
There are many reasons why people pursue a career in gambling studies – for some it’s a deliberate choice, while for others it evolves out of something quite different. When Alex Russell, Associate Professor and Principal Research Fellow at Central Queensland University in Australia, began his PhD on wine expertise and odour he had no idea that it would ultimately lead him to a career researching gambling harms. As a part-time PhD student, Alex taught classes in statistics and, as he says, ‘when people discover you know stats you tend to get invited on to lots of different projects’. It was his skill with stats that first led to his involvement with gambling studies academics and researchers like Nerilee Hing, Matthew Rockloff and Matthew Browne at CQUniversity’s Experimental Gambling Research Lab. From the outset, Alex is keen to emphasise that he is fortunate to work as part of some great teams on these projects and wants to make sure that credit is given to all involved, especially those who lead the studies.
The Australian gambling context throws up a unique set of challenges for Alex and his colleagues at the Lab. A variety of stats show Australians to have the highest per capita gambling losses anywhere in the world. Part of this can be explained by the popularity and ubiquity of pokies (slot machines) across most of Australia. According to Alex, pokies can be found in virtually every pub and bar across the country (apart from Western Australia, which only permits them in specific gambling venues). In most other countries in the world, slot machines are only found in casinos, betting shops or other gambling-specific venues. ‘The ubiquity of pokies gives Australians easy, direct access to one of the most harmful forms of gambling’, says Alex. Despite this very permissive attitude towards pokies, however, the country’s regulatory environment is quite restrictive in other regards. Australia does not have the online slot machines or online casinos that can be found in many other countries and online in-play sports betting is also outlawed. This mixture of permissiveness on the one hand and restriction on the other provides a very specific context in which to study and understand gambling harms.
Given the high levels of harm to be found in Australia, Alex emphasises that the country could learn a lot from safer gambling interventions that have been trialled or adopted overseas. A major concern with pokies is that people may spend hours at a time at the machine without a break and can rack up big losses in a single session. While venue staff should monitor player usage and intervene, this puts an unrealistic expectation on busy, minimum-wage staff who come on and off shift at different times. Alex says Norway has done some good work on evidence-based in-play breaks for online gambling and thinks Australia could benefit by learning from it. Indeed, New South Wales has recently trialled voluntary gaming cards which would limit the amounts that players could lose. The voluntary trial had low uptake, and industry has pushed back strongly against mandatory gaming cards, so there are barriers, but the public health benefits of such a system are clear.
Part of the problem is that for some parts of Australian society, gambling and pokie use have become almost a rite of passage. ‘When you turn 18, you have a drink in the pub and a go on the pokies’, says Alex. Despite the evidence of harms, however, and the findings that underage and adolescent gambling are associated with higher rates of later problem gambling, research led by Nerilee Hing and involving Alex finds that underage gambling is not uncommon and often facilitated by parents. While staff in venues can check ID on each visit, once young people have access to an online gambling account, there are usually no further checks. A part of the problem is that, for many parents, gambling is one of many things to be concerned about, including alcohol, drugs and sex, and is often low on the list of concerns.
That, then, brings us on to the topic of safer gambling messages and strategies to reduce gambling harms. Australia has moved away from its old safer gambling message, ‘Gamble responsibly’, to a set of new messages. Alex and colleagues, particularly Philip Newall, have trialled the new messages with participants in the UK and USA and found promising results. Messages like ‘Chances are you’re about to lose’ and ‘What are you prepared to lose today? Set a deposit limit’ rated much higher than either ‘Gamble responsibly’ or ‘Take time to think’. Alex, however, argues that ‘safer gambling messaging is actually a pretty weak intervention’ and believes that things such as account-based play (e.g., player cards, online accounts) and reasonable mandatory limits are where efforts should be focused. ‘We need personalised, targeted safer gambling interventions that actually resonate with the people who are most at risk’, says Alex.
Finally, we turn to the issue of what Alex is currently working on. He has just finished a couple of prevalence studies and has been working with Matthew Browne on health utility measures to capture the impact of problem gambling. Alex’s hope is that measures can be standardised across countries to allow for true cross-jurisdiction comparisons of gambling prevalence and harms. In addition, he’s working on ways of capturing all aspects of harm, including harm to self, harm to affected others, legacy harm and harm to young people. He’s keen to chart the true impact of gambling harms on the population, as opposed to just those who gamble. In Australia, Alex says, there is a standard industry narrative that only 1% of people who gamble suffer harms, and therefore harm is not a big problem. But he believes that this neat figure fails to capture the messy reality of gambling harm which has a much larger societal impact, as seen in the team’s recent prevalence studies. Ultimately, Alex hopes that his work on prevalence and health utility can challenge the industry narrative and provide for a more nuanced and more informed discussion of gambling harms.







