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Towards online gambling harm prevention and reduction: Universal, selective, and indicated interventions

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View Open Access Article View Snapshot Back to Search Results

snapshot summaries


Author(s): Marionneau, Virve ; Ruohio, Heidi ; Karlsson, Nina

Journal: Harm Reduction Journal

Year Published: 2023

Date Added: September 15, 2023

Many previous studies focused on harm reduction and harm prevention efforts in land-based gambling. But it is not clear whether their findings can be applied to online gambling. In this article, the authors review harm reduction and prevention efforts for online gambling. They discuss universal measures that aim to prevent and reduce harm at the population level. These measures include addressing the delivery and availability of online gambling opportunities (e.g., regulations to restrict availability and online marketing). The authors also discuss selective measures that target vulnerable populations at a greater risk for gambling-related problems. These measures include age restrictions, pre-commitment tools, and self-exclusion. Finally, the authors discuss indicated interventions aimed at people with a greater risk of gambling-related problems. These interventions include using artificial intelligence (AI) tools to identify patterns of problematic behaviour; personalized feedback; and online therapeutic options.


Citation: Marionneau, V., Ruohio, H., & Karlsson, N. (2023). Gambling harm prevention and harm reduction in online environments: A call for action. Harm Reduction Journal, 20, 92. https://doi.org/10.1186/s12954-023-00828-4

Article DOI: https://doi.org/10.1186/s12954-023-00828-4

Keywords: age restriction ; harm reduction ; marketing ; online gambling ; personalized feedback ; precommitment ; prevention ; regulation

Topics: Gambling Exposure ; Gambling Resources ; Information for Operators ; Information for Policy Makers ; Information for Treatment Providers ; Online Gambling ; Prevention

Conceptual Framework Factors:   Exposure - Gambling Setting ; Types - Structural Characteristics ; Exposure - Marketing and Messaging ; Environment - Responsible Gambling ; Exposure - Accessibility ; Resources - Harm Reduction, Prevention, and Protection ; Gambling Resources

Study Design: Other Review

Study Funding:

Open Access funding was provided by the University of Helsinki, including Helsinki University Central Hospital. The authors also receive funding from the Finnish Ministry of Social Affairs and Health as well as the Academy of Finland.

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