A recent study has unveiled a striking rise in the number of individuals reaching out for assistance regarding gambling issues in Ontario, coinciding with the legalisation of online gambling. The research, published in the Canadian Medical Association Journal, highlights a staggering 317 per cent increase in calls to a mental health helpline from young men aged 15 to 24, raising critical concerns about the public health implications of expanded gambling access.
The Findings of the Study
The study, which scrutinised data from ConnexOntario—a 24-hour helpline dedicated to mental health and addiction support—revealed an overall increase of 96 per cent in gambling-related contacts following the advent of legalised single-event sports betting and the broader online gambling market. While the increase affected various demographics, it was predominantly young men who sought help, indicating a potentially alarming trend.
Ryan Forrest, a doctoral student at the University of Toronto’s Dalla Lana School of Public Health and co-author of the study, expressed her curiosity about the rapid proliferation of gambling advertisements in Ontario. “I noticed an enormous increase in gambling advertising, and that shift felt really rapid and visible,” she explained. “When access and promotion of gambling expand this quickly, do we see any measurable changes in health-related outcomes? This study was an attempt to answer that.”
A Deepening Concern
Dr. Daniel Myran, another co-author and associate professor at the University of Toronto, noted the concerning implications of the findings. “The concentration of these increases in young men is particularly troubling,” he remarked. “Gambling harms can affect anyone who gambles, along with their families and communities. The uptick in population-level harms is concerning due to the widespread repercussions.”

The study further indicated that while the overall gambling-related calls surged, there was a noticeable absence of similar trends among women, suggesting that targeted interventions may be necessary for young men. “For every person contacting the helpline, there are likely many more suffering silently,” Dr. Myran added, underscoring the need for increased awareness and support.
The Role of Marketing and Product Availability
The researchers also examined hypothetical scenarios in which Ontario had not entered the online gambling realm. They found that the initial launch of the government-run platform, PlayOLG, in 2015 did see some increases in calls, but it was the subsequent market liberalisation and the introduction of single-event sports betting that truly escalated the issue among young men.
Dr. Myran attributed this surge to both the accessibility of new gambling products and aggressive marketing strategies. “During the initial phase, there were only classic gambling activities like online slots or blackjack,” he explained. “Now, with over 80 different websites and heavy advertisements, the landscape has changed dramatically.” The introduction of in-play betting, a form that permits wagers after a game has commenced, presents unique risks, as it enables rapid betting that can exacerbate impulsive behaviours.
The Health Implications
The implications of gambling on mental health and well-being, particularly among the younger demographic, are worrisome. Dr. Myran highlighted the strong correlation between gambling issues and adverse mental health outcomes, including increased rates of suicide and substance use. “Gambling can lead to significant social, educational, and occupational problems,” he warned. “The financial hardships associated with gambling can disrupt lives in profound ways.”

As provinces like Alberta also explore the introduction of private online gambling firms, the findings from Ontario’s study serve as a crucial warning. “Much of the conversation surrounding this policy change has focused on revenue generation and consumer choice,” Forrest noted. “However, our study illustrates the potential negative impacts on health and well-being, which must be taken seriously. There is an urgent need to consider restrictions on gambling advertising and to engage in societal discussions about acceptable forms of gambling.”
Why it Matters
The surge in help-seeking behaviour among young men in Ontario reflects a broader societal concern about the public health implications of expanded gambling access. With gambling disorders potentially establishing patterns early in life, the increase in young people seeking help signals a worrying trend that could lead to lifelong challenges. As the province navigates the complexities of gambling legislation, the need for responsible policies that prioritise public health over revenue generation has never been more pressing. Addressing these issues now could help avert a future where gambling becomes an increasingly pervasive problem in our communities.