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The Canadian Alcohol and Drugs Survey (CADS) is a biennial general population survey of alcohol and drug use among Canadians aged 15 years and older. CADS is conducted by Health Canada, in partnership with Statistics Canada for data collection. CADS evolved from the Canadian Tobacco, Alcohol and Drugs Survey (CTADS), which was conducted biennially from 2013 to 2017, whereupon Health Canada decided to separate CTADS into two surveys: CADS, focused on alcohol and drug surveillance, and the Canadian Tobacco and Nicotine Survey (CTNS), focused on tobacco use and vaping.
Please note that where data are reported for consuming a substance in the past year, this refers to having consumed the substance in question at least once in the 12 months preceding the date of the survey.
Canada's Low-Risk Alcohol Drinking Guidelines (LRDG) consists of five guidelines and a series of tips. Guidelines 1 and 2, and acute and chronic effects are explained in the definitions section. People who drink within the low-risk alcohol drinking guidelines consume no more than the recommended quantity of alcohol within the number of days specified, whereas those who exceed the guidelines consume more alcohol than recommended within the stated timeframe. The basis of the LRDG is reported alcohol consumption in the seven days prior to the survey.
In 2019, for the first time, the survey asked about five harms people may have experienced in the past 12 months due to alcohol consumption. Types of harm include being unable to stop drinking once started, failing to do what was normally expected from you because of drinking, needing a first drink in the morning to get yourself going after a heavy drinking session, being unable to remember what happened the night before because of your drinking, or having a feeling of guilt or remorse after drinking.
The survey asked about past-year and lifetime use of cannabis, psychoactive pharmaceuticals, and illegal drugs including cocaine or crack, ecstasy, speed or methamphetamines, hallucinogens, heroin, and others.
Among people who have used cannabis in the past year, 36% (or 2.3 million) reported using it for medical purposes, unchanged from 2017 (37% or 1.6 million). Canadians reported using cannabis for medical reasons to treat a variety of conditions. The main medical conditions for which Canadians used cannabis for medical purposes were anxiety (33% or 641,000), arthritis (21% or 416,000), depression (8% or 156,000), and other medical conditions (32% or 623,000). Canadians also reported using cannabis for the following medical conditions: spinal cord injuries, irritable bowel syndrome or other inflammatory bowel disease, post-traumatic stress disorder, and multiple sclerosis (all 2% or under). The survey does not collect information on how people obtained the cannabis for medical purposes.
Respondents were asked about past-year use of illegal drugs. Similar to CTADS, illegal drugs included cocaine or crack, ecstasy, speed or methamphetamines, hallucinogens, inhalants, heroin, and salvia. For 2019, respondents were also asked about their use of synthetic cannabinoids, mephedrone, BZP/TFMPP, kratom and other drugs.
Past-year use of at least one of six illegal drugs (cocaine/crack, speed/methamphetamine, ecstasy, hallucinogens, heroin, salvia) was 3% (1.1 million), unchanged from 3% (987,000) in 2017 and an increase from 2% (678,000) in 2015.
Overall, among Canadians past-year illegal drug use remained low. Cocaine/crack remained the most-consumed illegal substance, with 2% (605,000) of respondents having consumed cocaine or crack in the past year, unchanged from 2017 (2% or 730,000). Males (2% or 362,000) and females (2% or 243,000) consumed cocaine or crack in similar amounts, unchanged from 2017 (4% for males and 1% for females). Past-year use of cocaine or crack was higher among young adults aged 20 to 24 (9% or 203,000) than adults aged 25 and older (1% or 390,000), and both were unchanged from 2017. Cocaine/crack use among youth aged 15 to 19 was not reportable due to small sample size.
Hallucinogen use was similar to cocaine/crack use in 2019. Hallucinogens are drugs such as LSD, PCP, and psilocybin (magic mushrooms). Two percent (2% or 587,000) of Canadians consumed hallucinogens in 2019, unchanged from 1% (443,000) in 2017. Males (2% or 352,000) and females (1% or 234,000) consumed hallucinogens in similar amounts. For males this is unchanged from 2017 (2% or 341,000) but for females this is an increase from 2017 (less than one percent (0.7%) or 102,000). Hallucinogen consumption was higher among young adults aged 20 to 24 (6% or 129,000) than youth aged 15 to 19 (2% or 47,000) and adults aged 25 and older (2% or 411,000).
The prevalence of reported harm was higher among individuals who reported the use of cannabis, the use of any illegal drug (i.e., cocaine/crack speed/methamphetamine/crystal meth, hallucinogens including salvia, ecstasy, inhalants, or heroin) or problematic use of psychoactive pharmaceuticals. One in six (17% or 1.0 million) of those who used cannabis in the past year, used illegal drugs in the past year, or who reported problematic use of psychoactive pharmaceuticals in the past year reported having experienced some harm in the past year due to their drug use, unchanged from 2017 (18% or 820,000). Among this population, there was no difference in the prevalence of reported past-year harm between males (17% or 616,000) and females (16% or 478,000) and both were unchanged from 2017 (19% or 518,000 and 18% or 302,000, respectively). Among this population, the prevalence of reported past-year harm was higher among young adults aged 20 to 24 (27% or 284,000) than adults aged 25 and older (14% or 685,000), both unchanged from 2017. Data were not reportable for youth aged 15 to 19 due to small sample size. Table 12 presents harms related to drug use among Canadians since 2008.
For the first time, CADS 2019 included questions about respondents' experience with overdose events related to use of pain relievers, stimulants, sedatives, cannabis, cocaine/crack, amphetamines/methamphetamine, ecstasy, hallucinogens, heroin, salvia, inhalants, synthetic cannabinoids, mephredone, kratom, BZP, or other drugs.
CADS used a self-administered electronic questionnaire survey format, with follow-up telephone interviews for non-responses, and the sample was generated using the Dwelling Universe File (DUF). The overall response rate was 50.9%. For the purposes of this report only univariate and bivariate analyses were conducted, with a t-test used to determine if results are statistically significantly different from one another. The data presented in this report have been weighted to allow the results to be generalized to the Canadian population using the Canadian Census 2011.
For more information about the survey and the results, please write to the Office of Drug Research and Surveillance, Controlled Substances Directorate, Health Canada, Address Locator 0302A, Ottawa, ON, K1A 0K9, or send an e-mail request to hc.odss-bssd.sc@canada.ca.
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