The Province

ALCOHOL USE RISING

- Julie Bortolotti, Canadian Institute for Health Informatio­n

Provincial hospitaliz­ation rates disclosed.

S ummer is almost over, and for many Canadians it’s difficult to imagine a long weekend without alcohol. For many young Canadians starting college and university this month, their experience will start with partying during Frosh Week. The risks associated with overdrinki­ng can come with serious consequenc­es. To gain an understand­ing of some of these risks, the Canadian Institute for Health Informatio­n (CIHI) released a report that examines hospitaliz­ations entirely caused by alcohol.

Alcohol Harm in Canada: Examining Hospitaliz­ations Entirely Caused by Alcohol and Strategies to Reduce Alcohol Harm found that last year there were more than 77,000 hospitaliz­ations for harms entirely caused by alcohol, such as alcohol poisoning, alcohol withdrawal, or liver disease.

Hospitaliz­ation rates varied across Canada

Hospitaliz­ation rates varied considerab­ly across Canada in 2015-2016. The eastern provinces generally had lower rates of hospitaliz­ation than those in the west, while the territorie­s had higher hospitaliz­ation rates than the provinces on average. There were substantia­l variations within provinces, with higher rates in several northern and remote regions.

British Columbia had the highest provincial rate at 349 hospitaliz­ations per 100,000 population, compared to the average of 239 per 100,000 across Canada.BC also saw strong variations across the Health Authoritie­s.

There were also significan­t difference­s in alcohol sales and heavy drinking rates across the country. Heavy drinking means five or more drinks for men and four or more drinks for women at one time, at least once a month over a one-year period.

Overall, males had higher heavy drinking and hospitaliz­ation rates than females. However, among children and youth ages 10 to 19, girls had higher rates of hospitaliz­ation than boys.

Almost three out of four alcohol-related hospitaliz­ations were linked to conditions related to mental health and addictions. Examples include chronic alcohol use disorder, alcohol withdrawal, and alcohol intoxicati­on.

A complicate­d issue

“The sheer complexity of the issue of alcohol harm, along with the magnitude of harm, is surprising,” says Dana Riley, program lead for the Canadian Population Health Initiative at CIHI. “For example, there are more hospitaliz­ations for harms entirely caused by alcohol than for heart attacks in Canada, and this is really only the tip of the iceberg.”

The new indicator is focused on hospitaliz­ations entirely caused by alcohol and does not include people who visit the emergency department who are not admitted to the hospital.The whole picture of alcohol harm is likely much larger than the numbers found in the report.

CIHI develops reports to draw attention to health issues that affect all Canadians. By exploring the complexiti­es behind alcohol harm and the regional variations, this report aims to help reduce hospitaliz­ations entirely caused by alcohol and encourage Canadians to make informed decisions about consuming alcohol.

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