Prevalence Rates Of Problem Gambling Research Articles

Gambling in Victoria: Changes in Participation, Problem Gambling and Gambling Environment Between 2008 and 2018.

Gambling and its impacts are an important public health issue. The relationship between gambling, problem gambling and gambling harm is complex and dynamic. Replicate prevalence studies are useful for surveillance and monitoring gambling impacts within jurisdictions. The purpose of this study was to compare changes in gambling and problem gambling in the Victorian adult population between 2008 and 2018 by investigating individual gambling activities and exploring their relationship with the Victorian gambling ecosystem. Gambling participation has decreased; problem gambling prevalence has not. Investigation beyond these summary measures reveals important details: (a) Electronic Gaming Machines (EGMs), casino table games, race and sports betting ('high-risk activities'), informal private betting, and Keno, and their associations with problem gambling endure. Further, the strength of this association is unaffected by changes in product technology, delivery, or the Victorian environment in which they reside, (b) participation in high-risk activities, excluding EGMs, increased while for other activities they decreased, (c) EGMs continue to pose the greatest risk for Victorians, (d) males and young adults continue having a higher problem gambling prevalence rate and preferring both online gambling and high-risk activities (excluding racing favoured by an ageing, older cohort, and Keno, by all ages), and (e) gambling access and exposure proliferated enabling single site multiple gambling opportunities on high-risk activities. Young adults represented a new vulnerable group as they reach the legal gambling age. The most effective interventions (based on major falls in real expenditure (losses) on EGMs, the highest risk activity) were the smoking bans, removal of ATMs from venues and decreases in bet size. There is great potential for prevention, intervention, and minimising harm in the gambling environment.

Differences Amongst Estimates of the UK Problem Gambling Prevalence Rate Are Partly Due to a Methodological Artefact

Differences Amongst Estimates of the UK Problem Gambling Prevalence Rate Are Partly Due to a Methodological Artefact

Study framing influences crowdsourced rates of problem gambling and alcohol use disorder.

Crowdsourcing is an increasingly popular source of participants in studies of problem gambling. Studies with crowdsourced samples have reported prevalence rates of problem gambling between 10 and 50 times higher than traditional sources of estimates. These elevated rates may be due to study framing motivating self-selection. In this preregistered study, we examined whether study framing influences self-reported problem gambling severity and harmful alcohol use in a sample of participants recruited from a popular crowdsourcing website. Two recruitment notices for an online questionnaire were placed on Amazon Mechanical Turk (MTurk). Notices were framed as "Gambling and Health" or "Alcohol and Health." Only participants who passed data checks were retained for confirmatory analyses (N = 564; 44% of recruited participants). Participants in the gambling framing (N = 261) and in the alcohol framing (N = 303) were compared on the Problem Gambling Severity Index (PGSI) and Alcohol Use Disorders Identification Test (AUDIT). Problem gambling rates and severity scores were significantly greater for participants in the gambling framing compared to those in the alcohol framing. Self-reported scores of harmful alcohol use were significantly greater for participants in the alcohol framing compared to those in the gambling framing, but there was no significant difference in prevalence rates for harmful alcohol use. Study framing is an important consideration for gambling and alcohol research. We found that study framing may substantially increase the observed rates of problem gambling severity in crowdsourced samples, potentially via encouragement of self-selection. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Regional impacts of casino availability on gambling problems: Evidence from the Canadian Community Health Survey

Casinos are generally recognized as significant generators of economic impact and tourism, but access is typically controlled in a perceived effort to reduce social harms, particularly those from gambling disorders. Using data from a representative sample of 50,048 Canadians across four provinces, this study empirically tests theory of the regional impacts of casino availability on participation in gambling and the development of gambling related problems. Increased exposure to casinos is found to be related to increases in both participation and problem gambling risk, despite the observation that all four provinces recently experienced casino expansion and population-wide declines in problem gambling prevalence rates. The estimates are robust to broad controls for health and demographic risk factors. The findings suggest that hospitality/tourism planners should consider wider expansion of gambling paired with increased investment in responsible and problem gambling programs, to maximize economic impacts while accelerating social adaptation to gambling related harms.

