Published on: March 3, 2026, 09:55h.
Updated on: March 3, 2026, 09:55h.
- Should primary care physicians inquire about gambling activities?
- The National Council on Problem Gambling supports this idea
Gambling engagement in the U.S. has reached unprecedented levels. With declines in tobacco and alcohol usage, should primary care physicians pay closer attention to gambling disorders, which health professionals warn can lead to significant physiological and psychological issues?
Recently, a national survey conducted by The Harris Poll for the National Council on Problem Gambling (NCPG) highlighted trends in gambling behaviors.
Approximately 79% of Americans believe that gambling addiction is as serious, if not more so, than other dependencies like alcohol and drugs.
“Our findings show that the majority of the American population acknowledges gambling addiction as a significant behavioral health concern,” stated Heather Maurer, executive director of the NCPG. “The critical next step involves aligning public health frameworks, policies, and prevention initiatives with this understanding.”
Nearly 29% of survey participants indicated that excessive gambling results in more severe outcomes than substance abuse issues.
Healthcare Interventions
During a standard medical visit, patients typically disclose lifestyle choices, including their sleep routines, dietary habits, and physical activity. Physicians also inquire about alcohol habits, tobacco use, and any legal or illegal drug consumption.
However, inquiries about gambling behaviors are seldom made. The NCPG indicates that merely 15% of Americans report ever being asked about their gambling activities by a healthcare provider.
“This is a considerable missed opportunity for early detection and intervention. Gambling-related harm often remains hidden until it escalates into a more significant issue,” asserted Maurer.
“Incorporating screenings into healthcare environments can help normalize discussions about gambling and connect individuals with support sooner,” Maurer noted.
The effects of gambling addiction extend beyond financial losses. In addition to debt and potential bankruptcy, problem gambling is associated with mental health challenges like anxiety, depression, and suicidal thoughts.
Gambling issues are also linked with physical symptoms including insomnia, headaches, digestive problems, and hypertension due to stress.
Youth and Gambling
The urgency for gambling screenings in healthcare is magnified by the fact that Americans are being introduced to gambling at younger ages. The Harris Poll revealed that 65% of adults aged 21 and older had gambled at least once before reaching the legal drinking age.
Forty percent of them reported participating in a lottery, where the legal purchase age is typically 18, except in Arizona, Iowa, and Louisiana, which set it at 21, and Nebraska, which is 19.
Over 20% of the under-21 demographic engaged in illegal online gambling or placed unlawful sports bets. Almost 37% admitted to gambling among peers.
“Young individuals are at a much higher risk for developing gambling issues. As gambling becomes increasingly normalized in media, sports, and online platforms, these risks rise,” Maurer remarked. “Preventive measures and education are vital to equip young people, families, educators, and policymakers with the knowledge of potential harms and safeguard against premature exposure.”