The Royal Society for Public Health (RSPH) has called for the introduction of legislation which would prevent gambling operators from acting as title sponsors for sports clubs in a new report published today.

The report, entitled Skins in the Game, surveyed 1,025 young people between 11 and 24 across the UK. In this report, RSPH has called upon the new Conservative Government to introduce legislation which would classify loot boxes and skin betting as legally-recognised forms of gambling.

Shirley Cramer CBE, Chief Executive of the Royal Society for Public Health, said: “Young people have told us that gambling and gambling-like activity are slowly but surely polluting hobbies and past-times that have traditionally been beneficial to their wellbeing.

“Today, the vast majority of young people take part regularly in video-gaming and no doubt many will receive video games as Christmas presents. However we, and the young people we’ve spoken to are concerned at how firmly embedded gambling-type features are in many of these games.

“The rise of loot boxes and skin betting have seen young people introduced to the same mechanisms that underpin gambling, through an industry that operates unchecked and unregulated on the back alleys of the internet, which young people can access from their bedrooms.

“As with any public health issue, this is one that requires a combination of measures focusing on both education and regulation. Young people are not universally opposed to gambling and gambling-like activity; they simply want to be able to recognise where it appears in their lives and to make an informed decision as to whether to avoid it altogether, or to participate in a way that lowers the stakes for their health and wellbeing.”

Loot boxes, which are purchased by two in five (40%) of young gamers, are items embedded within games, containing randomised rewards which are uncertain at the point of purchase. These can be cosmetic, such as ‘skins’ that change the appearance of an in-game character, or provide users with an advantage in gameplay.

The research, funded by GambleAware, found that a majority of young people see both purchasing a loot box (58%) and taking part in skin betting (60%) as potential pathways into problem gambling.

RSPH has subsequently outlined a number of requests, including: A commitment from the gaming industry to ensure gamble-free video and mobile games for under 18s; the development of a set of criteria and technology to identify spending patterns on loot boxes; A broader definition of gambling to be included in the Health Education Curriculum and introduced to young people at primary school; the development of education programmes which would help parents, carers and teachers to identify problem gambling behaviours; and the recognition of gambling harms as an issue for Mental Health Support Teams in schools and colleges.



iGaming expert - with over 10 years of experience in the retail market in Italy and knowledge of global online gaming. In the past he has worked with the largest national gambling companies and he managed some land-based shops on their behalf. Entrepreneur, investor and enthusiast of difficult challenges, in 2015 he founded The Betting Coach Group, an international news and social marketing agency geared towards sports, esports and gambling companies. He is currently the C.E.O of The Betting Coach and is a consultant for Mr. Dragone collaborates with providers (game developers) and event organizers with the aim of helping them develop networks and business across continents. Passionate about journalism, he is the creator and promoter of iGaming Cafè, the first talk show in Italy, dedicated to companies and delegates from the gaming world.