CCSA is excited to have received funding from Health Canada to lead an initiative to update Canada’s Low-Risk Alcohol Drinking Guidelines (LRDG). The updated guidelines will provide Canadians information to make well-informed and responsible decisions about their alcohol consumption. They will address the unique needs of specific target groups that are particularly at risk, such as youth, women and people with chronic diseases. We expect to release the new guidelines in 2022.
For more information about this project, please contact the project coordinator at llevett@ccsa.ca.
Public and Stakeholder Consultations
Public and Stakeholder Consultations
People living in Canada should have access to the latest evidence about alcohol to make informed decisions about alcohol use. They should also have opportunities to have their voices heard and share what matters to them when it comes to their health, well-being and alcohol consumption. Consulting with the public, professionals and organizations concerned with alcohol, health and well-being throughout the guideline development process is key to ensuring the updated Low Risk Alcohol Drinking Guidelines meet the diverse needs of people and organizations in Canada, and are accessible to all.
Public Consultation on the Current Low Risk Alcohol Drinking Guidelines
CCSA held a six-week, online public consultation on the current Low Risk Alcohol Drinking Guidelines (LRDGs) between March 8 to April 18 2021. The scope of this consultation was to understand the experiences of people in Canada with the current Low-Risk Alcohol Drinking Guidelines and their needs and expectations for updated guidelines. It was open to all people in Canada including the general public, professionals and representatives from organizations with an interest in alcohol, health and well-being.
At total of 4,846 people from every province and territory across Canada completed the online consultation questionnaire. CCSA’s report, Updating Canadian Low-Risk Alcohol Drinking Guidelines: Summary of Findings from Public Consultation , outlines how the consultation was conducted and what we heard.
Stakeholder Consultations
Building on the findings from the public consultation, CCSA will provide key stakeholders with an opportunity to contribute information to support the LRDG update. Stakeholder consultations will take place throughout summer 2021.
Consultations with Representatives of Health Organizations
Although the LRDGs are for the public, professionals and organizations concerned with alcohol, health and well-being play a key role in their promotion and dissemination. CCSA wants to engage with representatives from different organizations that have an interest in alcohol-related issues to learn about their experience with the current LRDGs. The interviews will also be useful to better understand and meet the needs of organizations that seek to support people to make informed decisions about their alcohol consumption.
The information received will help to establish the most effective approaches for mobilizing the updated guidelines. A summary report of these consultations will be published in fall 2021.
Consultations with At-Risk Groups: Women
Research informs us that women often use alcohol in different patterns and for different reasons than men. We also know that the female body is more sensitive to alcohol. With this in mind, CCSA wants to engage with women to gain a deeper understanding of alcohol-related issues that matter to them and that could lead them to pay attention to the updated LRDGs.
Hearing from this demographic will guide knowledge mobilization efforts to increase uptake of the updated guidelines. A summary report of these consultations will be released in fall 2021.
Related Information
For more information about CCSA, the LRDGs and our mandate, please visit:
https://www.ccsa.ca/
https://www.ccsa.ca/research-alcohol
https://www.ccsa.ca/lrdg-project-2022
Contact Us
Project Coordinator: Lauren Levett (llevett@ccsa.ca)
Canadian Centre on Substance Use and Addiction
75 Albert St., Suite 500
Ottawa, ON K1P 5E7
LRDG Public Consultation FAQs
Low-Risk Alcohol Drinking Guidelines Public Consultation FAQs
What are Canada’s current Low-Risk Alcohol Drinking Guidelines?
- Reduce your long-term health risks by drinking no more than 10 drinks a week for women, with no more than 2 drinks a day most days, and 15 drinks a week for men, with no more than 3 drinks a day most days.
- Reduce your risk of injury and harm by drinking no more than 3 drinks (for women) or 4 drinks (for men) on any single occasion. Plan to drink in a safe environment.
- Zero is the limit when:
- Driving a vehicle or using machinery and tools
- Taking medicine or other drugs that interact with alcohol
- Doing any kind of dangerous physical activity
- Living with mental or physical health problems
- Living with alcohol dependence
- Pregnant or planning to be pregnant
- Responsible for the safety of others
- Making important decisions
- If you are pregnant or planning to become pregnant, or about to breastfeed, the safest choice is to drink no alcohol at all.
- Youth should delays drinking. If they choose to drink, they should do so under parental guidance; never more than 1–2 drinks at a time, and never more than 1–2 times per week. Youth in their late teens to age 24 years should never exceed the daily limits.
