Gamblers in England who gambled twice weekly or more, or who played 3 or more types of games, were significantly more likely to experience harm from gambling than those who gambled below these limits. The relationship observed between frequency and types of gambling and harm among HSE respondents was similar to the risk curves generated for the development of the Canadian LRGG’s. HSE does not include questions on gambling spending, therefore this was not assessed. We defined harm as a score of 1 or above on the Problem Gambling Severity Index. Using HSE data from 2016 to 2018, we generated risk curves for the relationship between 2 dimensions of gambling behaviour-frequency of gambling sessions and number of types of games played-and gambling harm. This study analyzes data from Health Survey England to assess the applicability of the Canadian Low-Risk Gambling Guidelines to gamblers in England. However, the developers of the LRGG’s did not include UK data in their analysis. The guidelines include recommended limits on gambling spending as a percentage of income, gambling frequency, and number of types of games played. Recognizing this, the Canadian Low-Risk Gambling Guidelines were developed using data from 8 countries to establish the relationship between gambling behaviour and harm. There is a need for evidence-based guidelines for gamblers who wish to reduce their risk of harm by setting self-directed limits on their gambling.
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