Mark K. Meiselbach
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Oct 14, 2026
Online Sports Betting Legalization and Behavioral Health Care Use
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Mark K. MeiselbachGUEST
Understanding which states legalized and which didn't and trends in those states is central to the quasi-experimental methods we're using here.
Mark K. MeiselbachGUEST
I'll say briefly that like a lot of times when you're doing health policy research, the map of your treated states versus your control states looks a lot like an ACA Medicaid expansion map.
Mark K. MeiselbachGUEST
You know, it tends to be that states do a lot of overlapping health policy, but this is – a policy where states like Texas and California are both in our control group, but states like New York have legalized.
Mark K. MeiselbachGUEST
So this isn't as clearly correlated with all these other health policies as some other papers I've worked on.
Mark K. MeiselbachGUEST
But the central method we use is called a difference-in-differences method, and specifically we're using— Difference-in-differences.
8 MINS LATER

John TorousHOST
We know this is this drama psychiatry podcast, but it's interesting to speculate.
JAMA Psychiatry : Online Sports Betting Legalization and Behavioral Health Care Use
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John TorousHOST
Why, and what are we kind of expecting or what are we planning for in considering them differently?
Mark K. MeiselbachGUEST
The first is that men and women use sports betting apps at different rates.
Mark K. MeiselbachGUEST
So survey findings kind of differ in, in how prevalent these apps are, but by any measure, men are usually about two times more likely than women to use sports betting apps.
Mark K. MeiselbachGUEST
Also, women tend to have greater underlying rates of mental health treatment.
Mark K. MeiselbachGUEST
So when you're thinking about changes, the effect sizes we estimate in percentage points, so, you know, let's say we see a one percentage point increase in mental health care use.
Mark K. MeiselbachGUEST
Well, that's extrapolated on a higher number of bettors that are men, for example, but is also over a lower baseline mental health treatment rate.
6 MINS LATER

John TorousHOST
We, we know this is a JAMA Psychiatry podcast, but it's interesting to, to speculate.