Why are Canada’s Low-Risk Alcohol Drinking Guidelines being updated?
Canada’s Low-Risk Alcohol Drinking Guidelines were originally published in November 2011. Since then, the evidence on the association between drinking alcohol and physical, mental and social harms has evolved. Many countries, including the U.K. and Australia, have updated their guidance on drinking to reflect these advancements in what we know about the risks and benefits associated with alcohol. In July 2020, with the support of Health Canada, CCSA was mandated to update the Canadian guidelines by March 2022. We want Canadians to have the latest evidence-based advice on alcohol to support them in making informed decisions about its use.
When is the public consultation open?
The first public consultation will open on March 8, 2021 and run for 6 weeks until April 18, 2021.
Who can take part in this public consultation?
This consultation is open to all Canadians. We particularly want to hear from:
- Members of the general public with an interest in health and alcohol use
- Professionals with an interest in the alcohol industry, health, health promotion, health research, and health monitoring or surveillance, including health professionals and educators
- Representatives of organizations from various sectors, including:
- Government
- The alcohol industry (from producers to manufacturers and retailers)
- Civil society and community groups working in areas related to alcohol prevention
- Public health professionals and organizations
- Research and academia
- The armed forces
How do I take part?
The Low-Risk Alcohol Drinking Guidelines public consultation will be hosted on CCSA’s website. It is a short multiple-choice survey with 20 questions that should take no more than 10 minutes to complete. The first public consultation will open on March 8, 2021 and run for 6 weeks until April 18, 2021.
How will you use the feedback from this public consultation?
Your feedback will help us learn about the experiences of the general public and stakeholders with the current Low-Risk Alcohol Drinking Guidelines and their needs and expectations for updated guidelines, namely:
- Whether and how Canadians are using the current alcohol drinking guidelines;
- What are some of the challenges to using the current guidelines;
- What is most useful in the current guidelines; and
- What your needs and expectations are for the updated guidelines.
Your information will be used to help inform the update to the Low-Risk Alcohol Drinking Guidelines. The findings of the consultation will be summarized in a report and made available on our website.
I’m worried about confidentiality. How will you use my data?
The information you provide for this consultation is completely confidential and anonymous. It will only be used for the purpose of informing the update to the Low-Risk Alcohol Drinking Guidelines. It is up to you how much or how little information you choose to contribute. You have the option of providing us with your email address if you would like to be updated on the project.
Related Information
For more information about CCSA, the Low-Risk Alcohol Drinking Guidelines and our mandate, please visit:
https://www.ccsa.ca/research-alcohol
https://www.ccsa.ca/lrdg-project-2022
Contact Us
Project Coordinator: Lauren Levett (llevett@ccsa.ca)
Canadian Centre on Substance Use and Addiction
75 Albert St., Suite 500
Ottawa, ON K1P 5E7
Project Background
Project Background
Since the original release of Canada’s LRDGs in November 2011, new evidence has been uncovered on alcohol-related mortality and morbidity. Research has also evolved on how drinking alcohol contributes to social harms. Other countries, including the United Kingdom and Australia, recently updated their guidelines to reduce the health risks of alcohol consumption.
The LRDG update will be the result of a collaborative process among CCSA, scientists, knowledge mobilization specialists and representatives of various Canadian organizations, including Health Canada. The process will be consensual and based on co-operation. It will also be voluntary and flexible. All parties will participate with equal status and the expression of each parties’ points of views will be encouraged.
Process to Date
Process to Date
The project to update Canada’s Low-Risk Alcohol Drinking Guidelines (LRDGs) began in July 2020 and is expected to be completed in the fall of 2022. This diagram provides an outline of the process being followed to perform the update, with notes on the progress of the project to date.
Click the links in the diagram for more information and to access supporting documents. The steps in the process outlined in the diagram are summarized below:
- Source guidelines: Summary of the current Canadian LRDGs, the United Kingdom Chief Medical Officers’ Low Risk Drinking Guidelines and the Australian guidelines to reduce health risks from drinking alcohol.
- Disclosure of Affiliations and Declaration of Interests: List of affiliations, and financial and intellectual interests from the past three years for members of the Executive Committee and the Scientific Expert Panels.
- Terms of Reference: Outline of the terms of reference for the Executive Committee and Scientific Expert Panels, including information on the project scope, governance and roles and responsibilities.
- Prioritize research questions: The process used to develop the research questions to support the update of the LRDGs.
