Evidence map›Paper›PMID 39176376›Full record

ReviewLancet regional health. Americas2024

The expansion of gambling across the Americas poses risks to mental health and wellbeing.

Daria Ukhova, Virve Marionneau, Rachel Volberg, Heather Wardle

Abstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Public health implications of the deregulation and privatization of online and sports gambling in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  2. Help-seeking for gambling problems following expansion of Ontario's online gambling market and legalization of single-event sports betting.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daria UkhovaSchool of Social and Political Sciences, University of Glasgow, Glasgow, United Kingdom.
Virve MarionneauCentre for Research on Addiction, Control and Governance (CEACG), University of Helsinki, Helsinki, Finland.
Rachel VolbergSchool of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Heather WardleSchool of Social and Political Sciences, University of Glasgow, Glasgow, United Kingdom.

Funding

Wellcome Trust
6 · The paper itself

Abstract

The Americas are facing a significant burden of mental health conditions. The Pan American Health Organisation's regional Strategy for Improving Mental Health and Suicide Prevention is an important milestone in tackling this challenge. However, absence of any focus on gambling as a potential risk to the health and wellbeing represents a serious omission in the Strategy. In this viewpoint, we review existing scholarship demonstrating unequivocal links between gambling and a variety of mental health conditions and related harms. This is followed by an empirically-grounded discussion of how commercial gambling has recently rapidly expanded across the region and how the risks of this expansion have not been sufficiently considered at the policy level. We then present emerging regional evidence of the negative mental health impacts of gambling expansion. The review concludes by proposing possible policy actions to improve control over the gambling industry and reduce ensuing harms on mental health and wellbeing in the region, with a focus on PAHO's remit.

Indexed as

GamblingGambling harmsMental healthMental health policyPAHO

Identifiers

PMID39176376
PMCPMC11339040

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.