Chronic Disease and Injury Indicator Framework

The Chronic Disease and Injury Indicator Framework (the Framework) provides information on chronic diseases and on injury and their risk and protective factors in Canada. The Framework contains a core set of indicators grouped within six domains, as listed below. For each measure in the Framework, pan-Canadian statistics are available, along with breakdowns by key demographic and socioeconomic variables and time trends.

For a quick overview of the Framework click on any of the six domains listed below. A list of all measures within the domain, with their corresponding pan-Canadian estimates, will unfold. Additionally, a detailed description of each indicator can be obtained by clicking on the “Description” link next to each indicator. The most current version of the Framework's Quick Stats is also available in a printer-friendly format.

The “CDIIF Data Tool” button situated below brings you to a selection tool that provides access to all available data breakdowns and trends for every indicator in the Framework.

Use the CDIIF Data Tool

CDIIF's Quick Stats is also available in a printer-friendly format (PDF document). For an accessible equivalent, please use the table below.

CDIIF's Quick Stats is also available in a printer-friendly format (PDF document)


Quick Stats Overview

For more information about each indicator, click on the domains below:

Social and Environmental Determinants
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
Education % of population with less than a high school education, population aged 20+ years. 12.8% CCHS (2014) Description of % of population with less than a high school education, population aged 20+ years.
Income % of population living below low-income cut-offs, after tax, total population. 9.7% CIS (2013) Description of % of population living below low-income cut-offs, after tax, total population.
Employment Average annual unemployment rate (% of labour force that was unemployed during reference period), population aged 15+ years. 6.8% LFS (2015) Description of Average annual unemployment rate (% of labour force that was unemployed during reference period), population aged 15+ years.
Early Life/ Childhood Risk and Protective Factors
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
Breastfeeding % of women who reported exclusive breastfeeding of their child for at least the first 6 months of life, women aged 15+ years. 26.2% CCHS (2011-2012) Description of % of women who reported exclusive breastfeeding of their child for at least the first 6 months of life, women aged 15+ years.
Birth weight % of live births with a low birth weight. 6.1% CVS (2011) Description of % of live births with a low birth weight.
Exposure to Second-Hand Smoke % of households with children aged less than 12 years regularly exposed to environmental tobacco smoke at home. 3.1% CTADS (2013) Description of % of households with children aged less than 12 years regularly exposed to environmental tobacco smoke at home.
Family violence % of population that experienced any of three types of child abuse [physical abuse, sexual abuse or exposure to intimate partner violence] before the age of 16. 32.3% CCHS-MH (2012) Description of % of population that experienced any of three types of child abuse [physical abuse, sexual abuse or exposure to intimate partner violence] before the age of 16.
Behavioural Risk and Protective Factors
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
Physical activity % of children and youth accumulating at least 60 minutes of moderate-to-vigorous physical activity per day, population aged 5–17 years. 9.3% CHMS (2012-2013) Description of % of children and youth accumulating at least 60 minutes of moderate-to-vigorous physical activity per day, population aged 5–17 years.
Physical activity % of adults who met physical activity guidelines by accumulating at least 150 minutes of moderate-to-vigorous physical activity each week, in bouts of 10 minutes or more, population aged 18+ years. 22.2% CHMS (2012-2013) Description of % of adults who met physical activity guidelines by accumulating at least 150 minutes of moderate-to-vigorous physical activity each week, in bouts of 10 minutes or more, population aged 18+ years.
