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Policy restricting the operating hours of electronic gambling machines can reduce gambling-related harm

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Benedetti, Elisa ; Lachi, Alessio ; Lombardi, Gabriele ; Molinaro, Sabrina

Journal: Journal of Epidemiology & Community Health

Year Published: 2025

Date Added: September 18, 2025

This study examined whether restricting the availability and accessibility of electronic gambling machines (EGMs) can help reduce gambling harms. The researchers used the Piedmont region of Italy as the focus of this study. The region of Piedmont passed a law in 2018 to limit the location and operating hours of EGMs. This law mandates that municipalities develop their own regulations, but EGMs have to be shut down for at least 3 hours during a venue’s opening hours. The researchers used data from the Gambling Adult Population Survey in 2018 and 2022. They also used data on policy regarding EGM restrictions (or lack thereof) in municipalities, and data on EGM availability from the gambling monopoly holder, Agenzia delle Dogane e dei Monopoli (ADM).

The researchers found that municipal policies that reduced the operating hours of EGMs were effective, but only when they suspended EGM use for at least 11 hours a day. This finding remained robust even when the researchers considered substitution effects from a shift towards online gambling or living close to other regions without EGM restrictions. The researchers did not find that reducing the number of EGMs in the area had an effect on gambling harms.


Citation: Benedetti, E., Lachi, A., Lombardi, G., & Molinaro, S. (2025). From policy to practice: Assessing the impact of electronic gambling machines regulations on harmful gambling behaviour. Journal of Epidemiology & Community Health. Advance online publication. https://doi.org/10.1136/jech-2024-222474

Article DOI: https://doi.org/10.1136/jech-2024-222474

Keywords: Electronic Gambling Machines (EGMs) ; gambling accessibility ; gambling availability ; policy ; venue

Topics: Gambling Exposure ; Game Types ; Information for Operators ; Information for Policy Makers ; Slots and VLTs ; Venue/Casino

Conceptual Framework Factors:   Exposure - Accessibility ; Gambling Environment ; Environment - Public Policy ; Gambling Exposure

Study Design: Observational: Case Control

Geographic Coverage: Italy

Study Population: Survey data from 1,727 adults who participated in the Gambling Adult Population Survey conducted in 2018 and 2022, as well as responses from 370 mayors regarding daily EGM shutdown time.

Sampling Procedure: This study used secondary data from the Gambling Adult Population Survey conducted in 2018 and 2022, as well as data on EGM availability from the gambling monopoly holder, Agenzia delle Dogane e dei Monopoli (ADM). The researchers surveyed mayors of municipalities with over 1,000 residents to obtain information on the daily EGM shutdown time (n=370).

Study Funding:

This study received no direct funding.

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