- Evaluate Canadian, U.K. and Australian guidelines: Evaluation of the methodological quality of the current Canadian LRDGs, the United Kingdom Chief Medical Officers’ Low Risk Drinking Guidelines and the Australian guidelines to reduce health risks from drinking alcohol.
- Public consultation on the LRDGs: A summary of Canadians’ experiences with the current LRDGs and their needs and expectations for updated guidelines, based on responses from 4,845 participants.
- Evidence on Understanding and Response to Alcohol Guidelines: Update of the evidence review, originally produced by the 2016 United Kingdom alcohol guideline group, to determine how people understand and respond to official public health guidance.
- Women’s focus groups on the LRDGs: A summary report of women’s focus groups about their experiences with the current LRDGs and their needs and expectations for updated guidelines and their promotion.
- Review on women’s health and alcohol: Literature review on alcohol and women’s health from a sex--and gender-based analysis.
- Technical report evaluating the evidence on the health effects of alcohol consumption: Report on the evidence about the health effects of alcohol consumption for the modelling of alcohol-attributable deaths and disability.
- Rapid review on the effects of alcohol on mental health: Rapid review of the role of alcohol, including patterns of drinking, as it relates to depression, anxiety and suicidal ideation.
- Rapid review on the effects of alcohol on violence: Rapid review on the role alcohol, including patterns of drinking, as it relates to perpetration and victimization of aggression.
- Systematic review on the effects of alcohol on cardiovascular diseases: Meta-analyses about alcohol use, heart diseases and mortality.
- Report of lifetime risk of alcohol-attributable death and disability: report about the lifetime risk of death and disability for various levels of average alcohol consumption as measured in grams per day.
- Stakeholder consultation on the LRDGs: Summary of targeted consultations with key stakeholders (youth, women, Indigenous peoples, health professionals), and their specific needs and implementation requirements for updated guidelines.
- Draft recommendations for knowledge mobilization of LRDGs: Draft recommendations on increasing public awareness of the updated LRDGs through knowledge mobilization.
- Draft updated LRDGs: Draft updated LRDGs intended to inform alcohol use in Canadian society.
- Public consultations: Consultations to establish whether the recommended LRDGs are simple and easy to understand, as well as to provide the public with an opportunity to comment on any omissions in the evidence used to develop the guidelines.
- External review: External peer review of draft updated LRDGs.
This diagram will be updated regularly to reflect progress on the project.
Supporting Documents
Supporting Documents
| Document name | Date published | Description |
|---|---|---|
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Disclosure of Affiliations and Interests | 2021 | This declaration of interests is a list of affiliations, and financial and intellectual interests from the past three years for members of the Low-Risk Alcohol Drinking Guideline Executive Committee and the Scientific Expert Panels. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Summary Evidence on Understanding and Response to Alcohol Consumption Guidelines | 2021 | This is an update of the evidence review produced for the 2016 United Kingdom Chief Medical Officers alcohol guidelines group, to determine how people understand and respond to official public health guidance. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Summary of Findings from Public Consultation | 2021 | Summary of Findings from Public Consultation product description with, "A summary of Canadians’ experiences with the current LRDGs and their needs and expectations for updated guidelines, based on responses from 4,845 participants. |
| Update of Canada’s Low Risk Alcohol Drinking Guidelines: Terms of Reference | 2021 | Outlines the terms of reference for the initiative to update Canada’s Low-Risk Alcohol Guidelines. Includes information on the project scope, governance, scientific expert panels, and roles and responsibilities. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Source Guidelines | 2021 | Summarises the current Canadian Low-Risk Alcohol Drinking Guidelines, the United Kingdom Chief Medical Officers’ Low Risk Alcohol Drinking Guidelines and the Australian Guidelines to Reduce Health Risks from Drinking Alcohol. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Evaluation of Selected Guidelines | 2021 | Report presents evaluations of the current Canadian Low-Risk Alcohol Drinking Guidelines (2011), and guidelines from the United Kingdom (2016) and Australia (2020) using a standard instrument, the Appraisal of Guidelines for Research and Evaluation II. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Development of Research Questions | 2021 | Outlines the research questions to support the update of the Low-Risk Alcohol Drinking Guidelines and the process used to develop them. |
| Update of Canada’s Low-Risk Alcohol Drinking Guidelines: Process and Timelines | 2021 | Interactive diagram providing an overview of the process to update Canada’s Low-Risk Alcohol Drinking Guidelines and the progress of the project. This document is updated regularly. |