Sedentary behaviour % children and youth spending more than 2 hours per day watching television or using computers during leisure-time, population aged 5–17 years. 51.8%b CHMS (2012-2013) Description of % children and youth spending more than 2 hours per day watching television or using computers during leisure-time, population aged 5–17 years.
Sedentary behaviour Average amount of time per day spent sedentary, excluding sleep time, population aged 5–17 years. 8.5 hours CHMS (2012-2013) Description of Average amount of time per day spent sedentary, excluding sleep time, population aged 5–17 years.
Sedentary behaviour Average amount of time per day spent sedentary, excluding sleep time, population aged 18+ years. 9.8 hours CHMS (2012-2013) Description of Average amount of time per day spent sedentary, excluding sleep time, population aged 18+ years.
Healthy eating % of population that reported consuming fruit and vegetables at least 5 times per day, population aged 12+ years. 39.7% CCHS (2014) Description of % of population that reported consuming fruit and vegetables at least 5 times per day, population aged 12+ years.
Unhealthy eating % of children and youth who reported drinking sugar-sweetened beverages daily, population aged 5–17 years. 17.2% CHMS (2012-2013) Description of % of children and youth who reported drinking sugar-sweetened beverages daily, population aged 5–17 years.
Adequate sleep % of children and youth who reported obtaining adequate daily sleep (10–13 hours for those aged 5 years, 9–11 hours for ages 6–13 years, and 8–10 hours for ages 14–17 years), population aged 5–17 years. 74.6% CHMS (2012-2013) Description of % of children and youth who reported obtaining adequate daily sleep (10–13 hours for those aged 5 years, 9–11 hours for ages 6–13 years, and 8–10 hours for ages 14–17 years), population aged 5–17 years.
Chronic stress and coping % of population that reported a high level of coping, population aged 18+ years. 56.9% CCHS-MH (2012) Description of % of population that reported a high level of coping, population aged 18+ years.
Chronic stress and coping % of population that reported life to be “quite a bit” or “extremely” stressful most days in the last 12 months, population aged 12+ years. 22.4% CCHS (2014) Description of % of population that reported life to be “quite a bit” or “extremely” stressful most days in the last 12 months, population aged 12+ years.
Alcohol use % of population that exceeds low risk alcohol drinking guidelines for chronic drinking, population aged 15+ years. 15.7% CTADS (2013) Description of % of population that exceeds low risk alcohol drinking guidelines for chronic drinking, population aged 15+ years.
Smoking % of population that reported being current smokers (daily or occasional), population aged 15+ years. 14.6% CTADS (2013) Description of % of population that reported being current smokers (daily or occasional), population aged 15+ years.
Smoking % of population that reports being current smokers (daily), population aged 15+ years. 10.9% CTADS (2013) Description of % of population that reports being current smokers (daily), population aged 15+ years.
Risk Conditions
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
Obesity % of population that is obese (measured), children and youth aged 5–17 years. 12.5% CHMS (2012-2013) Description of % of population that is obese (measured), children and youth aged 5–17 years.
Obesity % of population that is obese (measured), population aged 18+ years. 26.4% CHMS (2012-2013) Description of % of population that is obese (measured), population aged 18+ years.
Elevated blood glucose % of population that has elevatedc blood glucose (measured), population aged 20+ years. 4.1% CHMS (2012-2013) Description of % of population that has elevatedc blood glucose (measured), population aged 20+ years.
Elevated blood cholesterol % of population that has elevatedc blood cholesterol [TC:HDL-C ratio] (measured), population aged 20+ years. 16.8% CHMS (2012-2013) Description of % of population that has elevatedc blood cholesterol [TC:HDL-C ratio] (measured), population aged 20+ years.
