Does online sports gambling affect substance use behaviors?
Wiley
A new study in Health Economics indicates that the rapid expansion of online sports betting in the US may be increasing risky alcohol consumption among young men.
Using national survey data and modern policy‐evaluation methods, investigators compared substance use across US states that have legalized sports betting since 2018 versus those that have not.
The team found that legalizing online sports betting has led to a significant rise—around 10%—in binge‐drinking frequency in men aged 35 years and younger who already report binge drinking, while not affecting smoking rates. The authors noted that their data rely on self-reported behaviors, which may understate true alcohol consumption levels.
“As sports betting continues to spread across states, these findings raise important public‐health concerns and highlight the need for policymakers to consider the broader behavioral impacts of gambling liberalization,” said co-author Keshar M. Ghimire, PhD, of the University of Cincinnati.
URL upon publication: https://onlinelibrary.wiley.com/doi/10.1002/hec.70088
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About the Journal
Health Economics is an international health policy journal publishing articles on all aspects of global health economics. We welcome theoretical contributions, empirical studies, and analyses of health policy from the economic perspective. With a wide scope, Health Economics welcomes contributions on the valuation, determinants and definition of health, health care supply and demand, planning and market mechanisms, treatment micro-economics, and health care system performance.
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Journal
Health Economics
Article Title
Gambling and Substance Use: Early Evidence from Sports Betting Laws
Article Publication Date
11-Mar-2026
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