Evidence map›Paper›PMID 41926226›Full record

ArticleJournal of behavioral addictions2026

Banning loot boxes for minors: A public health framework and the case of Brazil.

Daniel Tornaim Spritzer, Ivelise Fortim, Thiago Henrique Roza, Felix Henrique Paim Kessler, Hyoun S Kim

Abstract read
In one paragraph

Article in Journal of behavioral addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Daniel Tornaim Spritzer1Postgraduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-7408-6252
Ivelise Fortim2Faculty of Human and Health Sciences, Pontifícia Universidade Católica, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-9035-0199
Thiago Henrique Roza3Department of Psychiatry, Universidade Federal do Paraná, Curitiba, Brazil.ORCID https://orcid.org/0000-0002-3379-2206
Felix Henrique Paim Kessler1Postgraduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0001-7059-2564
Hyoun S Kim6Department of Psychology, Toronto Metropolitan University, Canada.ORCID https://orcid.org/0000-0002-0804-0256

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brazil's Digital Child and Adolescent Act (2025) prohibits paid loot boxes in games accessible to minors under a public health and child-rights framework, regardless of whether they should be classified as gambling. The law focuses on psychological mechanisms underlying harm, including variable-ratio reinforcement and reward uncertainty, to which adolescents are developmentally vulnerable. It establishes administrative sanctions, including fines of up to 10% of the company's revenue and service suspension, and restricts personalized advertising and algorithmic systems targeting minors. As the first major market to adopt a preventive harm-reduction ban, Brazil creates measurable regulatory benchmarks and a natural experiment to assess whether legislative boundaries reduce harm, influence industry monetisation strategies, and inform proportionate digital governance internationally.

Indexed as

GamblingHarm ReductionMinorsPublic HealthVideo GamesAdolescentBrazilChildHumansadolescentBrazilchild welfaregamblinggaming disorderloot boxespolicypublic healthregulationvideo games

Identifiers

PMID41926226
PMCPMC13132347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.