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Rising Rates of Problem Gambling Linked to Sports Betting Legalization

By jili tutorial · October 10, 2026

Rising Rates of Problem Gambling Linked to Sports Betting Legalization

A recent study conducted by Epic Research has revealed a concerning trend: the legalization of sports gambling in the United States has led to a significant increase in gambling-related disorders. This comprehensive analysis highlights the societal impact of expanding access to sports betting, particularly through online platforms, and underscores the need for greater awareness and regulatory oversight.

Key Findings: A 61% Spike in Problem Gambling

The study, which examined data from over 200 million adults, found that rates of problem gambling surged by 61% following the legalization of sports betting in 2018. This sharp increase has been particularly pronounced among younger adults aged 18 to 29, who are now diagnosed with gambling disorders at twice the rate compared to pre-legalization years. States like Pennsylvania and New Jersey, which were among the first to legalize sports betting, have seen a notable rise in the number of individuals seeking help for gambling-related issues.

The Role of Accessibility and In-Game Betting

Harry Levant, a therapist and director of gambling policy at the Public Health Advocacy Institute, emphasized that the ease of access to online gambling platforms has played a significant role in this trend. Unlike traditional gambling, which required visiting a physical location, modern sports betting allows users to gamble remotely and freely, eliminating previous deterrents. Levant also highlighted the rise of in-game microbetting, a feature that enables users to place bets on nearly every aspect of a game in real time.

“You can now bet on the speed of every pitch in a baseball game, every snap in a football game, or every shot in a basketball game. This creates continuous gambling opportunities, often happening every 10 seconds or faster,” Levant explained.

Such innovations have transformed gambling into a 24/7 activity, making it harder for individuals to disengage and increasing the risk of addiction.

Comparative Data: Legalized vs. Non-Legalized States

The study also compared states that have legalized sports betting with those that have not. In legalized states, the rate of diagnosed gambling disorders rose from 3 cases per 100,000 patients in 2018 to 4.8 cases per 100,000 patients in 2026. Conversely, states that have not legalized gambling have experienced a decline in gambling-related issues. This stark contrast underscores the direct correlation between accessibility and problem gambling.

The Role of Emerging Platforms

Epic Research also pointed to the parallel growth of online prediction markets, such as Polymarket and Kalshi, as a contributing factor to the rise in gambling disorders. These platforms, which are not regulated as gambling at the state level, offer users access to gambling-like products regardless of their location. This overlap has blurred the lines between traditional gambling and other speculative activities, further complicating efforts to address problem gambling.

Seeking Help: A Silver Lining?

While the rise in gambling disorders is alarming, the study noted that increased awareness and access to resources have also led more people to seek help. In states where sports betting is legalized, there has been a corresponding rise in gambling-related help-seeking behavior. This suggests that greater visibility and access to support services may be a positive outcome of legalization, even as it has exacerbated the problem.

Conclusion: Balancing Opportunity and Responsibility

The findings of Epic Research highlight the dual-edged nature of sports betting legalization. While it has created economic opportunities and expanded entertainment options, it has also introduced significant public health challenges. Policymakers, healthcare providers, and stakeholders must work together to balance accessibility with safeguards, ensuring that individuals can enjoy gambling responsibly without falling into harmful patterns.

As the landscape of gambling continues to evolve, ongoing research and proactive measures will be essential to mitigate the risks and protect vulnerable populations.