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Harmful gambling in the study was prevalent among those living within 100 meters of any gambling venue, and was over 50% higher than among those living ten kilometers from a venue. A 2010 study, conducted in the Northern Territory by researchers from the Australian National University (ANU) and Southern Cross University (SCU), found that the proximity of a person’s residence to a gambling venue is significant in terms of prevalence. The building of new hotels and casinos has been described as “one of the most active construction markets in Australia”; for example, AUD$860 million was allocated to rebuild and expand the Star Complex in Sydney. Casinos and poker machines in pubs and clubs facilitate problem gambling in Australia. Loot boxes contain items which are graded by rarity, from common to legendary, and this relationship of rarity to unlock chances closely resembles payouts in certain gambling machines, such as jackpots in slot machines. Regardless of its legality, gambling still occurs in underground networks and through legal loopholes, such as pachinko in Japan.

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Both comorbid substance use and comorbid mental disorders increase the risk of suicide in people with problem gambling. According to the Productivity Commission’s 2016 report into gambling, 0.5% to 1% (80,000 to 160,000) of the Australian adult population had significant problems resulting from gambling. This compared to an average of 2.8 times per month for people living one kilometer away, and 2.2 times per month for people living ten kilometers away. Specifically, people who lived 100 meters from their favorite venue visited an estimated average of 3.4 times per month.
Although most who gamble do so without harm, approximately 6 million American adults are addicted to gambling. “They should be aware of what their children are doing, and on the other hand, they should motivate pro-active gambling, healthy gambling”, commented Lizbeth García Quevedo. The 194-member meet added excessive gaming to a classified list of diseases as it revised its International Statistical Classification of Diseases and Related Health Problems (ICD-11).citation needed In its 72nd World Health Assembly held on Saturday, May 25, 2019, ‘gaming disorder’ was recognized as an official illness.
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From this view, men tend to gamble more and engage in higher-stakes bets because male reproductive success is often linked to risk-based competition, paralleling other risky activities like big-game hunting or physical aggression. For example, gambling can be understood as a form of “risky reward-seeking,” where individuals overestimate potential gains—an inclination that modern gambling industries exploit. Some researchers propose that human gambling behavior reflects evolved tendencies toward risk-taking that historically conferred adaptive benefits. The study links problem gambling to a myriad of issues affecting relationships, and social stability. A comprehensive UK Gambling Commission study from 2018 has also hinted at the link between gambling addiction and a reduction in physical activity, poor diet, and overall well-being. Pathological gambling is similar to many other impulse-control disorders such as kleptomania.
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