Canadian Journal of Public Health

, Volume 100, Issue 5, pp 393–396 | Cite as

Changes in the Rates of Alcohol- and Drug-related Hospital Separations for Canadian Provinces: 1996 to 2005

  • Russell C. Callaghan
  • Scott A. Macdonald
Quantitative Research



This paper aims to present the rates of drug-related hospital separations for amphetamines, alcohol, cocaine, cannabis and opioids for each province from fiscal years 1996 to 2005.


Data were drawn from Canada’s Hospital Morbidity Database, a national electronic archive of all inpatient hospital admission records. All inpatient medical records with an alcohol- or drug-related diagnosis were abstracted for this study.


Canadian rates increased during the 10-year period for all drugs; however, alcohol separations declined somewhat. The highest rates of drug and alcohol separations were most often found in BC, Alberta and the North. Nova Scotia and Newfoundland generally had the lowest rates of separations.


The study provides a detailed provincial and national account of alcohol- and drug-related morbidity related to inpatient hospital admissions. The rates of alcohol-related admissions across all provinces were, by far, much greater than those associated with drug-related episodes. The data provide an important measure of the harms related to substance use in Canada.

Key words

Alcohol amphetamines cocaine opioids cannabis morbidity hospitalization 



Présenter les taux de diagnostics-congés liés aux drogues (amphétamines, alcool, cocaïne, cannabis et opioïdes) dans chaque province pour les exercices financiers de 1996 à 2005.


Les données sont tirées de la Base de données sur la morbidité hospitalière du Canada, un fichier électronique pancanadien où sont archivés tous les dossiers d’hospitalisation. Pour cette étude, nous en avons extrait les dossiers médicaux d’hospitalisation comportant un diagnostic lié à l’alcool ou à la drogue.


Les taux au Canada ont augmenté pour toutes les drogues au cours de la période de référence de 10 ans, mais les taux de congés liés à l’alcool ont légèrement diminué. Les taux les plus élevés de congés liés à la drogue et à l’alcool ont été observés le plus souvent en Colombie-Britannique, en Alberta et dans le Nord. La Nouvelle-Écosse et Terre-Neuve présentaient en général les taux les plus faibles.


L’étude brosse un portrait provincial et national détaillé de la morbidité liée à l’alcool et à la drogue selon les dossiers d’hospitalisation. Dans toutes les provinces, les taux d’hospitalisation liés à l’alcool étaient de très loin supérieurs aux taux liés à la drogue. Ces données sont un important outil de mesure des méfaits de la consommation d’alcool ou de drogue au Canada.

Mots clés

alcool amphétamines cocaïne opioïdes cannabis morbidité hospitalisation 


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  1. 1.
    Kerr WC, Greenfield TK, Tujague J, Brown SE. A drink is a drink? Variation in the amount of alcohol contained in beer, wine and spirits drinks in a US methodological sample. Alcohol Clin Exp Res 2005;29(11):2015–21.CrossRefGoogle Scholar
  2. 2.
    Stockwell T, Donath S, Cooper-Stanbury M, Catalano P, Mateo C. Underreporting of alcohol consumption in household surveys: A comparison of quantity, frequency, graduated frequency and recent recall. Addiction 2004;99(8):1024–33.CrossRefGoogle Scholar
  3. 3.
    Adlaf EM, Sawka E. Canadian Addiction Survey (CAS): A national survey of Canadians’ use of alcohol and other drugs: Prevalence of use and related harms: Detailed report. Ottawa, ON: Canadian Centre on Substance Abuse, 2005.Google Scholar
  4. 4.
    Canadian Centre on Substance Abuse. Canadian Community Epidemiology Network on Drug Use (CCENDU) 2002 National Report: Drug trends and the CCENDU network. Ottawa: Canadian Centre on Substance Abuse, 2003.Google Scholar
  5. 5.
    Roxburgh A, Degenhardt L. Characteristics of drug-related hospital separations in Australia. Drug Alcohol Depend 2008;14(1-3):149–55.CrossRefGoogle Scholar
  6. 6.
    Statistics Canada. Table 051-0005 estimates of population, Canada, provinces and territories, quarterly (15 series). Statistics Canada, Report No.: 051-0005, 2008 released on June 25, 2008.Google Scholar
  7. 7.
    Babor T, Higgins-Biddle JC, Saunders JB, Monteiro M (Eds.). The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, 2nd ed. Geneva, Switzerland: World Health Organization, 2001.Google Scholar
  8. 8.
    World Health Organization ASSIST Working Group. Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Development, reliability and feasibility. Addiction 2002;97(9):1183–94.CrossRefGoogle Scholar
  9. 9.
    Nutt D, King LA, Saulsbury W. Development of a rational scale to assess the harm of drugs of potential misuse. Lancet 2007;369:1047–53.CrossRefGoogle Scholar
  10. 10.
    Smothers BA, Yahr HT. Alcohol use disorder and illicit drug use in admissions to general hospitals in the United States. Am J Addict 2005;14(3):256–67.CrossRefGoogle Scholar
  11. 11.
    Walkup JT, Boyer CA, Kellermann SL. Reliability of Medicaid claims files for use in psychiatric diagnoses and service delivery. Admin Policy Men Health 2000;27(3):129–39.CrossRefGoogle Scholar
  12. 12.
    Statistics Canada. Comparability of ICD-10 and ICD-9 for mortality statistics in Canada. Catalogue no. 84-548-XIE ed. Ottawa, 2005.Google Scholar
  13. 13.
    Heale P, Chikritzhs T, Jonas H, Stockwell T, Dietze P. Estimated alcohol-caused deaths in Australia, 1990–97. Drug Alcohol Rev 2002;21(2):121–29.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2009

Authors and Affiliations

  1. 1.Centre for Addiction and Mental HealthTorontoCanada
  2. 2.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  3. 3.Centre for Addictions Research of BCUniversity of VictoriaVictoriaCanada

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