Gambling Among Adolescents and Emerging Adults: A Cross-Cultural Study Between Portuguese and English Youth

In spite of age prohibitions, most research suggests that a large proportion of adolescents engage in gambling, with problem gambling prevalence rates significantly higher than in adults. There is some evidence suggesting that there are cultural variables that might explain the development of gambling behaviours in this age group. However, cross-cultural studies on this field are generally lacking. The present study tested a model in which individual and family variables are integrated into a single perspective as predictors of youth gambling behaviour in two different contexts (i.e. Portugal and England). A total of 1137 adolescents and young adults (552 Portuguese and 585 English) were surveyed with items relating to problem gambling, gambling frequency, sensation seeking, parental attachment, and cognitive distortions. Moreover, this study is the first to examine the mediation effect of sensation seeking between attachment and youth problem gambling. Results demonstrated that English youth showed a higher prevalence of problem gambling. The findings of this study also demonstrated that sensation seeking was a common predictor, mediating the relationship between attachment and problem gambling in both countries. The findings of this study suggest that although there were some common factors between the two samples, youth problem gambling and some risk factors can be influenced by the cultural context.

Il gioco problematico in Europa: una rassegna della letteratura empirica (2000-2016)

Problem gambling has been identified as an emergent public health issue, and there is a need to identify gambling trends and to regularly update worldwide gambling prevalence rates. This paper reviews recent research on adult gambling and problem gambling in Europe (2000-2016). A systematic literature search was carried out using some academic databases, Internet and governmental websites. Following this search and utilizing exclusion criteria, 46 studies on adult gambling prevalence in Europe were identified. These studies demonstrated that there are wide variations in past-year problem gambling rates across different countries in Europe (0.12% to 3.4%). However, it is difficult to directly compare studies due to different methodological procedures, instruments, cut-offs, and time frames. Despite the variability among instruments, some consistent results with regard to demographics were found. Findings highlight the need for continuing monitoring problem gambling prevalence rates in Europe in order to examine the influence of cultural context on gambling patterns, assess the effectiveness of policies on gambling related harms and establish priorities for future research.

The prevalence, incidence, and gender and age-specific incidence of problem gambling: results of the Swedish longitudinal gambling study (Swelogs).

To estimate the prevalence, incidence and gender and age-specific incidence of problem gambling in the Swedish adult population. Longitudinal cohort study with linkage to register data. Sweden. Stratified random sample aged 16-84years at baseline (n=8165) re-assessed a year later (n=6021). Problem gambling (life-time and past 12months) was measured by the South Oaks Gambling Screen-Revised (SOGS-R). Past 12-month (current) problem gambling was also measured by the Problem Gambling Severity Index (PGSI). The SOGS-R combined current pathological and problem gambling prevalence rate (PR) was 2.1 [95% confidence interval (CI)=1.8-2.4] at baseline and 1.7 (1.4-2.0) at follow-up, approximately half the corresponding life-time estimates.[Correction added on 22 Dec 2017, after first online publication: In the preceding sentence, the SOGS-R combined current pathological and problem gambling prevalence rate (PR) was incorrectly reported as being double the corresponding life-time rate. It has been corrected in this version.] PGSI combined current problem and moderate-risk gambling PRs were 2.2 (1.9-2.5) at baseline and 1.9 (1.6-2.2) at follow-up. Combined incidence rates (IRs) were 1.0 (0.8-1.3) (SOGS-R) and 1.4 (1.1-1.7) (PGSI), with more than three-quarters being new cases. While first-time IRs did not vary by gender, males had a higher relapse IR and proportionately more females were new cases. The young adult IR was more than double the older adult IR; similar proportions were new cases. The actual incidence of problem gambling relapse in Sweden is likely to be higher than estimated. The profile of problem gambling in Sweden is likely to change over time, with increased proportions of women and older adults.

