Standing the test of time? Gambling trends, prevention and regulations Current challenges in Sweden

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1 Standing the test of time? Gambling trends, prevention and regulations Current challenges in Sweden Dr Ulla Romild, National Institute of Public Health, Sweden Concordia University, Montreal, October 16th, 2018

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3 Gambling participation is going down in Sweden 70 % 60 %

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5 Net Revenue is going up

6 and in particular the online gambling

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8 A minority of the gamblers spends the major sum of the total revenue

9 Moderate risk/gambling problem gamblers stake 75% of the total revenue on casino games

10 Online gamblers spend more money than landline only gamblers

11 Slight increase of more serious problems

12 Gambling problems most common among teenagers in the late 1990:s 10% 8% 6% 4% 2% 0% /1998

13 Gambling problems among minors reduced within 10 10% 8% 6% 4% 2% 0% / /2009

14 The reduction among minors continued but what happened among year olds? 10% 8% 6% 4% 2% 0% / /

15 Gambling online is related to higher prevalence of gambling problems in most gambling forms Casinogames * 4% 24% Poker * 5% 19% EGMs * 7% 21% Bingo * 6% 11% Sports 6% 8% Horses Numbergames Lotteries 3% 3% 3% 3% 2% 10% 0% 5% 10% 15% 20% 25% 30% Gambled online Landbased only

16 Present regulation The Lotteries Act (1994) defines a lottery as the drawing of lottery tickets, betting, bingo games, slot machines, roulette games as well as card games The Casinos Act (1999) Special legislation for casino gaming with international gaming rules The Act concerning certain forms of gaming machines (1982)

17 Timeline gambling policy 1997/98 Prevalance study 2003 Government mission to the Public Health Agency on gambling 2008 National inquiry on the gambling market 2018 Problem gambling included in the Social Services Act. Government mission on gambling to The Consumer Agency and the County Board 2001 International casinos 2006 Internet poker on state owned Svenska spel 2016 New governmental missions to the Public Health Agency and the National Board of Health and Welfare 2019 New Gambling Act introducing a licence system for online gambling

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20 A public health perspective on the new legislation Pros The major part of the gambling market may be regulated Gambling operators are required to protect their gamblers from excessive gambling A general self exclusion system The renewed Gambling Authority will get new and more forceful tools Cons New gambling forms on the market Bonuses may be offered Risk of increased gambling problems

21 National coordination - aims 1) To identify possible fields of cooperation through exchange of information 2) To coordinate knowledge support supporting effective and knowledge-based work at national, regional and local level 3) To contribute to monitoring of factors relevant for the gambling problems

22 Agencies included in the coordination at national level

23 Relevance 2016 The Swedish Prison and Probation Service Swedish Agency for Technological Assessment and Assessment of Social Services Public Health Agency The Swedish Gaming Authority Swedish Enforcement Agency National Board of Health and Welfare The Swedish National Board of Institutional Care The County Board The Swedish Consumer Agency Swedish Association of Local Authorities and Regions The Swedish National Agency for Education

24 Relevance 2018 The Swedish Prison and Probation Service Swedish Agency for Technological Assessment and Assessment of Social Services Swedish Enforcement Agency The County Board The Swedish National Board of Institutional Care The Swedish Consumer Agency Swedish Association of Local Authorities and Regions The Swedish National Agency for Education

25 Changing landscape

26 A changing landscape Why? Changes in the Social Services Act (2018) Changes in the Health Care Act (2018)

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