• Smoking prevalence • Alcohol consumption • Hospitalization rates
• Improving for tobacco • Deteriorating for alcohol
In BC, smoking prevalence is steadily decreasing while alcohol consumption is increasing. Parallel to to this trend, hospitalizations for tobacco-related illnesses are declining while hospitalizations for alcohol-related illnesses are increasing.
Alcohol consumption in BC is increasing faster than in the rest of Canada. In the most recent year available, alcohol consumption in Canada remained steady while in BC it declined slightly for the first time in a decade, coinciding with the recent economic downturn. BC's alcohol consumption can be expected to stabilise or continue to increase as the wider economy recovers over the next few years.
Public policy interventions for tobacco seem to be having a positive effect on smoking prevelence and the reduction of related harms. Policy interventions related to alcohol may be having the opposite effect.
To reverse the trend relative to alcohol and sustain the trend relative to tobacco, available evidence suggests that policy makers should:
The negative impact of substance use on health and wellbeing is most significantly related to tobacco and alcohol. Measures of substance use such as smoking prevalence and levels of alcohol consumption correlate with measures of substance-related harms such as hospitalization rates. Together these indicators provide a way to measure and track the relative impact of substance use on the total burden of disease in British Columbia over time.