Abstracts
Abstract
Gambling harm prevention and reduction consists of a range of upstream and downstream solutions. Responsibilities for implementing and ensuring these tasks falls across a range of actors, including policymakers, regulators, health professionals and industry. Increased harms caused by online gambling necessitate new regulatory measures, and potentially new responsibilities for their implementation. The current study uses key informant interview data (N=10) conducted in four jurisdictions that have recently introduced a license-based online gambling market (Germany, the Netherlands, Sweden, Ontario). Our aim was to identify what kind of responsibilities for harm prevention and reduction emerge in competitive online markets, to whom responsibility for these tasks is assigned, and what kind of barriers to harm prevention exist across responsibilities. Our analysis shows that most universal responsibilities are assigned to policy makers and regulators. Selective measures aiming at those who gamble, are largely implemented in collaboration between regulators and industry. Indicated and treatment-focused measures are the shared responsibility of treatment professionals, regulators and industry. The main barriers to effective harm prevention related to conflicting interests, industry power, lacking harm prevention resources, lacking centralisation and offshore provision. We argue that improved harm prevention would require balancing existing asymmetries that relate to power, responsibilities and prioritisations.
Keywords:
- gambling,
- Harm prevention,
- harm reduction,
- licensing,
- responsibility
Appendices
Bibliography
- Akçayır, M., Nicoll, F., Baxter, D. G., & Palmer, Z. S. (2022). Whose responsibility is it to prevent or reduce gambling harm? A mapping review of current empirical research. International Journal of Mental Health and Addiction, 20(3), 1516-1536. https://doi.org/10.1007/s11469-020-00459-x10.1007/s11469-020-00459-x Google Scholar Search this bibliographic reference on Google Scholar
- Alexius, S. (2017). Assigning responsibility for gambling-related harm: scrutinizing processes of direct and indirect consumer responsibilization of gamblers in Sweden. Addiction Research & Theory, 25(6), 462-475. https://doi.org/10.1080/16066359.2017.132173910.1080/16066359.2017.1321739 Google Scholar Search this bibliographic reference on Google Scholar
- Bankel, R., & Solér, C. (2025). Embedded-embodied consumer experiences and the limits of responsibilization theory. Social Responsibility Journal, 21(4), 793-808. https://doi.org/10.1108/SRJ-04-2024-025210.1108/SRJ-04-2024-0252 Google Scholar Search this bibliographic reference on Google Scholar
- Berret, S., Marionneau, V., Sievänen, R., & Nikkinen, J. (2024). Institutional investment in addictive industries: an important commercial determinant of health. Frontiers in public health, 12, 1409648. https://doi.org/10.3389/fpubh.2024.140964810.3389/fpubh.2024.1409648 Google Scholar Search this bibliographic reference on Google Scholar
- Borrell, J. (2008). The ‘Public Accountability Approach’: suggestions for a framework to characterise, compare, inform and evaluate gambling regulation. International Journal of Mental Health and Addiction, 6(2), 265-281. https://doi.org/10.1007/s11469-007-9131-310.1007/s11469-007-9131-3 Google Scholar Search this bibliographic reference on Google Scholar
- Casey, D. (2024). Reproducing responsible gambling through codes of conduct: the role of trade associations and codes of conduct in shaping risk regulation. European Journal of Risk Regulation, 15(2), 447-464. https://doi.org/10.1017/err.2023.5010.1017/err.2023.50 Google Scholar Search this bibliographic reference on Google Scholar
- Fiedler, I., Kairouz, S., & Reynolds, J. (2021). Corporate social responsibility vs. financial interests: The case of responsible gambling programs. Journal of Public Health, 29(4), 993-1000. https://doi.org/10.1007/s10389-020-01219-w10.1007/s10389-020-01219-w Google Scholar Search this bibliographic reference on Google Scholar
- Forsström, D., & Cisneros Örnberg, J. (2018). Responsible gambling in practice: A case study of views and practices of Swedish oriented gambling companies. Nordic Studies on Alcohol and Drugs, 36(2), 91-107. https://doi.org/10.1177/145507251880249210.1177/1455072518802492 Google Scholar Search this bibliographic reference on Google Scholar
- Goedecke, K., Spångberg, J., Svensson, J. (2023). License to Gamble: Discursive Perspectives on the 2019 Reregulation of the Swedish Gambling Market. Critical Gambling Studies, 4(2), 16-29. https://doi.org/10.29173/cgs15710.29173/cgs157 Google Scholar Search this bibliographic reference on Google Scholar
- Gray, H. M., LaPlante, D. A., Abarbanel, B., & Bernhard, B. J. (2021a). Gamblers’ perceptions of stakeholder responsibility for minimizing gambling harm. International Journal of Mental Health and Addiction, 19(4), 891-907. https://doi.org/10.1007/s11469-019-0056-410.1007/s11469-019-0056-4 Google Scholar Search this bibliographic reference on Google Scholar
