This is an article about a Lancet commission that took a pretty global lens, first sentence points out it’s “a nearly ubiquitous global commercial enterprise”

worldwide, 46 percent of adults (approximately 2.3 billion people) and nearly 18 percent of adolescents (159.6 million youths between 10 and 19 years old) have gambled in the past year

Although only a small proportion of individuals engage in problem gambling—an addiction that affects an estimated 1.4 percent of gamblers, or 80 million adults globally—the researchers recommend that policymakers treat gambling as a public health issue rather than as a medical problem

Although four-fifths of countries worldwide permit gambling, that number understates the global nature of the industry’s influence, since digital technology transcends borders.