Addressing the Issue of Problem Gambling in the Criminal Justice System: A Series of Case Studies

The prevalence rates of problem gambling in the adult correctional population are 5 to 10 times higher than those found in the general population. Yet little has been published about dealing with problem gamblers in correctional settings. We conducted a literature review and interviewed 16 key informants who provide services to clients experiencing problem gambling and/or who have worked in the criminal justice system. Our objective was to gain greater understanding of programming for problem gambling for clients who are involved in the criminal justice system, with a particular focus on Ontario. The published literature on this topic is remarkably sparse. In fact, only two peer-reviewed published studies were identified that formally evaluated a treatment program for problem gambling for clients in these settings. However, we uncovered a small number of programs (10) that had been developed for, and delivered to, this population, including a gambling treatment court in Buffalo, Gamblers Anonymous, outpatient treatment during probation or parole, brief psychoeducational programs, brief therapy, a full intense treatment program, and inpatient treatment after release. We present a series of short case studies of these programs. Although some programs have been delivered within correctional institutions, others have been offered either after release or prior to sentencing. A major issue is the lack of awareness of problem gambling in the criminal justice system among judges, lawyers, wardens, corrections workers, and parole officers. The results are discussed in terms of issues and opportunities for programming for problem gamblers in the criminal justice system.Chez la population carcérale adulte, les taux de prévalence du jeu compulsif sont de cinq à dix fois plus élevés que dans l’ensemble de la population. Pourtant, peu de choses ont été publiées sur les joueurs pathologiques en milieu correctionnel. Nous avons effectué une revue de la littérature et avons interviewé 16 informateurs clés qui fournissent des services aux clients ayant un problème de jeu ou qui ont travaillé dans le système de justice pénale. Notre objectif consistait à mieux comprendre les programmes pour traiter le jeu compulsif destinés aux clients qui ont eu des démêlés avec la justice, avec un intérêt particulier pour l’Ontario. Étonnamment, il existe très peu de publications sur ce sujet. En effet, nous n’avons trouvé que deux comptes rendus d’étude publiés et validés par un comité de lecture qui ont évalué en bonne et due forme un programme de traitement pour le jeu pathologique destiné aux clients de ce milieu. Toutefois, nous avons découvert un petit nombre de programmes (10) qui ont été élaborés à l’intention de cette population, et qui lui ont été offerts, notamment un programme judiciaire de traitement du jeu pathologique à Buffalo, le groupe d’aide Joueurs Anonymes, un traitement ambulatoire durant la probation ou la libération conditionnelle, des programmes psychopédagogiques de courte durée, une thérapie brève, un programme complet de traitement intensif et un traitement en établissement après la libération. Nous présentons une série de courtes études de cas de ces programmes. Bien que certains de ces programmes aient été offerts dans des établissements correctionnels, d’autres ont été proposés après la libération ou avant la condamnation. Le principal problème réside dans le fait que les juges, les avocats, les directeurs, les intervenants correctionnels et les agents de libération conditionnelle connaissent mal le jeu pathologique dans le cadre du système de justice pénale. Les résultats sont analysés en fonction des difficultés et des avantages des programmes destinés aux joueurs pathologiques qui ont eu des démêlés avec la justice.

Problem gambling worldwide: An update and systematic review of empirical research (2000-2015).

Background and aimsProblem gambling has been identified as an emergent public health issue, and there is a need to identify gambling trends and to regularly update worldwide gambling prevalence rates. This paper aims to review recent research on adult gambling and problem gambling (since 2000) and then, in the context of a growing liberalization of the gambling market in the European Union, intends to provide a more detailed analysis of adult gambling behavior across European countries.MethodsA systematic literature search was carried out using academic databases, Internet, and governmental websites.ResultsFollowing this search and utilizing exclusion criteria, 69 studies on adult gambling prevalence were identified. These studies demonstrated that there are wide variations in past-year problem gambling rates across different countries in the world (0.12–5.8%) and in Europe (0.12–3.4%). However, it is difficult to directly compare studies due to different methodological procedures, instruments, cut-offs, and time frames. Despite the variability among instruments, some consistent results with regard to demographics were found.Discussion and conclusionThe findings highlight the need for continuous monitoring of problem gambling prevalence rates in order to examine the influence of cultural context on gambling patterns, assess the effectiveness of policies on gambling-related harms, and establish priorities for future research.

