Objectives: The prevalence of problem and gambling behavior, the average ag
e of onset of gambling behavior, and the eo-occurrence of gambling disorder
with substance use were determined in the Louisiana student population gra
des 6 through 12, Methods: A stratified randomized sample of 12,066 student
s in Louisiana schools during the 1996-1997 school year was surveyed about
gambling behavior using the South Oaks Gambling Screen-Revised for Adolesce
nts (SOGS-RA), Results: Fourteen percent of die students never gambled, 70.
1 percent gambled without problems, 10.1 percent indicated problem gambling
in die past year (level 2 according to the SOGS-RA), and 5.8 percent indic
ated pathological gambling behavior in die past year (level 3), Weekly or m
ore frequent lottery play was reported by 16.5 percent, The average age of
onset of gambling behavior was 11.2 years. Fifty-nine percent of the studen
ts with problem and pathological gambling behavior reported frequent alcoho
l and illicit drug use. Conclusions: A significant minority of Louisiana st
udents in grades 6 through 12-15.9 percent-acknowledged gambling-related sy
mptoms and life problems. The association of problem and pathological gambl
ing with use of alcohol, tobacco, and marijuana provides preliminary suppor
t for the inclusion of gambling among other adolescent risk behaviors.