Gambling harm is a public health issue. However, many initiatives do not use public health strategies to prevent and reduce gambling harm in different populations. In this article, the authors explore how public health views of gambling harm have changed over time. They review gambling research from 1990 to 2020. The authors describe how this research has impacted public health research, policy, and programs across the world. Researchers, policy makers, and prevention and treatment service providers can work together to advocate that gambling harm is a public health issue. The authors also suggest more collaboration to gather data for health assessment and surveillance.