Hypertension Prevalence of hypertension, population aged 20+ years. 24.9% CCDSS (2011/12)d Description of Prevalence of hypertension, population aged 20+ years.
Disease Prevention Practices
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
Contact with health care professional % of population that reported consulting a family physician or general practitioner at least once in the past 12 months, population aged 12+ years. 75.6% CCHS (2014) Description of % of population that reported consulting a family physician or general practitioner at least once in the past 12 months, population aged 12+ years.
Contact with health care professional % of population that reported consulting a dentist, dental hygienist or orthodontist at least once in the past 12 months, population aged 12+ years 66.9% CCHS (2014) Description of % of population that reported consulting a dentist, dental hygienist or orthodontist at least once in the past 12 months, population aged 12+ years
Disease screening % of women who reported having a mammogram at least once in the past 5 years, population aged 50–74 years. 83.5% CCHS (2012) Description of % of women who reported having a mammogram at least once in the past 5 years, population aged 50–74 years.
Disease screening % of women who reported having at least 1 Pap smear test in the past 3 years, population aged 25–69 years. 79.7% CCHS (2012) Description of % of women who reported having at least 1 Pap smear test in the past 3 years, population aged 25–69 years.
Disease screening % of population that reported having at least 1 fecal occult blood test, colonoscopy and/or sigmoidoscopy in the recommended time period, population aged 50–74 years. 51.1% CCHS (2012) Description of % of population that reported having at least 1 fecal occult blood test, colonoscopy and/or sigmoidoscopy in the recommended time period, population aged 50–74 years.
Vaccination (influenza) % of population living with a chronic health condition that reported having a seasonal flu shot in the past 12 months, population aged 12+ years. 50.4% CCHS (2014) Description of % of population living with a chronic health condition that reported having a seasonal flu shot in the past 12 months, population aged 12+ years.
Health Outcomes/Status
Indicator Group Indicator Measure(s) Latest Dataa Source (Year) Description
General health % of population that rates their health as “very good” or “excellent”, population aged 12+ years. 59.1% CCHS (2014) Description of % of population that rates their health as “very good” or “excellent”, population aged 12+ years.
General health % of population that rates their mental health as “very good” or “excellent”, population aged 12+ years. 71.2% CCHS (2014) Description of % of population that rates their mental health as “very good” or “excellent”, population aged 12+ years.
General health Life expectancy at birth. 83.0 years CCDSS (2009/10 - 2011/12) Description of Life expectancy at birth.
General health Life expectancy at 65 years. 21.5 years CCDSS (2009/10 - 2011/12) Description of Life expectancy at 65 years.
General health Health-adjusted life expectancy at birth. 72.6 years CCDSS (2008/09 - 2010/11) Description of Health-adjusted life expectancy at birth.
General health Health-adjusted life expectancy at 65 years of age. 16.4 years CCDSS (2008/09 - 2010/11) Description of Health-adjusted life expectancy at 65 years of age.
Morbidity (Prevalence) % of population with at least one of 10 main chronic diseasese, population aged 20+ years. 38.4% CCHS (2014) Description of % of population with at least one of 10 main chronic diseasese, population aged 20+ years.
Morbidity (Prevalence) % of population with at least 1 majorf chronic disease (cancer, diabetes, cardiovascular disease, chronic respiratory diseases), population aged 20+ years. 21.4% CCHS (2014) Description of % of population with at least 1 majorf chronic disease (cancer, diabetes, cardiovascular disease, chronic respiratory diseases), population aged 20+ years.
Morbidity (Prevalence) Prevalence of diabetes, children and youth aged 1–19 years. 0.3% CCDSS (2011/12) Description of Prevalence of diabetes, children and youth aged 1–19 years.
Morbidity (Prevalence) Prevalence of diabetes, population aged 20+ years. 9.8% CCDSS (2011/12) Description of Prevalence of diabetes, population aged 20+ years.
