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This study explored children\u2019s experiences and perceptions of cigarette card games, as well as parental attitudes and facilitation practices. Semi-structured interviews were conducted with 21 child-parent dyads (19 boys, 2 girls) from September to December 2024. Purposive and snowball sampling techniques were adopted to recruit children who had played cigarette card games in the past 1 month. Separate interview protocols were developed for children and parents to ensure age-appropriate communication. Interviews were audio-recorded, transcribed verbatim, and analyzed thematically following Braun and Clarke\u2019s framework, with dual coding and triangulation. Four key themes emerged: (1) Chance and reward-driven engagement, where children linked the thrill of obtaining rare cards to gambling; (2) Peer influence and social reinforcement, which strengthened friendships but risked excluding non-players; (3) Parental misperceptions, viewing the games as healthier alternatives to screen time that promote outdoor activity; and (4) Parental facilitation, including sourcing cards through networks and rationalizing support as aiding socialization. These patterns indicate that cigarette card games may expose children to gambling-like reward systems and normalize tobacco-related imagery, with parental participation further amplifying such exposure and acceptance. Cigarette card games blend gambling-like features with early tobacco normalization, amplified by parental pro-game practices. Public health interventions should target both children and parents, promoting awareness of gambling risks and guiding families toward safe, prosocial forms of play.<\/jats:p>","DOI":"10.1007\/s10899-026-10514-2","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:51:38Z","timestamp":1780015898000},"page":"979-992","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Gambling-like Behaviors in Children\u2019s Cigarette Card Games and Parental Pro-game Perceptions in China: A Qualitative Study"],"prefix":"10.1007","volume":"42","author":[{"given":"Xue","family":"Weng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongfang","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufei","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiashuo","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia Siu-Chee","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3024-0956","authenticated-orcid":false,"given":"Sheng Zhi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"issue":"2","key":"10514_CR1","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1177\/0963721412471347","volume":"22","author":"D Albert","year":"2013","unstructured":"Albert, D., Chein, J., & Steinberg, L. 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