How many children have parents with gambling disorder – a Germany-based estimate

Abstract Background Parental gambling disorder has detrimental financial, psychological, physiological, familial, and behavioral implications for the offspring, making these children highly vulnerable. In Germany, population-based estimates on how many minor children have parents with gambling disor...

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Main Authors: Nina Stefan, Larissa Schwarzkopf, Sven Buth, Gerhard Meyer, Andreas M. Bickl
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-23520-7
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author Nina Stefan
Larissa Schwarzkopf
Sven Buth
Gerhard Meyer
Andreas M. Bickl
author_facet Nina Stefan
Larissa Schwarzkopf
Sven Buth
Gerhard Meyer
Andreas M. Bickl
author_sort Nina Stefan
collection DOAJ
description Abstract Background Parental gambling disorder has detrimental financial, psychological, physiological, familial, and behavioral implications for the offspring, making these children highly vulnerable. In Germany, population-based estimates on how many minor children have parents with gambling disorder are lacking; thus, the immediacy of need for corresponding (public) health care policies remains unknown. Methods Based on the population-representative German Gambling Survey 2023, we estimated the number of children having parents with gambling disorder, including estimates for rates at each parental gambling disorder severity level (mild, moderate, severe). Both cohabiting children and separate living children were considered. To extrapolate lower and upper bounds of estimates, data on number of parents in the household and average number of children was combined with official population statistics. Results Of 282 participants with gambling disorder, 46.8% (n = 132) cohabit with 1.55 children on average; 16.7% (n = 47) are parents of 1.51 separate living children on average. Therefore, in Germany 574,079 to 604,966 children have a parent with gambling disorder, with about 84.0% of them (482,076 to 508,712) cohabiting with the gambling parent. The likelihood of cohabiting decreases with increasing gambling disorder severity (mild: 97.7%; moderate: 85.0%; severe: 72.2%). Discussion In Germany about 1 in 25 children has a parent with gambling disorder. Given that parental gambling disorder is an established risk factor for developing own gambling problems, more comprehensive addiction care and health policy are needed to address this issue. Integrated care and counselling offers targeting both gambling parents and their children may be a promising starting point. Special attention should be paid to separate living children in these approaches.
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spelling doaj-art-c4e8054e32fc4526af8f49d1272f81192025-08-20T03:22:57ZengBMCBMC Public Health1471-24582025-06-0125111110.1186/s12889-025-23520-7How many children have parents with gambling disorder – a Germany-based estimateNina Stefan0Larissa Schwarzkopf1Sven Buth2Gerhard Meyer3Andreas M. Bickl4Institute for Medical Information Processing, Biometry, and Epidemiology – IBE, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, LMU MunichISD Institute for Interdisciplinary Addiction and Drug ResearchUniversity of BremenIFT Institut Für Therapieforschung, Centre for Mental Health and Addiction ResearchAbstract Background Parental gambling disorder has detrimental financial, psychological, physiological, familial, and behavioral implications for the offspring, making these children highly vulnerable. In Germany, population-based estimates on how many minor children have parents with gambling disorder are lacking; thus, the immediacy of need for corresponding (public) health care policies remains unknown. Methods Based on the population-representative German Gambling Survey 2023, we estimated the number of children having parents with gambling disorder, including estimates for rates at each parental gambling disorder severity level (mild, moderate, severe). Both cohabiting children and separate living children were considered. To extrapolate lower and upper bounds of estimates, data on number of parents in the household and average number of children was combined with official population statistics. Results Of 282 participants with gambling disorder, 46.8% (n = 132) cohabit with 1.55 children on average; 16.7% (n = 47) are parents of 1.51 separate living children on average. Therefore, in Germany 574,079 to 604,966 children have a parent with gambling disorder, with about 84.0% of them (482,076 to 508,712) cohabiting with the gambling parent. The likelihood of cohabiting decreases with increasing gambling disorder severity (mild: 97.7%; moderate: 85.0%; severe: 72.2%). Discussion In Germany about 1 in 25 children has a parent with gambling disorder. Given that parental gambling disorder is an established risk factor for developing own gambling problems, more comprehensive addiction care and health policy are needed to address this issue. Integrated care and counselling offers targeting both gambling parents and their children may be a promising starting point. Special attention should be paid to separate living children in these approaches.https://doi.org/10.1186/s12889-025-23520-7Pathological gamblingExtrapolationMinorsHarms to others
spellingShingle Nina Stefan
Larissa Schwarzkopf
Sven Buth
Gerhard Meyer
Andreas M. Bickl
How many children have parents with gambling disorder – a Germany-based estimate
BMC Public Health
Pathological gambling
Extrapolation
Minors
Harms to others
title How many children have parents with gambling disorder – a Germany-based estimate
title_full How many children have parents with gambling disorder – a Germany-based estimate
title_fullStr How many children have parents with gambling disorder – a Germany-based estimate
title_full_unstemmed How many children have parents with gambling disorder – a Germany-based estimate
title_short How many children have parents with gambling disorder – a Germany-based estimate
title_sort how many children have parents with gambling disorder a germany based estimate
topic Pathological gambling
Extrapolation
Minors
Harms to others
url https://doi.org/10.1186/s12889-025-23520-7
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