The researchers investigated the characteristics that increase Southeast Asian refugees and immigrants’ chances of developing problem gambling (PG). Participants were 200 people who were from Laos or had a Lao background. Staff members from a Lao community center in the U.S. interviewed participants. About one-quarter of participants had a gambling problem. Thus, PG may be common among Lao people. Participants who started gambling at a young age and had siblings with gambling problems had a higher chance of developing PG. Many Lao people were unwilling to get help for their PG even if help was available. At the same time, many recognized gambling as a significant issue in their community. Prevention and treatment service providers could use this research to develop community-based intervention and educational programs that are culturally appropriate. This could include training Lao people to help those in their community overcome their PG.