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Regulating Gambling Use through the Overton Window: From an Addictive Behavior to a Social and Epidemiological Problem.

Antonio Jesús Molina-FernándezAnna Robert-SegarraJosé Antonio Martín-HerreroIván Sanchez-IglesiasJesús Saiz-GaldósKarla Fernández-Mora
Published in: International journal of environmental research and public health (2023)
During the last decade, gambling (online and offline) regulation has become a social and epidemiological problem all around Europe. The aftermaths of this addiction have increased since the so-called "responsible gambling law", in the second decade of the 21st century. The Overton window (OW) strategy is a political theory that describes how the perception of public opinion can be modified so that ideas that are inconceivable for society become accepted over time. The objective of this study is to identify whether an OW has been used to bias the adequacy of the gambling debate, as well as its scientific, legal, and political bases and the main consequences for both the general population and the major risk groups, especially the consequences in social and health contexts. The study was conducted by the application of the historical-logical method as the central axis of analysis and reflection, and the technique of qualitative research content analysis as a procedure in the process of execution of the scientific task, related to a historical trend study of the research object. The main consequences found were: the political acceptance of gambling for economical causes and taxes benefits, the use of popular characters to increase the acceptance of the pattern of behavior, the inclusion of the gambling operators as agents in the risks control, and the absence of intervention until the main consequences have been transformed into an epidemiological problem (with social aftermaths higher than the previously identified related to the gambling problems). Furthermore, the results suggest the need to implement prevention and health promotion strategies and the adoption of specific legal measures that regulate the access and the marketing of gambling operators' activities.
Keyphrases
  • mental health
  • healthcare
  • randomized controlled trial
  • health promotion
  • emergency department
  • public health
  • health information
  • risk assessment
  • human health
  • electronic health record