This study aimed to examine (1) if youth participation in simulated gambling games is associated with participation in monetary gambling (2) if youth participation in simulated gambling games is associated with increased risk of problematic gambling when controlling for breadth of monetary gambling (i.e., number of gambling forms) and (3) if monetary expenditure and time spent playing simulated gambling games increase the risk of problematic gambling.
Simulated gambling, such as playing a virtual slot machine for points rather than money, is increasingly part of the online gaming experience for youth.