Most Americans Gamble Young, but Healthcare Screening Is Rare

Gambling in the US is on the rise, yet primary care doctors rarely ask patients about it during routine checkups. 

Health experts warn that gambling disorders can have both psychological and physiological consequences, yet only 15% of Americans report ever being asked about their gambling habits by a doctor.

A “Legitimate Behavioral Health Issue”

A new national survey conducted by The Harris Poll for the National Council on Problem Gambling (NCPG) highlights the gap. 

Nearly eight in ten adults (79%) agree that gambling addiction is as serious, or even more serious, than alcohol or drug addiction. About 29% believe the consequences of gambling can outweigh those of substance use.

“What we’re seeing is that the majority of Americans recognize gambling addiction as a legitimate behavioral health issue,” said Heather Maurer, executive director of the NCPG. 

“The next step is ensuring our public health systems, policies, and prevention strategies reflect that understanding.”

“Often Invisible Until It Becomes Severe”

Currently, regular medical checkups often focus on lifestyle habits such as sleep, diet, exercise, and substance use. Alcohol and tobacco use are routinely screened, but gambling largely goes unasked. 

Maurer explains that this is a missed opportunity for early intervention. “Gambling-related harm is often invisible until it becomes severe. Screening in healthcare settings can help normalize conversations and connect people to support earlier.”

The consequences of problem gambling are not only financial. They can include anxiety, depression, suicidal thoughts, and physical symptoms such as insomnia, headaches, stomach problems, and hypertension due to stress.

The need for early detection is made more urgent by the fact that Americans are exposed to gambling at younger ages. The survey found that 65% of adults 21 and older had gambled at least once before reaching the legal drinking age. 

Forty percent played lottery games, more than 20% engaged in illegal online casinos or mobile sports bets, and 37% gambled in informal games with friends.

“Youth are at significantly greater risk for developing gambling problems, and as gambling becomes increasingly normalized in media, sports, and online spaces, the risks grow,” Maurer said.