![]() For example, the lotteries are the only legally permitted form of gambling. We identified multiple unique factors about the PRC that might be affecting this relationship. Instead, the evidence suggests that the relationship between loot boxes and gambling might be weaker in the PRC than in Western countries. ![]() This study cannot prove that loot boxes are not disproportionately purchased by people with problem gambling symptomatology in the PRC or that PRC players are not potentially at risk of loot box-related harms. We observed statistically significant but weak positive correlations between loot box expenditure and past-year gambling participation, and between loot box expenditure and impulsiveness. A preregistered survey of People’s Republic of China (PRC) video game players ( N = 879) failed to replicate this correlation. Previous studies in Western contexts have identified a positive correlation between loot box purchasing and problem gambling severity. Loot boxes are quasi-gambling virtual products in video games that provide randomised rewards of varying value.
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