Researchers analyzing emergency-department visits in Ontario found a sharp rise in care sought for gambling disorders after online gambling expanded and single-event sports betting was legalized. Over a 14-year period beginning in 2012, researchers logged 757 individuals accounting for 952 ED visits and measured a 31.3 percent overall increase in visits compared with earlier years. Men and boys accounted for 72 percent of visits, with visits up 154 percent for males aged 10-29 and 116 percent for men 30-44. The rise parallels the rollout of regulated online gaming in 2012, the 2021 legalization of single-game sports betting, and the 2022 opening of Ontario’s market to private operators (now more than 80 sites run by over 40 companies). Separate helpline data showed a 95.5 percent jump in gambling-related calls by men and boys and a 317 percent increase among males 15-24.
Most people presenting to hospital had co-occurring substance-use or mental-health disorders, including suicidal thoughts, prompting researchers and clinicians to call for greater prevention, treatment access and stricter controls on promotion. Doctors and former gamblers describe ubiquitous sports-betting advertising that targets young men and complicates recovery; advocates want tighter advertising limits, comparable to tobacco restrictions, and policy reconsideration of how gambling is regulated and marketed.
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