Systematic Review of Empirically Evaluated School-Based Gambling Education Programs

Adolescent problem gambling prevalence rates are reportedly five times higher than in the adult population. Several school-based gambling education programs have been developed in an attempt to reduce problem gambling among adolescents; however few have been empirically evaluated. The aim of this review was to report the outcome of studies empirically evaluating gambling education programs across international jurisdictions. A systematic review following guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement searching five academic databases: PubMed, Scopus, Medline, PsycINFO, and ERIC, was conducted. A total of 20 papers and 19 studies were included after screening and exclusion criteria were applied. All studies reported intervention effects on cognitive outcomes such as knowledge, perceptions, and beliefs. Only nine of the studies attempted to measure intervention effects on behavioural outcomes, and only five of those reported significant changes in gambling behaviour. Of these five, methodological inadequacies were commonly found including brief follow-up periods, lack of control comparison in post hoc analyses, and inconsistencies and misclassifications in the measurement of gambling behaviour, including problem gambling. Based on this review, recommendations are offered for the future development and evaluation of school-based gambling education programs relating to both methodological and content design and delivery considerations.

Raising the legal gambling age in Finland: problem gambling prevalence rates in different age groups among past-year gamblers pre- and post-implementation

This article reports on the frequency of problem gambling, measured with the Lie/Bet instrument, in different age groups among Finnish past-year gamblers in 2011 (n = 2984) and 2014 (n = 2326). The data highlights the situation before, and three years after, the implementation of a raised minimum age limit for gambling from 15 to 18 years. The difference in problem gambling frequency when comparing all age groups was statistically significant in 2011, but not in 2014. A significantly lower frequency of problem gambling was found among 18–19-year-olds in 2014 (3.4%), compared to 2011 (16.3%). The results regarding problem gambling prevalence among 15–17-year-olds (8.0% in 2011, 0.0% in 2014) are somewhat inconclusive as the number of respondents fulfilling the criteria for problem gambling was zero in 2014, thus affecting the analysis. No statistically significant difference in problem gambling frequency was found among 20–21-year-olds (a group less affected by the policy implementation) – or other older age groups – between the survey years. While the findings should be viewed with caution, they do support recommendations regarding a minimum gambling age of 18 years or higher as an effective harm-minimization measure.

The Relationship Between Gambling and Homelessness: A Commentary on Sharman et al. (2014).

The relationship between problem gambling and homelessness is a little studied area in the gambling studies field. A recent study by Sharman et al. (J Gambl Stud, doi: 10.1007/s10899-014-9444-7, 2014) is the first quantitative study in Great Britain on this interesting and important topic. In this context, the study is to be commended and provides an empirical benchmark on which other studies can build. The study reported a problem gambling prevalence rate of 11.6% and is significantly higher than the problem gambling rate of the general population in Great Britain (which is <1%). However, given the political sensitivity surrounding the expansion of bookmakers in the UK, the study needs further contextualization otherwise the findings of such studies may be used by anti-gambling lobby groups to serve their own political agendas. While it is good that such an area has been empirically investigated in Great Britain, this paper briefly (1) places the issue of problem gambling among the homeless into the wider context of problems among the homeless more generally (particularly in relation to mental health problems and other addictive behaviors), (2) highlights some of the methodological problems and weaknesses of the study, and (3) notes a number of factual errors made in the paper.

A Study of Addiction and Public Health Impacts of a Proposed Casino-Resort in Woodbury, New York

This study was commissioned to examine public health impacts of Caesars’ proposed Woodbury casino resort – more specifically, the impacts associated with problem gambling (PG). To assess these costs, we developed impact analyses that assessed non-pecuniary changes in PG, as financial cost estimates are generally seen by the research community as unreliable and susceptible to significant measurement error. Instead, we focused on benchmarking the proposed project against similar projects in the US, and in assessing the most likely changes in PG prevalence rates. In analyzing the likely problem gambling impacts in this region, we identified that, as in a variety of public health settings, populations are not passive receptacles – they can and do adjust, adapt, respond, and recover. Expansion-related impacts therefore appear to depend on more than just a gambling venue itself – and are in fact impacted by a variety of pre-existing exposure and adaptation variables. A cautious and conservative approach was taken in this study, relying on a comparison to a region that had relatively little exposure to gambling before a casino opened. As such, we suggest the possibility of a modest increase in the vicinity’s PG prevalence rate after opening of the venue, with the expectation that these rates would attenuate over time.

