Nevada remains America’s ‘most addicted’ gambling state, according to the latest study from financial fitness firm Wallethub.

Tuesday saw the release of Wallethub’s annual ranking of US states according to their availability of gambling options and the number of residents seeking treatment for gambling disorders. As with last year’s study, Nevada narrowly pipped South Dakota for the non-coveted title of ‘most addicted’ state.

Wallethub’s overall ranking is primarily (70%) based on a state’s perceived ‘gambling-friendliness’, i.e. comparing the number of casinos/gaming machines relative to a state’s population, as well as lottery sales, horserace betting, the availability of newer options such as iGaming and daily fantasy sports and even the presence of illegal gambling operations.

Lesser emphasis is given to the ‘gambling problem treatment’ score, which comprises the number of adults diagnosed with gambling disorders, the frequency of Gamblers Anonymous meetings, the availability of treatment programs and the volume of gambling-related arrests per capita. So the study is really more about gambling availability than anything else, but hey, ‘availability’ isn’t the most clickbait-friendly word, so there you go.