by Anne Blythe, North Carolina Health News
March 19, 2026

By Anne Blythe

Now that the NCAA event play-in video games are over and brackets are set with a maze of paths to the Final Four, many North Carolina faculty basketball followers are about to develop a critical case of March Madness — obsessive about bracket busters, workplace pool standings and Cinderella tales.

A young man looking at his cell phone with sports team logos, a basketball, baseball, football and money signs swirling around his head. There's a green background with the text: High stakes. A series on sports betting's impact on North Carolina in white letters.

For the second year in a row, these hardwood zealots can be in a position to take part legally in sports activities betting right here on their dwelling turf with little greater than a cellphone of their hand. While wagering on sports activities has been seen as a male-dominant exercise for a few years — and it nonetheless is — researchers and counselors are seeing an inflow of girls drawn into the fray.

“We see a larger growth in females engaged in gambling, partly because of the social acceptability of it, and that it’s everywhere through advertising and things like that,” stated Michelle Malkin, a criminology and legal justice professor at East Carolina University who leads the college’s Gambling Research and Policy Initiative, which makes a speciality of gambling-related crimes, addictive behaviors and marginalized populations.

There used to be a principle amongst playing conduct researchers that males gravitated towards strategic, high-stakes, face-to-face video games like poker, blackjack and sports activities betting — feeding on the fun and pleasure of the competitors. Women had been believed to favor extra passive, chance-based video games like slot machines and bingo — low-stakes actions that allowed solitary escapes to alleviate stress, loneliness and tedium.

“If you look at certain cultures, females were more likely at a young age to learn about mahjong, dominoes and things that their mothers and grandmothers played,” Malkin informed NC Health News in a latest interview. “And they do that for money, but not at the high levels of money we tend to think about for gambling.”

Males, on the opposite hand, usually grew up studying card video games at poker nights with fathers, uncles and different males of their lives.

“And so it was just the social norms of raising females and males, but we’re seeing that change because males and females these days are gambling within video games — they’re all playing the video games,” Malkin stated. “And they’re gambling online through iGaming and things like that.”

Women focused

Those altering social norms haven’t been misplaced on sports activities betting operators. Tune into any main sports activities occasion today, and also you’re seemingly to see their promoting taking a cultural pivot — betting on girls as a huge untapped market.

Fanatics Sportsbook rolled out an ad with Kendall Jenner in the course of the Super Bowl, poking enjoyable on the so-called “Kardashian Kurse” suggesting that males who grow to be concerned with the Kardashian-Jenner actuality stars immediately fall sufferer to accidents, scandals and poor performances.

DraftKings Sportsbook is banking on Lisa Leslie, the WNBA hall-of-famer, who stars in a 30-second commercial providing new clients a probability to wager 5 {dollars} and get $200 in bonus bets.

Former Louisiana State University gymnast Livvy Dunne, a Sports Illustrated swimsuit mannequin and social media influencer, is featured in a Fanatics Sportsbook ad for the NCAA event that options her taking part in 10 totally different variations of herself selling totally different buyer incentives. She made a equally themed advert for soccer final yr whereassitting in a bubble bath on the Rose Bowl 50-yard line.

“It is pretty clear that women are increasingly being marketed to with, instead of an emphasis on competition, more of an emphasis on community and doing things together, which would appeal to more women,” stated Rachel Volberg, a retired University of Massachusetts professor who has been concerned in epidemiological analysis specialised on playing and downside playing because the mid-Eighties. “The influencer marketing is clearly a tactic that the sports betting operators have taken from their success with influencers in male sports bettors, and they are now specifically marketing to women.”

Lots of income, little for prevention

Sports betting grew to become authorized in North Carolina on March 11, 2024, virtually six years after a landmark U.S. Supreme Court determination that invalidated the Professional and Amateur Sports Protection Act of 1992, which restricted all however a few states from permitting sports activities betting. The change made North Carolina one of 38 states that supply authorized sports activities betting and considered one of 30 which have on-line betting via smartphone apps or on-line websites.

It’s been huge enterprise for the sports activities wagering operators and for state income coffers. 

In the primary yr alone, in accordance to the North Carolina Lottery Commission, more than $6.6 billion in paid and promotional bets had been positioned from North Carolina accounts. Those wagers generated greater than $713 million in gross income for these operators and greater than $128 million for state coffers from the 18 p.c tax on gross wagering income.

