In the United States, difficulty gambling is recognized as a developing public overall health concern (Jacobs 1989 Shaffer et al. 1999). In the final decade, trouble gambling has almost doubled with prices around 5 % of the population. Gambling possibilities also have rapidly increased, in particular for emerging adults, 18–21 years old. In 2001, the prices of trouble gambling were the highest amongst these young adults, with 7 % of college students meeting the criteria for difficulty gambling (Shaffer and Hall 2001).

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