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Gambling use disorders--a public health problem.

Y Kaminer1

  • 1Department of Psychiatry and Alcohol Research Center, University of Connecticut Health Center, Farmington, USA.

Connecticut Medicine
|December 28, 2000
PubMed
Summary

State-sponsored gambling expansion increases pathological gambling and social costs. States must balance economic gains with funding for prevention and treatment programs to mitigate these harms.

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Area of Science:

  • Public Health
  • Economics
  • Addiction Studies

Background:

  • State-sponsored gambling has increased, correlating with a rise in pathological gambling and associated social costs.
  • Connecticut's 1999 gambling revenue was $811 million, with only $1 million allocated to interventions.
  • A significant disparity exists between gambling revenue and resources for addressing problem gambling.

Purpose of the Study:

  • To advocate for a balanced approach to state-sponsored gambling, integrating economic benefits with social cost mitigation.
  • To outline essential resource allocation strategies for states to manage the impacts of legalized gambling.
  • To propose a framework for states to effectively regulate the gambling industry.

Main Methods:

  • The study reviews the association between gambling availability and pathological gambling prevalence.
  • It analyzes the economic impact versus social costs of legalized gambling, using Connecticut as a case example.
  • Recommendations are based on a public health and economic cost-benefit analysis framework.

Main Results:

  • Increased availability of state-sponsored gambling is linked to higher rates of pathological gambling.
  • Current resource allocation for clinical and preventive interventions is insufficient compared to gambling revenue.
  • A comprehensive strategy is needed to address the spectrum of gambling behaviors and their consequences.

Conclusions:

  • States must allocate sufficient resources for assessing gambling behaviors, evaluating consequences, and implementing prevention and treatment programs.
  • A proactive approach involving school curricula, public awareness, and family support systems is crucial.
  • Periodic cost-benefit analyses are necessary for informed regulation of the gambling industry.

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