The bi-directional relationship between gambling and addictive substances

Anna Bussu, Claudio Detotto

Research output: Contribution to journalArticle (journal)peer-review

10 Citations (Scopus)


This study aims to analyse the co-occurrence of gambling activity and the consumption of addictive substances, such as tobacco, alcohol and drugs. By using a sample of 709 gamblers in Sardinia (Italy), a multivariate probit approach is proposed since it allows simultaneous study of the extent of correlation between the consumption of different substances. Our findings document that, on the one hand, betting more money leads to an increase in the propensity to consume tobacco in the middle of the game, and, on the other hand, the simultaneous co-occurrence of smoking, alcohol and drugs drives up the probability of getting more involved in gambling activity. Knowing the positive reinforcing effects of addictive substances is the first step towards implementing the most effective prevention and treatment modalities for problem/pathological gamblers.
Original languageEnglish
Pages (from-to)285-308
JournalInternational Gambling Studies
Issue number2
Early online date10 Jun 2015
Publication statusE-pub ahead of print - 10 Jun 2015


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