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Problem gambling led to substantial costs in Sweden in 2018

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Author(s): Hofmarcher, Thomas ; Romild, Ulla ; Spångberg, Jessika ; Persson, Ulf ; Håkansson, Anders

Journal: BMC Public Health

Year Published: 2020

Date Added: March 31, 2021

In this study, the researchers did a cost-of-illness study to estimate how much problem gambling (PG) cost Sweden in 2018. The researchers used the prevalence method to estimate the costs. Their estimates showed that the costs of PG were substantial (1.42 billion euros in 2018). Over half of the costs (59%) came from indirect costs such as reduced work performance, job loss, and death. Intangible costs, such as physical violence and distress, were also a large part of the total costs (28%). Direct costs for PG, such as prevention and treatment, were the smallest (13%). Policy makers could use this research to invest more money in creating useful prevention and treatment programs. These programs could help reduce the indirect and intangible costs of PG in the future.


Citation: Hofmarcher, T., Romild, U., Spångberg, J., Persson, U., & Håkansson, A. (2020). The societal costs of problem gambling in Sweden. BMC Public Health, 20, 1921. https://doi.org/10.1186/s12889-020-10008-9

Article DOI: https://doi.org/10.1186/s12889-020-10008-9

Keywords: economic impacts ; gambling ; problem gambling ; social impacts

Topics: Gambling Related Harms

Conceptual Framework Factors:   Environment - Social and Economic Impacts ; Social - Education System ; Resources - Harm Reduction, Prevention, and Protection ; Environment - Economics ; Gambling Environment ; Resources - Service Access and Use ; Environment - Public Policy ; Social Factors ; Gambling Resources

Study Design: Observational: Cross-sectional

Geographic Coverage: Sweden

Sampling Procedure: The researchers used data from the 2018 Swedish Longitudinal Gambling Study (Swelogs) and other sources of data (e.g., cases of debt counselling from the Swedish Agency for Public Management).

Study Funding:

This study was supported by general research funding to Anders Hakansson from Svenska Spel, a state-owned gambling company in Sweden. 

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