Balancing harm prevention and liberty preservation when implementing financial risk assessments for gambling in the United Kingdom: Insights from open banking data

IF 5.9 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2026-09-15 Epub Date: 2026-06-24 DOI:10.1111/add.70513
Robert M. Heirene, Philip Newall
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引用次数: 0

Abstract

Background and aims

The United Kingdom (UK) and Dutch governments have recently implemented mandatory financial risk (affordability) assessments for online gambling as a harm prevention measure. Assessments should trigger at a level of gambling expenditure that strikes a balance between harm prevention (most at-risk consumers should surpass the threshold) and liberty preservation (most no-/lower-risk consumers should gamble below it), yet little empirical research exists to guide threshold setting. We aimed to demonstrate how research can inform the harm-prevention, liberty-preservation trade-off in this context and evaluate the UK's proposed implementation of financial risk assessments.

Design, setting and participants

We reanalysed a dataset that combines self-reported Problem Gambling Severity Index (PGSI) scores and open banking data from consumers who gamble (n = 424) to (1) simulate the impact of the UK's rolling 30-day £150 net-deposit (deposits minus withdrawals) threshold for financial risk assessments, and (2) identify optimal threshold values for these assessments under different circumstances. Participants were UK residents who had gambled in the past year, recruited via Prolific in April 2024.

Measurements

Participants completed a survey containing the PGSI and agreed to provide their past 12 months' banking records.

Findings

Over 12 months, two-thirds of at-risk (PGSI ≥1) and nearly half of no-/lower-risk participants crossed the UK's £150 threshold [area under the curve = 0.66, 95% confidence intervals (CIs) = 0.62–0.71], demonstrating a greater emphasis on harm prevention over liberty preservation. Increasing the value to £186.9 (95% CIs = £69.5–£401.7) slightly improved this balance, although £150 remained within the range of appropriate values. Optimising for harm prevention in our sample required lowering the threshold to £39.0 (95% CIs = £29.6–£58.8), while emphasising liberty preservation increased it to £716.5 (95% CIs = £508.5–£990.9). We found that using a more conservative definition of risk (≥2 PGSI harms) resulted in higher thresholds, and lower thresholds may be appropriate for younger adults (<30 years). Finally, our findings suggest that thresholds based on spending with all operators—rather than single operators as implemented in the UK—may be better able to differentiate at-risk from no-/lower-risk consumers, although the added benefit of this approach in our sample was marginal and further research is needed to confirm its value.

Conclusions

The United Kingdom's £150 net-deposit threshold for financial risk assessments for online gambling may place more emphasis on harm prevention than liberty preservation. This study provides a methodological template for guiding the implementation of financial risk assessments for online gambling. Because our sample is not representative of the broader UK gambling population, our specific threshold estimates should be treated as provisional.

在英国实施赌博金融风险评估时平衡伤害预防和自由保护:来自开放银行数据的见解。
背景和目的:英国(UK)和荷兰政府最近对在线赌博实施了强制性财务风险(可负担性)评估,作为一种危害预防措施。评估应该在赌博支出水平上触发,在预防伤害(大多数有风险的消费者应该超过阈值)和保护自由(大多数无风险/低风险的消费者应该赌博低于阈值)之间取得平衡,但很少有实证研究指导阈值设置。我们的目的是展示研究如何在这种情况下为预防伤害、保护自由的权衡提供信息,并评估英国拟议实施的金融风险评估。设计、设置和参与者:我们重新分析了一个数据集,该数据集结合了自我报告的问题赌博严重指数(PGSI)分数和赌博消费者(n = 424)的开放银行数据,以(1)模拟英国滚动30天150英镑净存款(存款减去取款)对金融风险评估阈值的影响,以及(2)确定不同情况下这些评估的最佳阈值。参与者是在过去一年中赌博的英国居民,他们是在2024年4月通过多产网站招募的。测量:参与者完成了一份包含PGSI的调查,并同意提供他们过去12个月的银行记录。研究结果:在12个月内,三分之二的高危人群(PGSI≥1)和近一半的无风险/低风险参与者超过了英国150英镑的阈值[曲线下面积= 0.66,95%置信区间(ci) = 0.62-0.71],表明英国更重视预防伤害而不是保护自由。将价值增加到186.9英镑(95% ci = 69.5英镑- 401.7英镑)略微改善了这一平衡,尽管150英镑仍在适当的价值范围内。在我们的样本中优化危害预防需要将阈值降低到39.0英镑(95% ci = 29.6- 58.8英镑),而强调自由保护则将其提高到716.5英镑(95% ci = 508.5- 990.9英镑)。我们发现,使用更保守的风险定义(≥2个PGSI危害)会导致更高的阈值,而较低的阈值可能适合年轻人(结论:英国在线赌博金融风险评估的150英镑净存款阈值可能更强调危害预防而不是自由保护)。本研究为指导在线赌博金融风险评估的实施提供了一个方法模板。因为我们的样本并不代表更广泛的英国赌博人口,我们的具体阈值估计应被视为临时的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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