Gambling addiction now rivals drugs and alcohol in severity, survey finds
Gambling in the US has reached record levels, yet many risks remain hidden until they become severe. A new survey reveals that nearly eight in ten Americans now view gambling addiction as equally serious—or even more serious—than other forms of addiction. Despite growing concerns, only a small fraction of people have ever been asked about their gambling habits by a doctor.
The survey highlights widespread participation in gambling, with 65% of adults over 21 admitting they had gambled before reaching the legal drinking age. Among those under 21, more than one in five reported playing illegal online casinos or placing unlawful mobile sports bets.
Gambling disorders can lead to serious health issues, both physical and mental. Problems linked to excessive gambling include anxiety, depression, suicidal thoughts, insomnia, headaches, stomach troubles, and high blood pressure. Yet, these harms often go unnoticed until they escalate.
Public perception reflects the severity of the issue. Almost three in ten respondents believed that excessive gambling carries stronger consequences than drug or alcohol disorders. However, screening in healthcare settings remains rare—only 15% of Americans say a primary care doctor has ever asked about their gambling behaviour. Experts argue that routine screening could help normalise discussions and connect people to support sooner.
The findings underscore a gap between rising gambling activity and the lack of early intervention. With most adults exposed to gambling before turning 21 and many underage individuals accessing illegal platforms, the risks are growing. Increased screening in medical settings could play a key role in identifying problems before they worsen.