Estimating the prevalence of problem gambling among older adults in Singapore

This study examined the prevalence rates of problem gambling among older adults in Singapore. A stratified sampling method was used to select the nationally representative sample of 3010 older adults aged 55 years and above. The survey participants were of varying ethnicities living in the community, including Chinese, Malay, and Indian (and others). A structured questionnaire, including the Canadian Problem Gambling Index, gambling attitudes and behaviors, and demographic information was administered face-to-face at participants' homes, using one of the four language versions preferred by the participants. Among those who had gambled lifetime, 69.7% (or weighted population = 39.2%) gambled in the past 12 months and 2.2% (or weighted population = .9%) met the problem gambling criteria. Individuals with problem gambling were likely to have started gambling at an younger age and to have gambled in activities characterized by continuity and no set money limits. Future research should examine changes in gambling behaviors of older adults over time in non-Western societies.

Gambling behind the walls: A behavior-analytic perspective.

The field of behavior analysis has done an excellent job of not only raising public awareness about certain disorders (e.g., Autism), but also developing the best treatments for those disorders. The field has not yet, however, done so for many behavioral disorders. For instance, pathological gambling is a major societal issue, but little behavior-analytic work has focused on it despite the fact that the disorder occurs at several times the frequency of other, more publicized, disorders such as Autism (Dixon, Marley, & Jacobs, 2003). One possible reason for the dearth of behavior-analytic research could be B.F. Skinner's (1953) conclusion that gambling behavior could be understood in terms of schedules of reinforcement. Subsequent research, however, suggests that multiple factors likely control gambling behavior (e.g., see Weatherly & Dixon, 2007). According to most prevalence studies, the rate of pathological gambling in the general population likely ranges between 1 -2% (see Petry, 2005, for a review). In terms of absolute numbers, these percentages represent millions of individuals in the United States alone. The numbers do not, however, encapsulate the problem. That is, pathological are individuals who officially meet diagnostic criteria according to the DSM-IV-TR (American Psychiatric Association, 2000). Other people are labeled as gamblers because they display some symptoms of pathological gambling, but not enough symptoms to be diagnosed clinically as pathological. The prevalence rates of problem gambling are also difficult to estimate, but it seems reasonable to conclude that the number of problem exceeds the number of pathological gamblers, possibly another 5% or more of the population (see Petry, 2005). Pathological gambling is currently classified as an impulse disorder that is not otherwise classified. (1) To meet diagnostic criteria for pathological gambling, an individual must display at least five of the ten possible symptoms. Three of these symptoms are generally considered in nature. The possible cognitive symptoms include a preoccupation with gambling, feeling the need to increase one's betting so as to maintain the original level of excitement or arousal, and feeling restless when one attempts to cease gambling. (2) Six of the remaining seven symptoms are descriptive of behaviors in which the gambler might engage. They are trying to cease gambling but failing, increasing one's betting in an attempt to win back what has been lost (i.e., chasing one's bet), lying to others so as to conceal one's gambling, engaging in illegal behavior to finance one's gambling, putting one's opportunities (e.g., job, personal relationships, etc.) in jeopardy because of continued gambling, and turning to other individuals to finance one's gambling or to address financial issues that have resulted from one's gambling. (3) Interestingly, only one of the official symptoms for pathological gambling specifically identifies a contingency that might be controlling the person's gambling behavior; that the person gambles as an escape. It will therefore likely come as no surprise to behavior analysts that this particular symptom may have special relevance, which will be addressed later in the paper. As one might imagine, the research literature on gambling is immense (and beyond the scope of the present paper to review all of it), and many researchers have attempted to identify the factors that lead to pathological gambling. Unfortunately, the vast majority of this research is correlational in nature. As such, associative relationships can be, and have been, identified. However, the causal mechanisms underlying the disorder have not been firmly established. Regardless, research has potentially identified the establishing operations (Michael, 1993) or setting events (Kantor & Smith, 1975) for pathological gambling. As outlined by Petry (2005), there are six major risk factors for pathological gambling, several of which may be intercorrelated. …

Defining the online gambler and patterns of behaviour integration: evidence from the British Gambling Prevalence Survey 2010

This paper presents data from the British Gambling Prevalence Survey (BGPS) 2010, a large-scale random probability survey of adults (n = 7756), to examine how people gamble and ways in which online and offline gambling are integrated. Fourteen per cent of respondents were past year Internet gamblers (7% if purchase of lottery tickets online is excluded). The majority of online gamblers were also offline gamblers and a broader taxonomy of gambling subgroups was evident. This included those who chose different mediums of access for different activities and those who gambled online and offline on the same activity (mixed mode gamblers). These mixed mode gamblers had the highest rates of gambling involvement and higher problem gambling prevalence rates. Direct comparisons between Internet and non-Internet gamblers therefore ignore key questions of how people integrate online provisions with offline activities which may have important implications for our understanding of the relative risks associated with online gambling.

