The conversation around smoking in casinos is heating up across the U.S., with some states beginning to crack down on indoor smoking. Anti-smoking advocates are focusing on the relationship between smoking and problem gambling, arguing that allowing smoking in casinos fosters an unhealthy environment, both physically and mentally. 

While there is increasing pressure on regulators to ban indoor smoking - particularly in places like New Jersey, Pennsylvania and Nevada - there are still many casinos where it continues to be allowed. But what is the connection between smoking and gambling addiction, and could eliminating smoking in casinos promote more responsible gaming practices?

States cracking down on smoking in casinos

For years, smoking in casinos has been a divisive issue. While most public indoor spaces have long been smoke-free, casinos in some states have been exempt from these regulations. New Jersey and Pennsylvania, for example, passed indoor smoking bans in 2006 and 2008, respectively, but both states allowed casinos to remain an exception. 

However, as public sentiment shifts, a movement led by organizations like Casino Employees Against Smoking Effects (CEASE) has gained traction. Advocates are now pushing for legislation to make casinos smoke-free, citing not only health risks but also the potential link between smoking and problem gambling.

In New Jersey, bipartisan support for a smoke-free casino bill has been growing, with legislation introduced by State Sen. Joe Vitale expected to be reviewed in upcoming sessions. In Pennsylvania, similar efforts are underway, with a bill from State Rep. Dan Frankel passing through the House Health Committee, marking a significant step toward smoke-free gaming floors in the state.

Nevada's Resistance to a Smoking Ban

Nevada, home to the nation’s most iconic gambling establishments, has been slower to embrace the push for smoke-free casinos. While the state passed the Nevada Clean Indoor Air Act in 2006, exempting casinos from the indoor smoking ban has left gaming floors hazy with smoke. Park MGM is currently the only entirely smoke-free casino on the Las Vegas Strip, a fact that highlights how resistant Nevada has been to fully embracing smoke-free policies in gambling spaces.

Anti-smoking advocates like Americans for Nonsmokers' Rights (ANR) argue that smoking bans align with responsible gambling initiatives. In an open letter to the Nevada Gaming Commission, ANR emphasized that allowing smoking encourages prolonged gambling sessions and undermines efforts to promote responsible gaming habits, such as taking breaks from playing. But despite increasing public support for smoke-free casinos (58% of registered Nevada voters support a ban), industry opposition remains strong, citing fears of revenue loss.

Smoke-Free Casinos in New Jersey and Pennsylvania

In contrast, New Jersey and Pennsylvania are edging closer to a future of smoke-free casinos. The pandemic forced temporary smoking bans in many gaming venues, and data collected during that period revealed that gaming revenue was not significantly impacted by the lack of smoking. In fact, some casinos reported a rise in customer satisfaction during these smoke-free periods, sparking a larger conversation about the lasting effects of a permanent ban.

Casino workers, particularly those represented by unions like the Culinary Workers Union in Nevada and CEASE, have expressed concerns over the health hazards of secondhand smoke. These workers are often the most exposed to indoor smoke and have been vocal in their support for smoke-free workplaces. 

Is there a connection between smoking and problem gambling?

The potential connection between smoking and problem gambling is a topic that has gained attention in recent years. The National Council on Problem Gambling (NCPG) has pointed out that studies show a direct correlation between smoking frequency and gambling severity. Smokers are more likely to engage in prolonged gambling sessions, often failing to take breaks, which is a key recommendation for responsible gaming.

Keith Whyte, the executive director of the NCPG, noted that making casinos smoke-free could reduce instances of problem gambling by encouraging healthier behaviors. Without the ability to smoke at their seats, gamblers may be more likely to step away from the table or slot machine, giving them time to reflect on their play and potentially avoid falling into harmful gambling patterns.

Moreover, smoking itself can be addictive, and research has shown that smokers are more prone to other addictive behaviors, including gambling. By allowing smoking in casinos, critics argue that operators are effectively enabling multiple addictions simultaneously, creating a toxic environment that can lead to spiraling behavior for vulnerable patrons.

Despite industry fears that banning smoking will negatively impact revenues, studies have suggested otherwise. When casinos in Philadelphia voluntarily went smoke-free, they reported no major declines in revenue. In fact, these casinos found that providing a healthier environment for both employees and patrons resulted in increased customer loyalty.

Nationwide, over 1,000 casinos and gaming facilities are now completely smoke-free, and more may soon follow. Advocates argue that the shift toward smoke-free gaming isn’t just about public health but also about promoting responsible gambling habits. By eliminating smoking, casinos can encourage players to take regular breaks, reduce exposure to secondhand smoke and create a more balanced and healthier environment overall.

Treatment for Gambling Addiction and Helping Quit Smoking

For those struggling with gambling addiction, treatment often includes counseling, support groups and behavioral therapies. But for individuals who smoke and gamble, addressing both issues simultaneously may be necessary. Dual addiction treatment programs are available, helping individuals quit smoking while also tackling problem gambling.

Birches Health understands that addiction is a complex issue, and tailored treatment programs address the unique needs of each individual. Whether someone is battling problem gambling, nicotine dependence or both, Birches’ professional team offers comprehensive support to guide individuals toward recovery. Visit Birches Health to learn more about our integrated approach to addiction treatment, which focuses on long-term recovery and holistic health. You can also call 833-483-3838 or email at hello@bircheshealth.com to connect with the Birches team as soon as possible.

Sources:

Straight to the Point Substack

Review Journal

CDC Gaming

ANRF