Morbidity (Prevalence) Prevalence of cardiovascular disease (self-reported), population aged 20+ years. 6.2% CCHS (2014) Description of Prevalence of cardiovascular disease (self-reported), population aged 20+ years.
Morbidity (Prevalence) Prevalence of stroke, population aged 20+ years. 2.7% CCDSS (2011/12) Description of Prevalence of stroke, population aged 20+ years.
Morbidity (Prevalence) Prevalence of heart failure, population aged 40+ years. 3.6% CCDSS (2011/12) Description of Prevalence of heart failure, population aged 40+ years.
Morbidity (Prevalence) Prevalence of ischemic heart disease, population aged 20+ years. 8.4% CCDSS (2011/12) Description of Prevalence of ischemic heart disease, population aged 20+ years.
Morbidity (Prevalence) Prevalence of asthma, children and youth aged 1–19 years. 15.3% CCDSS (2011/12) Description of Prevalence of asthma, children and youth aged 1–19 years.
Morbidity (Prevalence) Prevalence of asthma, population aged 20+ years. 9.5% CCDSS (2011/12) Description of Prevalence of asthma, population aged 20+ years.
Morbidity (Prevalence) Prevalence of chronic obstructive pulmonary disease, population aged 35+ years. 9.6% CCDSS (2011/12) Description of Prevalence of chronic obstructive pulmonary disease, population aged 35+ years.
Morbidity (Prevalence) Prevalence of arthritis, population aged 20+ years. 17.9% CCHS (2014) Description of Prevalence of arthritis, population aged 20+ years.
Morbidity (Prevalence) Prevalence of lifetime mental illness and substance use disorders, population aged 15+ years. 33.3% CCHS-MH (2012) Description of Prevalence of lifetime mental illness and substance use disorders, population aged 15+ years.
Morbidity (Prevalence) Annual prevalence of the use of health services for mental disorders, children and youth aged 1–19 years. 8.7% CCDSS (2011/12) Description of Annual prevalence of the use of health services for mental disorders, children and youth aged 1–19 years.
Morbidity (Prevalence) Annual prevalence of the use of health services for mental disorders, population aged 20+ years. 16.3% CCDSS (2011/12) Description of Annual prevalence of the use of health services for mental disorders, population aged 20+ years.
Morbidity (Prevalence) Prevalence of mood and/or anxiety disorders, children and youth aged 12–19 years. 9.3% CCHS (2014) Description of Prevalence of mood and/or anxiety disorders, children and youth aged 12–19 years.
Morbidity (Prevalence) Prevalence of mood and/or anxiety disorders, population aged 20+ years. 12.0% CCHS (2014) Description of Prevalence of mood and/or anxiety disorders, population aged 20+ years.
Morbidity (Prevalence) Prevalence of diagnosed osteoporosis, population aged 40+ years. 11.6% CCDSS (2011/12) Description of Prevalence of diagnosed osteoporosis, population aged 40+ years.
Morbidity (Prevalence) % of the population that has been diagnosed with cancer in the previous 10 years. 2.4% CCR (1999-2008) Description of % of the population that has been diagnosed with cancer in the previous 10 years.
Morbidity (Incidence) Incidence rate of diabetes, children and youth aged 1–19 years. 41.0 per 100 000 CCDSS (2011/12) Description of Incidence rate of diabetes, children and youth aged 1–19 years.
Morbidity (Incidence) Incidence rate of diabetes, population aged 20+ years. 790.5 per 100 000 CCDSS (2011/12) Description of Incidence rate of diabetes, population aged 20+ years.
Morbidity (Incidence) Incidence rate of asthma, children and youth aged 1–19 years. 1079.7 per 100 000 CCDSS (2011/12) Description of Incidence rate of asthma, children and youth aged 1–19 years.
Morbidity (Incidence) Incidence rate of asthma, population aged 20+ years. 353.2 per 100 000 CCDSS (2011/12) Description of Incidence rate of asthma, population aged 20+ years.
Morbidity (Incidence) Incidence rate of chronic obstructive pulmonary disease, population aged 35+ years. 885.2 per 100 000 CCDSS (2011/12) Description of Incidence rate of chronic obstructive pulmonary disease, population aged 35+ years.
Morbidity (Incidence) Incidence rate of heart failure, population aged 40+ years. 522.6 per 100 000 CCDSS (2011/12) Description of Incidence rate of heart failure, population aged 40+ years.
