In the wake of Ontario’s recent legalisation of online gambling, a troubling rise in gambling-related issues has emerged, particularly among young men. A new study published in the Canadian Medical Association Journal highlights a staggering increase of over 300 per cent in young males aged 15 to 24 seeking assistance for gambling problems. This alarming trend underscores the urgent need for a comprehensive examination of the public health implications tied to the rapid expansion of gambling access in the province.
The Findings of the Study
The study, which utilised data from ConnexOntario, a 24-hour help service, revealed that overall contacts to the mental health hotline for gambling issues surged by 96 per cent since the introduction of regulated online gambling. The data indicates that while men aged 15 to 24 experienced a rise of 317 per cent in calls, those aged 25 to 44 also reported a significant increase of roughly 115 per cent. In stark contrast, there was no notable change among women, raising questions about the specific factors driving this epidemic among young men.
Co-authors Ryan Forrest, a doctoral candidate at the University of Toronto’s Dalla Lana School of Public Health, and Dr. Daniel Myran, an associate professor at the same institution, expressed their concerns regarding these findings. “The scale of these increases, particularly among young men, is deeply concerning,” stressed Forrest. “Gambling harms affect not just the individual but also their families and communities.”
The Role of Advertising and Access
The study’s co-authors pointed to the rapid rise in gambling advertising and the ease of access to various betting platforms as significant contributors to these troubling statistics. Forrest noted that the proliferation of gambling advertisements in Ontario had been particularly striking. “When access to gambling expands so quickly, it raises important questions about the health outcomes associated with that change,” she remarked.

Dr. Myran elaborated on the impact of the evolution of gambling products. Following the legalisation of single-event sports betting, the introduction of in-play betting—where users can place bets during a match—has led to a new level of risk. “The fast-paced nature of in-play betting can lead to impulsive decisions, exacerbating the potential for harm,” he explained.
Broader Implications and Recommendations
As gambling becomes increasingly integrated into everyday life, the authors urge policymakers to consider the implications for public health. “Discussions surrounding gambling in Ontario have predominantly centred on revenue generation,” Forrest stated. “Our research highlights the potential negative impacts on health and well-being, which must be taken seriously.”
The study suggests that a critical first step would be to impose restrictions on gambling advertising, particularly those targeting young audiences. Moreover, a societal dialogue regarding acceptable gambling practices is essential. It raises the question: Should certain high-risk forms of gambling, such as in-play betting, be curtailed to align with public health objectives?
The Urgency of Addressing Gambling Harm
The urgency of addressing gambling-related issues cannot be overstated. While gambling disorders are relatively rare, the ramifications of early patterns of gambling can be profound and long-lasting. Dr. Myran cautioned against complacency, stating, “As access to gambling grows, we must recognise the potential for increased prevalence of gambling issues, particularly among younger demographics.”

The evidence presented in this study serves as a clarion call for action. With gambling becoming more accessible than ever, the health implications for young people could resonate for a lifetime. The time for a thoughtful and proactive approach to gambling policy in Ontario is now.
Why it Matters
This study illuminates a critical intersection between public health and gambling policy in Ontario, revealing a stark reality that could affect generations. The rapid legalisation and marketing of online gambling have led to significant increases in gambling-related problems among young men, raising alarms about the long-term social and health consequences. As Ontario grapples with these findings, it is imperative for legislators and communities to prioritise the well-being of their citizens, ensuring that public health considerations guide future gambling policies. The stakes are high—not just for individuals, but for the broader societal fabric.