Recent research has unveiled alarming statistics regarding gambling addiction in Ontario, particularly among young men. Following the legalisation of online gambling, calls to the province’s addictions and mental health helpline regarding gambling issues surged dramatically, with an astonishing 317 per cent increase among males aged 15 to 24. The findings, published in the Canadian Medical Association Journal, highlight a pressing public health concern that warrants immediate attention.
Escalating Gambling Issues in Ontario
The study, which utilises data from ConnexOntario—a 24-hour helpline for mental health and addictions—marks one of the few investigations into the public health ramifications since the province regulated online gambling a decade ago. The authors, including Ryan Forrest, a doctoral student at the University of Toronto, and Daniel Myran, an associate professor at the same institution, conducted the study in response to the visible rise in gambling advertisements and promotions across Ontario.
Forrest expressed her curiosity about the correlation between increased gambling access and health outcomes, stating, “When access and promotion of gambling expands this quickly, do we see any measurable changes in health-related outcomes?” The findings indicate that the answer is a resounding yes.
Young Men at the Forefront
The data reveals that overall contacts to the mental health hotline for gambling issues rose by 96 per cent following the legalisation of single-event sports betting—a trend predominantly observed among young men. While calls from this demographic skyrocketed, the study found little to no change in the number of female callers. Myran highlighted the troubling implications of these findings, noting, “The scale of these increases, their concentration in young men, is really, really troubling.”

The researchers are concerned that the numbers may only represent a fraction of those suffering silently with gambling-related problems, as many individuals may not seek help despite experiencing significant distress.
The Role of Advertising and Product Availability
In their analysis, the researchers explored hypothetical scenarios, including one where Ontario never entered the online gambling sector. They discovered that the introduction of the government-run platform PlayOLG in 2015 did indeed lead to an increase in gambling-related calls, but the real explosion in numbers occurred with the expansion of the market and the legalisation of single-event sports betting.
Myran posited that this increase is closely linked to the proliferation of gambling products and aggressive marketing strategies. “Now, there are 80 different websites, heavy advertisements and new types of gambling,” he explained. The introduction of in-play betting—where bets can be placed even after a game has started—has created a dangerously fast-paced environment that fosters impulsive decision-making among gamblers.
Mental Health Consequences
The ramifications of gambling addiction extend beyond financial losses, as they are closely tied to severe mental health issues, including anxiety, depression, and even suicidal tendencies. Myran emphasised the broader societal implications of gambling addiction, stating that it can lead to significant social, educational, and occupational problems. For young individuals, the consequences of accumulating debt due to gambling can be devastating, impacting their entire life trajectory.

As Alberta prepares to embrace similar online gambling opportunities, the researchers urge other provinces to heed the lessons from Ontario’s experience. Forrest advocates for more stringent regulations on gambling advertisements and a societal discussion about the types of gambling that should be permissible.
Why it Matters
The surge in gambling-related issues among young men in Ontario serves as a stark reminder of the potential public health crisis stemming from the rapid expansion of online gambling. As access to these platforms increases, so too does the risk of addiction and its associated harms. It is crucial for policymakers to consider the health implications of their decisions and to prioritise the well-being of their communities over revenue generation. The findings underline the need for proactive measures, such as restricting advertising and fostering conversations about responsible gambling, to mitigate the long-term impact of this growing concern.