A recent study highlights a troubling rise in calls to Ontario’s mental health and addictions helpline regarding gambling issues following the legalisation of online gambling. The findings reveal an alarming 317 per cent increase in contacts from young men aged 15 to 24, signalling a pressing public health concern that demands immediate attention.
A Groundbreaking Study
Published in the Canadian Medical Association Journal, the research delves into the implications of Ontario’s gambling landscape since the introduction of regulated online betting a decade ago. The authors analysed data from ConnexOntario, a 24-hour helpline that has emerged as a crucial resource for those grappling with gambling addiction. This investigation stands out as one of the few to rigorously examine the public health ramifications of expanded gambling access in the province.
Dr. Ryan Forrest, a doctoral student at the University of Toronto’s Dalla Lana School of Public Health, stated, “The increase in gambling advertising in Ontario has been strikingly rapid. As a public health researcher, I wanted to explore the potential health-related outcomes of this surge in access and promotion.”
The Alarming Statistics
The study’s results are sobering; overall contacts to the helpline regarding gambling issues rose by 96 per cent since the legalisation of single-event sports betting. The most significant increase was observed among young men, with calls from boys and men aged 15 to 24 skyrocketing by over 300 per cent. In stark contrast, there was only a modest rise of 115 per cent for men aged 25 to 44, while female contacts remained unchanged.

Dr. Daniel Myran, an associate professor at the University of Toronto and the Gordon F. Cheesbrough Research Chair in Family and Community Medicine at North York General Hospital, expressed concern about the implications of these figures. “The scale of these increases is deeply worrying. Gambling harms can impact not just individuals, but their families and communities as well.”
The Role of Marketing and Availability
The study explored various scenarios, including a hypothetical situation where the Ontario government had refrained from entering the online gambling market. The findings indicated that the launch of the government-operated platform PlayOLG in 2015 had already stimulated increases in gambling-related contacts among certain demographics. However, it was the subsequent expansion of the market—including single-event sports betting and the influx of private operators—that truly catalysed the surge in young male gamblers.
Dr. Myran pointed to the proliferation of gambling products and aggressive marketing as key factors. “Prior to 2022, the options were limited to traditional forms like online slots or blackjack. Now, with approximately 80 different platforms available, the landscape has changed dramatically.”
The Dangers of Rapid Betting
The emergence of in-play betting, which allows individuals to place wagers during ongoing events, is particularly concerning. This format encourages impulsive decision-making, as participants can bet repeatedly within short intervals—sometimes every few seconds. Dr. Forrest highlighted the potential dangers: “This type of rapid betting can significantly heighten the risks of developing gambling problems, especially among vulnerable demographics.”

Why it Matters
The findings of this study underscore the urgent need for a reassessment of gambling policies in Ontario and beyond. As the prevalence of gambling disorders increases, particularly among young people, there is an imperative to initiate discussions about the societal impact of gambling and to consider restrictions on advertising and specific betting types like in-play betting. The health and well-being of individuals, families, and communities hang in the balance as the gambling landscape continues to evolve. It is crucial for policymakers to prioritise public health alongside revenue generation in the face of this escalating crisis.