Internet Gambling, Health, Smoking and Alcohol Use: Findings from the 2007 British Gambling Prevalence Survey

This study provides analysis of a representative national sample of Internet gamblers. Using participant data from the 2007 British Gambling Prevalence Survey (n = 9003 adults aged 16 years and over), all participants who had gambled online, bet online, and/or who had used a betting exchange in the last 12 months (6% of the total sample) were compared with all other gamblers who had not gambled via the Internet (62% of the sample). Results showed that Internet gambling and non-Internet gambling had a significant association with smoking (nicotine) and drinking (alcohol). Self-reported general health status was not significantly associated with Internet gambling but was significantly associated with offline gambling. Analysis of DSM-IV scores showed that problem gambling prevalence rate was significantly higher among Internet gamblers than non-Internet gamblers (5% versus 0.5%) and that Internet gamblers were significantly more likely to endorse individual DSM-IV items compared to non-Internet gamblers.

Impact of survey description, administration format, and exclusionary criteria on population prevalence rates of problem gambling

The present study investigated the impact of survey administration format, survey description and gambling behaviour thresholds on obtained population prevalence rates of problem gambling. A total of 3028 adults were surveyed about their gambling behaviour, with half of these surveys administered face-to-face and half over the telephone, and half of the surveys being described as a ‘gambling survey’ and half as a ‘health and recreation’ survey. Population prevalence rates of problem gambling using the CPGI were 133% higher in ‘gambling’ vs ‘health and recreation’ surveys and 55% higher in face-to-face administration compared to telephone administration. If people with less than Can$300 in annual gambling expenditures are not asked questions about problem gambling, then the obtained problem gambling prevalence rate is 42% lower. When all of these elements are aligned they result in markedly different problem gambling prevalence rates (4.1% vs 0.8%). The mechanisms for these effects and recommended procedures for future prevalence studies are discussed.

Sociodemographic Correlates of Internet Gambling: Findings from the 2007 British Gambling Prevalence Survey

This study provides the first analysis ever made of a representative national sample of Internet gamblers. Using participant data from the 2007 British Gambling Prevalence Survey (n = 9,003 adults aged 16 years and over), all participants who had gambled online, bet online, and/or used a betting exchange in the last 12 months (n = 476) were compared with all other gamblers who had not gambled via the Internet. Overall, results showed a number of significant sociodemographic differences between Internet gamblers and non-Internet gamblers. When compared to non-Internet gamblers, Internet gamblers were more likely to be male, relatively young adults, single, well educated, and in professional/managerial employment. Further analysis of DSM-IV scores showed that the problem gambling prevalence rate was significantly higher among Internet gamblers than among non-Internet gamblers. Results suggest that the medium of the Internet may be more likely to contribute to problem gambling than gambling in offline environments.

Prevalence estimates of gambling and problem gambling among 13- to 15-year-old adolescents in Reykjavík: An examination of correlates of problem gambling and different accessibility to electronic gambling machines in Iceland

This paper reports the main findings from a prevalence study of adolescent gambling and problem gambling among Icelandic adolescents. The final sample consisted of 3,511 pupils aged 13 to 15 in 25 primary schools in Reykjavík. The results indicated that 93% of adolescents had gambled some time in their life and 70% at least once in the preceding year. Problem gambling prevalence rates were evaluated with two gambling screens, American Psychological Association Diagnostic and Statistical Manual, 4th edition, Multiple-Response-Junior (DSM-IV-MR-J) and the South Oaks Gambling Screen Revised for Adolescents (SOGS-RA). The DSM-IV-MR-J identified 1.9% as problem gamblers, while SOGS-RA identified 2.8% as problem gamblers. The results also showed that problem gamblers reported more difficulties in school and used alcohol and other drugs more frequently than adolescents who gambled socially or not at all. Finally, evaluation of electronic gambling machine (EGM) accessibility revealed that gambling on low-stakes EGMs in public places was more common than on EGMs in arcades or bars and restaurants. The potential implications of these findings are discussed.