- Published as “Gambling industry needs stronger regulation to protect public health.”
Gambling opportunities continue to expand in spite of evidence of harms from mental-health effects to financial problems
Dr. Trevor Hancock
2 April 2024
702 words
The Centre for Addiction and Mental Health (CAMH) in Toronto just released a report on another industry that in various ways harms health – gambling. Not only can it be addictive and harmful to health and social wellbeing, its impact is disproportionately experienced by low-income people, which makes it unjust.
Statistics Canada reported in 2022 that in 2018 (troublingly, the last year for which there is national data, it seems), almost 70 percent of Canadian adults gambled. Half of all adults bought lottery or raffle tickets, one-third bought instant lottery tickets or online games, one in eight used video lottery terminals, while one in 12 of us bet at casino tables or on sports.
However, the StatsCan report noted, “1.6 percent of past-year gamblers were at a moderate-to-severe risk of problems related to gambling”. This equates to more than 300,000 people, but the CAMH report notes that “for every person experiencing gambling problems, another 5 to 10 people are negatively affected, with harms to mental health and financial security especially common.” So problem gambling actually affects 1.5 to 3 million Canadians.
Problem gambling is classed as an addictive disorder. The risks problem gamblers face include “depression and suicide, bankruptcy, family breakup, domestic abuse, assault, fraud, theft, and even homelessness”, according to the Canadian Safety Council. The CAMH study reports that “people with gambling disorder had 15 times the suicide mortality of the general population.”
While a smaller proportion of low-income people gambled, compared to high income people, they were more than twice as likely to be at risk. And worryingly, the CAMH study reported that while 1.2 percent of adults in Ontario are experiencing or are at risk for gambling problems, the rate is almost 50 percent higher in high-school students.
But gambling is also immensely profitable, both to the gambling industry and to governments that both operate and tax gambling. So it is not surprising that “gambling opportunities have been increasing globally” and that is true in Canada too; sports gambling was legalised in 2021 and in addition the provinces have expanded legal online gambling. This expansion is occurring, notes the CAMH report, in spite of evidence that “In general as gambling opportunities increase, gambling-related harms tend to increase.”
However, as a source of government revenue, gambling is unjust: First, only two-thirds of us play and pay, and second, it is a regressive form of taxation. Low-income people who gamble spend proportionately more of their annual income on gambling than do higher-income people. As the CAMH report notes, “to the extent that gambling policy fails to prevent (or even facilitates) harm, gambling policy can exacerbate health inequity.”
The CAMH report comes at the same time as a growing concern with sports gambling, especially among young people, and with the amount of advertising for gambling. The CAMH report is clear on the role of advertising: “The purpose of advertising is to drive consumption, and gambling is no exception”, their report states, adding that “there is a causal relationship between exposure to gambling advertising and . . . actual gambling activity.”
Moreover, CAMH notes, “Children and youth, as well as those already experiencing gambling problems, are especially susceptible to these effects.” Unfortunately, CAMH adds, “There do not appear to be rules or guidelines in Canada governing the volume of gambling ads”.
Bruce Kidd, a former Olympian and a professor emeritus of sports policy at the University of Toronto, is chair of a Campaign to Ban Ads for Gambling. Interviewed on CBC Radio’s ‘On the Coast’ on March 27th, he stated: “Since the legalisation of sports betting in Canada there has been a tsunami of ads and it’s clear they have encouraged more and more children and youth and other vulnerable people to bet, and to bet well beyond their means, and to create very difficult situations.”
The campaign’s ‘White Paper’ (available at BanAdsForGambling.ca)is clear; it “calls for the prohibition of ads for gambling in the same way that ads for tobacco and cannabis have been restricted.” This should be part of a broader approach recommended by the CAMH report, to take a public health approach to gambling by focusing on stronger regulation of the industry, rather than just encouraging gamblers to be responsible.
© Trevor Hancock, 2023
Dr. Trevor Hancock is a retired professor and senior scholar at the
University of Victoria’s School of Public Health and Social Policy
Dr. Trevor Hancock - Healthy people, healthy communities, a healthy planet 