High stakes: Associations between substance use and gambling behaviors by race in the United States.

ABSTRACT:

Background and aims

This study examined how substance use patterns influence gambling behaviors across racial/ethnic groups, amid expanding legalization of both substances and gambling in the US.

Methods

A nationally representative survey of 6543 US adults was conducted from December 2023 to January 2024. Participants reported on alcohol, cannabis, opioid, and stimulant use, along with gambling activities. Multivariate logistic regression models analyzed substance-gambling associations, incorporating race-substance use interaction terms and demographic controls.

Results

Substance use showed robust associations with gambling behaviors, with stimulant use demonstrating the strongest relationships (online gambling OR=4.694, 95 % CI: 1.876-11.745; casino gaming OR=3.055,

SUBMITTER: Kresovich A 

PROVIDER: S-EPMC11849052 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature