Between 2018 and 2021, three major events transformed gambling in the United States: the expansion of legal sports betting, increased internet gambling, and the COVID-19 pandemic. These changes led to a rise in problematic gambling behavior, with the pandemic showing the most significant impact.

Key findings show that prohibiting gambling is ineffective in reducing gambling disorders, especially with easy internet access. Instead, focus should be on prevention, awareness, and treatment programs, alongside proper regulation of legal gambling operations.

Problematic gambling strongly correlates with:

• Young age
• Participation in multiple gambling activities
• Sports and fantasy sports betting
• Poor gambling literacy
• Misconceptions about gambling as a money-making method

Young adults show the highest risk, displaying both elevated problematic play and misconceptions about gambling and recovery. This highlights the need for targeted education and prevention strategies.

Investment trading shows a notable connection to problematic gambling, suggesting the need for:

• Further research into this relationship
• Integration of investment-related questions in treatment protocols
• Collaboration between gambling treatment and investment professionals

The lottery remains a crucial platform for problem gambling awareness, reaching 90% of gamblers. This widespread reach makes it an essential channel for education and prevention efforts.

Current challenges include:

• Persistent stigmatization of gambling disorders
• Low awareness of treatment resources
• Outdated public policies
• Need for comprehensive solutions

Moving forward requires collaboration between:

• Government agencies
• Gambling industry
• Healthcare providers
• Non-profit organizations
• Research institutions
• Recovery community
• Financial sector

Problem gambling affects all demographic groups, though risk levels vary. It requires recognition as a public health issue rather than a moral failing, demanding coordinated effort across multiple sectors for effective prevention and treatment.

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