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The link between gambling harm, smoking, and alcohol use in Great Britain

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Kock, Loren ; Brown, Jamie ; Buss, Vera ; Roberts, Amanda ; Shahab, Lion

Journal: Addictive Behaviors

Year Published: 2026

Date Added: June 26, 2026

Gambling often co-occurs with other addictive behaviours, such as smoking and alcohol use. The purpose of this study was to examine how smoking and risky drinking are related to problem gambling, episodes of loss of control, and attempts to reduce or stop gambling. This study used data collected from adults aged 18 years and older who completed the Gambling Survey for Great Britain (GSGB) in 2023. Responses from a total of 9,742 participants were included in the analyses.

Compared to people who did not gamble, levels of risky drinking and likelihood of smoking increased as gambling risk increased. People with problem gambling were most likely to both smoke and engage in high-risk drinking. Likewise, people who experienced loss of control with their gambling in the past year (i.e., overspent or ignored gambling limits) were more likely to engage in risky drinking and smoke. People who tried to reduce or stop gambling were more likely to smoke. These findings suggest a need to address problem gambling and other addictive behaviours together.


Citation: Kock, L., Brown, J., Buss, V., Roberts, A., & Shahab, L. (2026). Gambling, smoking and alcohol use in Great Britain: Insights from the 2023 Gambling Survey of Great Britain. Addictive Behaviors, 177, 108641. https://doi.org/10.1016/j.addbeh.2026.108641

Article DOI: https://doi.org/10.1016/j.addbeh.2026.108641

Keywords: alcohol ; comorbidities ; gambling ; loss of control ; problem gambling ; smoking

Topics: Comorbidities ; Gambling and the Brain ; Substance Use

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Psychological Factors

Study Design: Secondary Data Analysis

Geographic Coverage: United Kingdom, Great Britain

Study Population: Adults (18+ years) living in Great Britain (n=9742)

Sampling Procedure: Data from the 2023 Gambling Survey for Great Britain was used. The survey used a stratified random probability sample of addresses across Great Britain.

Study Funding:

No direct funding sources were declared for this study.

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