Two years in, the state has seen an influx of more than $262 million in tax revenue — with Super Bowl-driven February racking up an estimated $10.45 million in simply that one month.

Unlike some states that direct a share of the sports activities betting income stream towards playing dependancy schooling and therapy applications, North Carolina allocates simply $2 million yearly for these initiatives, regardless of the surge incalls to the gambling hotline from bettors or their family members searching for assist.

“Which is nothing to cover the state,” stated Jessica Auslander, a licensed dependancy and psychological well being counselor who makes a speciality of playing issues in her follow primarily based within the Charlotte space. “We have a flat dollar amount despite the growth of the lottery and the legalization of sports betting. We’re not seeing any of those dollars go back to public health, so we’re still struggling when people are looking for treatment.”

Auslander began treating individuals with playing issues in 2013. At that point, she lived in Ohio, a state she says, “has a well more developed network around problem gambling.”

When she moved to North Carolina in 2016, she discovered a totally different panorama.

“I didn’t realize at the time that I was the only certified gambling counselor in the whole state,” Auslander informed NC Health News. “I came from a more robust professional community, and I come down here — and I’m it.”

New classification

Gambling wasn’t formally labeled as an dependancy till 2013, when it was added to the fifth version of the Diagnostic and Statistical Manual of Mental Disorders revealed by the American Psychiatric Association. 

Before that, individuals who had playing issues had been thought to have an impulse management dysfunction, however mounting analysis confirmed that playing dysfunction impacts the mind’s reward system in methods comparable to substances resembling alcohol or narcotics. That prompted the reclassification as a behavioral dependancy.

Not all sports activities betting leads to issues. Many individuals interact in low-risk wagering for leisure with out creating points. Problem playing,  can exist alongside a spectrum,, analysis reveals, and never each occasion of excessive spending or chasing losses instantly interprets into a medical dysfunction. They may be warning indicators, although.

“Problem gambling is it might get out of control here or there, but you’re not chasing your losses,” Auslander stated. “You’re not playing once more to get even. You’re not preoccupied with it, You don’t have to wager increasingly cash to get the identical type of stage of pleasure. 

“Problem gambling can be: ‘I did something that went too far, caused a problem but I walked it back.’”

Since establishing her follow in Weddington, Auslander has had a regular gambling-related caseload, however the legalization of sports activities betting has introduced many new bettors into the fold.

“That just increased the availability and people’s awareness of it — and made it more accessible because it’s mostly out-based, so people can walk around with their phones on and a tablet and they can be betting 24/7,” Auslander stated.

Even although the sports activities betting industry is making an attempt to improve its buyer base with extra girls, Auslander has had a comparatively equal variety of women and men searching for her assist.

“The women that I see, I have a few in their 40s, and that is sports betting or poker and they are former athletes,” Auslander stated. “Or I have older women — so we’re talking retirement age — and the appeal for them for gambling — they’re not necessarily doing sports betting — but they’re engaging in more casino-based or online gaming type things. So gaming. That has a component of gambling in it. Or online slot machines, those kinds of things.”

Most of the ladies, Auslander stated, are “mostly motivated by boredom, depression, grief, isolation, those kinds of factors.”

“I think as we continue to increase the access to gambling, we’re going to see an increase in all demographics,” Auslander added. “This industry wants there to be something for everybody.”

Rowland Edet, a doctoral pupil on the University of Nebraska-Lincoln, wrote In “Breaking the Odds: A Gendered Analysis of Women and Gambling Behavior” revealed within the peer-reviewed Gaming Research and Review Journal on the University of Nevada-Las Vegas, advised that as extra girls are drawn to playing, usually prompted by totally different motivations than males, that insurance policies ought to mirror gender variations.

“To reduce harm, public health frameworks must prioritize interventions that address the distinct ways women engage with gambling,” Edet wrote. “One key measure is restricting gender-targeted advertising, particularly messages that frame gambling as empowering or stress-relieving — common themes in campaigns aimed at women.”

GET HELP FOR A GAMBLING PROBLEM

North Carolina gives free, confidential assist for individuals scuffling with playing and for members of the family affected by it. 

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