- Gray, H. M., Louderback, E. R., LaPlante, D. A., Abarbanel, B., & Bernhard, B. J. (2021b). Gamblers’ beliefs about responsibility for minimizing gambling harm: Associations with problem gambling screening and gambling involvement. Addictive Behaviors, 114, 106660. https://doi.org/10.1016/j.addbeh.2020.10666010.1016/j.addbeh.2020.106660 Google Scholar Search this bibliographic reference on Google Scholar
- Hancock L., Schellinck T., & Schrans T. (2008). Gambling and corporate social responsibility (CSR): Re-defining industry and state roles on duty of care, host responsibility and risk management. Policy and Society, 27(1), 55-68. https://doi.org/10.1016/j.polsoc.2008.07.00510.1016/j.polsoc.2008.07.005 Google Scholar Search this bibliographic reference on Google Scholar
- Hancock, L., & Smith, G. (2017a). Critiquing the Reno model i-iv international influence on regulators and governments (2004–2015)—the distorted reality of ‘responsible gambling’. International Journal of Mental Health and Addiction, 15(6), 1151–1176. https://doi.org/10.1007/s11469-017-9746-y.10.1007/s11469-017-9746-y Google Scholar Search this bibliographic reference on Google Scholar
- Kyngäs, H. (2019). Inductive content analysis. In H. Kyngäs, K. Mikkonen & M. Kääriäinen (Eds.), The application of content analysis in nursing science research (pp. 13-21). Springer International Publishing. https://doi.org/10.1007/978-3-030-30199-6_210.1007/978-3-030-30199-6_2 Google Scholar Search this bibliographic reference on Google Scholar
- Livingstone, C., & Rintoul, A. (2020). Moving on from responsible gambling: a new discourse is needed to prevent and minimise harm from gambling. Public Health, 184, 107-112. https://doi.org/10.1016/j.puhe.2020.03.01810.1016/j.puhe.2020.03.018 Google Scholar Search this bibliographic reference on Google Scholar
- Livingstone, C. (2023). The End of 'Responsible Gambling': Reinvigorating Gambling Studies. Critical Gambling Studies, 4(2), 1-14. https://doi.org/10.29173/cgs16410.29173/cgs164 Google Scholar Search this bibliographic reference on Google Scholar
- 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/s12954-023-00828-410.1186/s12954-023-00828-4 Google Scholar Search this bibliographic reference on Google Scholar
- Marko, S., Thomas, S. L., Robinson, K., & Daube, M. (2022). Gamblers’ perceptions of responsibility for gambling harm: a critical qualitative inquiry. BMC Public Health, 22, 725. https://doi.org/10.1186/s12889-022-13109-910.1186/s12889-022-13109-9 Google Scholar Search this bibliographic reference on Google Scholar
- Miller, H. E., Thomas, S. L., Smith, K. M., & Robinson, P. (2015). Surveillance, responsibility and control: an analysis of government and industry discourses about “problem” and “responsible” gambling. Addiction Research & Theory, 24(2), 163-176. https://doi.org/10.3109/16066359.2015.109406010.3109/16066359.2015.1094060 Google Scholar Search this bibliographic reference on Google Scholar
- Parker, C., Albarrán-Torres, C., Briggs, C., Burgess, J., Carah, N., Andrejevic, M., Angus, D., & Obeid, A. (2024). Addressing the accountability gap: gambling advertising and social media platform responsibilities. Addiction Research & Theory, 32(4), 312-318. https://doi.org/10.1080/16066359.2023.226985210.1080/16066359.2023.2269852 Google Scholar Search this bibliographic reference on Google Scholar
- Reynolds, J., Kairouz, S., Ilacqua, S., & French, M. (2020). Responsible gambling: a scoping review. Critical Gambling Studies, 1(1), 23-39. https://doi.org/10.29173/cgs4210.29173/cgs42 Google Scholar Search this bibliographic reference on Google Scholar
- Rintoul, A. (2019). Modernising harm prevention for gambling in Australia: International lessons for public health policy and improved regulation of gambling. https://doi.org/10.13140/RG.2.2.22616.52480Google Scholar Search this bibliographic reference on Google Scholar
- Ukhova, D., Marionneau, V., Nikkinen, J., & Wardle, H. (2024). Public health approaches to gambling: a global review of legislative trends. The Lancet Public Health, 9(1), e57-e67. https://doi.org/10.1016/S2468-2667(23)00221-910.1016/S2468-2667(23)00221-9 Google Scholar Search this bibliographic reference on Google Scholar
- Velasco, V., Scattola, P., Gavazzeni, L., Marchesi, L., Nita, I. E., & Giudici, G. (2021). Prevention and harm reduction interventions for adult gambling at the local level: an umbrella review of empirical evidence. International journal of environmental research and public health, 18(18), 9484. https://doi.org/10.3390/ijerph1818948410.3390/ijerph18189484 Google Scholar Search this bibliographic reference on Google Scholar
- Wardle, H., Degenhardt, L., Marionneau, V., Reith, G., Livingstone, C., Sparrow, M., Trans, L.T., Biggar, B., Bunn, C., Farrell, M., & Saxena, S. (2024). The Lancet Public Health commission on gambling. The Lancet Public Health, 9(11), e950-e994. https://doi.org/10.1016/S2468-2667(24)00167-110.1016/S2468-2667(24)00167-1 Google Scholar Search this bibliographic reference on Google Scholar