“…Contextual factors, such as policies, social equality, healthcare capacity and capability, and local environment factors, determine various aspects of health. As exemplified in previous studies, these contextual factors are associated with health outcomes, including lifestyle diseases, mortality, mental and physical health status, substance use, and criminal behavior ( Bleich et al, 2012 ; Ciccone et al, 2014 ; Oakes et al, 2015 ; Vella et al, 2023 ). Considering GD treatment specifically, influencing contextual factors include political governance (e.g., regulation and access to gambling and treatment services), welfare (e.g., socioeconomic factors, accessibility and quality of support services), social factors (e.g., personal finances, leisure activities, employment, and living conditions), and individual factors (e.g., predispositions) ( Abbott et al, 2018 ).…”