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Alcohol use and gambling harm among adults in Victoria, Australia

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Smit, Koen ; Jiang, Heng ; Room, Robin ; Suomi, Aino ; Hahn, Markus H. ; Maclean, Sarah ; Laslett, Anne-Marie

Journal: Drug and Alcohol Review

Year Published: 2026

Date Added: August 30, 2026

This study examined whether alcohol use while gambling and engaging in heavy episodic drinking (HED) are linked to experience of gambling harm among adults living in Victoria, Australia. The researchers used data from the 2023 Victorian Population Gambling and Health Study. A total of 3,115 adults who completed additional questions about their alcohol use were included in the study. Among them, 1,918 had gambled in the past year (61%).

People who drank alcohol while gambling were more likely to experience any gambling harm and to experience a higher number of harms than those who did not drink while gambling. This link remained even after accounting for gambling frequency, gambling spending, and demographic characteristics. HED alone was not independently associated with gambling harms after these other factors were considered. But people who both drank while gambling and engaged in HED experienced the highest risk of gambling harms.


Citation: Smit, K., Jiang, H., Room, R., Suomi, A., Hahn, M. H., MacLean, S., & Laslett, A.M. (2026). Alcohol use associated with gambling harm in a population representative Australian sample. Drug and Alcohol Review, 45(4), e70164. https://doi.org/10.1111/dar.70164

Article DOI: https://doi.org/10.1111/dar.70164

Keywords: alcohol ; alcohol use ; financial harms ; gambling harm ; public health

Topics: Comorbidities ; Public Health ; Substance Use

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Psychological Factors ; Resources - Harm Reduction, Prevention, and Protection

Study Design: Secondary Data Analysis

Geographic Coverage: Australia, Victoria

Study Population: Residents living in Victoria, Australia, aged 18 years or older (n=3,114)

Sampling Procedure: The researchers used data from a subsample of the 2023 Victorian Population Gambling and Health Study; these participants were asked additional questions, including their alcohol use patterns. The 2023 Victorian Population Gambling and Health Study was a mobile-phone-only survey that recruited a representative sample of residents living in Australia by mobile phone numbers accessed through the Integrated Public Network Database.

Study Funding:

This study was funded by the Victorian Responsible Gambling Foundation, now Victorian Department of Justice and Community Safety.

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