Presenter

Madalyn Lyons; Shayanne Silva

Document Type

Poster

Publication Date

2026

Abstract

Background: Following the repeal of PASPA in 2018, sports betting and mobile gambling have expanded rapidly across the United States. Young adults are particularly vulnerable to gambling-related harms, yet state-level post-legalization surveillance data remain limited.

Methods: Cross-sectional data from the 2022 (n=1,022) and 2024 (n=1,008) Rhode Island Young Adult Surveys were analyzed. Gambling behaviors and problem gambling (Brief Biosocial Gambling Screen) were compared across years. Multivariable logistic and Poisson regression models adjusted for age, race/ethnicity, sexual/gender status, and subjective social status.

Results: Overall gambling participation remained stable (40.6% in 2022 vs. 38.6% in 2024). However, among gamblers (n=803), participation increased significantly in sports betting (AOR=1.65, 95% CI: 1.07–2.56), casino slot machines (AOR=2.99, 95% CI: 2.10–4.27), internet gambling (AOR=1.69, 95% CI: 1.00–2.88), and app-based gambling (AOR=2.14, 95% CI: 1.38–3.32). The number of gambling types engaged in increased by 28% (IRR=1.28, 95% CI: 1.16–1.41). Problem gambling rose from 2.5% to 4.3% but was not statistically significant after adjustment.

Conclusions: Although overall participation did not increase, gambling behaviors became more diversified and mobile-oriented. These findings underscore the importance of continued surveillance and targeted public health prevention among young adults in the post-legalization era.

Faculty Mentor

Samantha Rosenthal, Ph.D., M.P.H.

Academic Discipline

College of Arts & Sciences

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.