NamePercentage of Population Who Report Current Smoking
DescriptionThe percentage of the population age 12 and older who reported being current cigarette smokers, on either a daily or occasional basis
InterpretationLow results are desirable.
HSP Framework Dimension

Social Determinants of Health: Material, psychosocial and behavioural determinants of health

Areas of Need

Not Applicable

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

International, National, Province/Territory, Region

Latest Result Update Date

11/2013

Indicator Results

http://ourhealthsystem.ca/#!/indicators/009/smoking

Identifying Information
NamePercentage of Population Who Report Current Smoking
Short/Other Names

Smoking

Indicator Description and Calculation
DescriptionThe percentage of the population age 12 and older who reported being current cigarette smokers, on either a daily or occasional basis
Calculation: Description

Number of people who reported current smoking, either daily or occasionally, divided by the number of survey respondents

Population estimates are calculated using survey weights.

Calculation: Geographic Assignment

Place of residence

Calculation: Type of Measurement

Percentage or proportion

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not Applicable

Denominator

Description:
Survey respondents age 12 and older
Exclusions:
1. Non-response categories ("refusal," "don't know" and "not stated") are excluded as of 2009.

Numerator

Description:
Respondents who reported being current smokers, either daily or occasionally

Background, Interpretation and Benchmarks
Rationale

Smoking is a leading cause of premature morbidity and mortality in Canada. It is a risk factor for conditions such as lung and other cancers, heart disease, stroke and chronic respiratory disease. According to the World Health Organization, smoking is an important and preventable cause of death.

Interpretation

Low results are desirable.

HSP Framework Dimension

Social Determinants of Health: Material, psychosocial and behavioural determinants of health

Areas of Need

Not Applicable

Targets/Benchmarks

Not Applicable

References

Organisation for Economic Cooperation and Development. OECD Health Data 2012: Definitions, Sources and Methods. http://www.oecd.org/els/health-systems/Table-of-Content-Metadata-OECD-Health-Data-2013.pdf. Updated June 2013. Accessed August 6, 2013.

Shields M. The journey to quitting smoking. Health Reports. 2005;16(3):19-35. http://www.statcan.gc.ca/pub/82-003-x/2004003/article/7839-eng.pdf. Accessed May 17, 2013.

Statistics Canada. Canadian Community Health Survey - Annual Component (CCHS). http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&lang=en&db=imdb&adm=8&dis=2&SDDS=3226. Updated November 27, 2012. Accessed May 17, 2013.

St-Pierre M, Béland Y. Mode effects in the Canadian Community Health Survey: A Comparison of CAPI and CATI. 2004 Proceedings of the American Statistical Association Meeting . 2004. Toronto, ON, American Statistical Association.

Availability of Data Sources and Results
Data Sources

CCHS, Statistics Canada, OECD

Available Data Years

Type of Year:
Calendar
First Available Year:
2003
Last Available Year:
Ongoing

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

International, National, Province/Territory, Region

Result Updates
Update Frequency

Every year

Latest Result Update Date

11/2013

Indicator Results

Web Tool:
OurHealthSystem.ca
URL: http://ourhealthsystem.ca/#!/indicators/009/smoking

Updates

Not Applicable

Quality Statement
Caveats and Limitations

This indicator does not take into account the number of cigarettes smoked.

Some values have data quality flags that indicate "use with caution" or "suppressed" due to high coefficients of variation: health regions with small populations and results disaggregated by age group or sex within small regions.

The two-year combined data is less current than annual estimates but has higher precision (less variability). Users should refer to the annual CANSIM Table 105-0501 as the primary source for the most current estimates from the Canadian Community Health Survey (CCHS) as well as to obtain data from previous years. However, where data quality flags indicate suppression (F) or higher variability (E), the two-year CANSIM Table 105-0502 should be used.

The CCHS covers the population age 12 and older living in the 10 provinces and 3 territories. Excluded from the survey's coverage are

– Persons living on reserves and other Aboriginal settlements in the provinces

– Full-time members of the Canadian Forces

– The institutionalized population

– Persons living in the Quebec health regions of région du Nunavik and région des Terres-Cries-de-la-Baie-James

In Nunavut, coverage is limited to the 10 largest communities, which represents about 70% of Nunavut's population.

Altogether, these exclusions represent less than 3% of the target population.

International comparability is limited due to the lack of standardization in the measurement of smoking habits in health interview surveys across countries in the Organisation for Economic Co-operation and Development (OECD). There is variation in the wording of the question, the response categories and the related administrative methods. The OECD indicator is based on current daily smokers.

Trending Issues

Not Applicable

Comments

An age-standardized estimate is also reported for the provinces/territories (using the direct method, standard Canadian population 1991) in CANSIM Table 105-0503.

Additional data is available for years prior to 2003:

– National Population Health Survey, 1994, 1996, 1998

– CCHS, 2000–2001: The sample in CCHS 2000–2001 had a higher proportion of respondents interviewed in person than in subsequent years of the survey, which affected the comparability of some key health indicators (St-Pierre and Béland, 2004).