General Population Surveys

Recent Trends in Substance Use in BC

According to data from the Canadian Alcohol and Drug Use Monitoring Survey, patterns of substance use that are associated with increased risks and harms have been decreasing in BC since 2008. The largest decrease is in the percentage of the population who smoke; going from 16% in 2008 to 12% in 2010. Men are more likely to use all substances than women. People in BC are significantly less likely to smoke than those in other parts of Canada but are more likely to use cannabis and other illicit drugs (although not significantly so).

For more detailed discussions, see the articles below as well as the links to data tables and reports on the right. In particular the Prevalence Report provides estimates of the prevalence of alcohol and illicit drug use in BC using 2008 and 2009 CADUMS data broken down by geographic region.

More Project Findings


Alcohol Use in BC and Canada by Gender, 2008-2010
Males were significantly more likely than females to report drinking above new Canadian guidelines for low-risk drinking in both BC and the rest of Canada in all years from 2008 to 2010. They were also significantly more likely than females to report drinking above upper limits for low-risk consumption in the past 30 days.
Data Table(s)

Tobacco Use in BC and Canada by Gender, 2008-2010
Men were significantly more likely than women to use tobacco in both BC and the rest of Canada for all years from 2008 to 2010.
Data Table(s)

Cannabis Use in BC and Canada by Gender, 2008-2010
Males were significantly more likely than females to report cannabis use in both BC and the rest of Canada in all years from 2008 to 2010.
Data Table(s)

Other Illicit Substance Use in BC and Canada by Gender, 2008-2010
Males were more likely than females to use illicit substances in both BC and the rest of Canada in 2009.
Data Table(s)

Cannabis Use in BC by HSDA
At the health service delivery area (HSDA) level, the prevalence of lifetime cannabis use was highest in Kootenay Boundary (62%) and lowest in Richmond (35%).
Data Table(s)

Component Details

The survey is conducted on a rolling basis with monthly quotas in each jurisdiction. Each province has a quota of 1000 respondents per year, with the possibility of adding additional sample size where provincial governments contribute additional funds. In addition, provinces are given the opportunity to fund larger local samples. This survey focuses on alcohol and cannabis, while also assessing lifetime as well as past year/current prevalence rates of "other illicit substances". Tobacco also is assessed as an associated variable but not to make prevalence statements. For alcohol, quantity and frequency are assessed, as well as indicators of frequency and intensity of heavy drinking occasions. For cannabis, current frequency are assessed. In addition, it has been agreed that CADUMS will assess indicators of prescription drug abuse, which so far have not been measured in Canada. As part of the BC AOD Monitoring System, efforts have been made to improve the consistency of data between different provincial school drug use surveys which presents one significant opportunity for improved monitoring in Canada.

The BC AOD Monitoring System team was represented on the technical advisory committee for CADUMS which facilitated efforts to create more consistent types of questions between the survey, provincial school surveys, and surveys of high-risk populations. A proposal for a discrete set of questions focusing on substance use the day before the interview was put before the national group and was accepted. This is based on the Australian experience with the Yesterday method for assessing alcohol consumption in their National Drug Strategy Household Surveys (Stockwell et al., 2007). A brief version of the Australian instrument will be piloted within an ongoing Ontario telephone monitoring survey. Population level estimates of typical drinking patterns can be made from the Yesterday method so long as interviews are conducted on both weekends and weekdays. Clearly this method does not generate estimates of more enduring individual drinking patterns, but they can provide a clear picture of a typical daily (weekday and weekend) pattern of alcohol, and potentially other substance, use.

  • The BC AOD Monitoring project contributed items to the survey and collaborated to ensure consistency of drug terms with our other population surveys here in BC.
  • The BC Ministry of Health contributed additional funding to ensure an over sample of BC resulting in a total of 4,000 cases of the province compared with 1,104 for most other provinces.
  • We hope that local analyses comparing BC health authorities will be possible and local researchers are encouraged to make use of the data.
  • We note that response rates were low and that this is an increasing problem with telephone surveys. It's important to look at multiple sources of information when examining trends in alcohol and drug use - hence the importance of and reason for the BC AOD Monitoring project.

CADUMS 2008 Data Set

As part of Statistics Canada's data liberation initiative (DLI), direct access to the 2008 CADUMS data set is now available via designated contacts for researchers at BC institutions.

Authorised users of DLI data within a member institution include:

  • Researchers
  • Educators
  • Students
  • Other staff members

DLI data may be used for:

  • Teaching
  • Academic research
  • Publishing articles and reports
  • Planning of educational services

*If your institution is not part of the DLI, contact the nearest Statistics Canada Regional Office to find out how you may obtain these data.

Analysis of BC versus Canada CADUMS data was conducted by Cindy Hardy and Sherry Bellamy of the University of Northern British Columbia.

Cindy HardyDr. Cindy Hardy is a clinical psychologist and Associate Professor in the faculty of University of Northern BC. Dr. Hardy's interests are in child and adolescent clinical psychology, and human development.

Sherry Bellamy is a graduate student in the department of Community Health Science at the University of Northern BC.



Analysis for the 2008-09 CADUMS report was conducted by Jinhui Zhao and Gina Martin of CARBC

Jinhui Zhao

Jinhui Zhao received his PhD from Memorial University of Newfoundland in Canada. He is now working as scientist at the Centre for Addictions Research of British Columbia, University of Victoria. His expertise and research interests include epidemiology of substance use and epidemiological methods, application of statistical model in population health and intervention research, tobacco and alcohol use and cancer, alcohol impaired driving and traffic collisions, survey sampling and analysis of complex survey data, and analytical methods of longitudinal and spatial data.

Component Summary

The General Population Surveys component of the AOD Monitoring Project seeks to help identify broad patterns of low- to moderate-risk use of alcohol and other drugs.

Data is drawn from the Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) which was launched by Health Canada in 2008 to provide timely, reliable, and continual data on alcohol and drug use and related issues. CADUMS is conducted by telephone with a representative sample of Canadians from each province in the general population aged 15 years and older.