambling-related sectors, and some jurisdictions were missing respondents from one or more sectors. These 102 individuals were not a representative sample, and the findings might not generalize to the various gambling-related sectors and jurisdictions as a whole.