Morbidity (Incidence) Incidence rate of ischemic heart disease, population aged 20+ years. 631.0 per 100 000 CCDSS (2011/12) Description of Incidence rate of ischemic heart disease, population aged 20+ years.
Morbidity (Incidence) Incidence rate of acute myocardial infarction, population aged 20+ years. 220.0 per 100 000 CCDSS (2011/12) Description of Incidence rate of acute myocardial infarction, population aged 20+ years.
Morbidity (Incidence) Annual hip fracture rates, population aged 40+ years. 149.7 per 100 000 CCDSS (2011/12) Description of Annual hip fracture rates, population aged 40+ years.
Morbidity (Incidence) Incidence rate of all cancers, all male population. 438.0 per 100 000g CCR (2010) Description of Incidence rate of all cancers, all male population.
Morbidity (Incidence) Incidence rate of all cancers, all female population. 368.0 per 100 000g CCR (2010) Description of Incidence rate of all cancers, all female population.
Morbidity (Incidence) Incidence rate of all unintentional injuries, total population. 607.3 per 100 000 HMDB (2010-2011) Description of Incidence rate of all unintentional injuries, total population.
Morbidity (Incidence) Incidence rate of all injuries due to intentional self-harm, total population. 47.4 per 100 000 HMDB (2010-2011) Description of Incidence rate of all injuries due to intentional self-harm, total population.
Morbidity (Incidence) Incidence rate of all injuries due to assault, total population. 24.1 per 100 000 HMDB (2010-2011) Description of Incidence rate of all injuries due to assault, total population.
Multimorbidity % of population with multiple chronic diseasese (2+ of 10 chronic diseases), population aged 20+ years. 14.8% CCHS (2014) Description of % of population with multiple chronic diseasese (2+ of 10 chronic diseases), population aged 20+ years.
Disability % of population that reported being limited in their activities “sometimes” or “often” due to disease/illness, population aged 12+ years. 32.7% CCHS (2014) Description of % of population that reported being limited in their activities “sometimes” or “often” due to disease/illness, population aged 12+ years.
Mortality Mortality rate due to a major chronic disease (cardiovascular diseases, all cancers, chronic respiratory diseases, diabetes), total population. 469.9 per 100 000 CVS (2012) Description of Mortality rate due to a major chronic disease (cardiovascular diseases, all cancers, chronic respiratory diseases, diabetes), total population.
Mortality Mortality rate due to cardiovascular diseases, total population. 191.9 per 100 000 CVS (2012) Description of Mortality rate due to cardiovascular diseases, total population.
Mortality Mortality rate due to cancer, total population. 213.2 per 100 000 CVS (2012) Description of Mortality rate due to cancer, total population.
Mortality Mortality rate due to chronic respiratory diseases, total population. 44.8 per 100 000 CVS (2012) Description of Mortality rate due to chronic respiratory diseases, total population.
Mortality Mortality rate due to all unintentional injuries, total population. 32.4 per 100 000 CVS (2012) Description of Mortality rate due to all unintentional injuries, total population.
Mortality Mortality rate due to homicides, total population. 1.4 per 100 000 CVS (2012) Description of Mortality rate due to homicides, total population.
Mortality Mortality rate due to suicide, total population. 11.3 per 100 000 CVS (2012) Description of Mortality rate due to suicide, total population.
Mortality Mortality rate due to diabetes, total population. 20.0 per 100 000 CVS (2012) Description of Mortality rate due to diabetes, total population.
Premature mortality Probability of dying (%) between ages 30 and 69 years from major chronic diseases (CVD, cancer, chronic respiratory diseases, diabetes). 10.7% CVS (2012) Description of Probability of dying (%) between ages 30 and 69 years from major chronic diseases (CVD, cancer, chronic respiratory diseases, diabetes).
Premature mortality Probability of dying (%) between ages 30 and 69 years from cardiovascular disease. 3.2% CVS (2012) Description of Probability of dying (%) between ages 30 and 69 years from cardiovascular disease.
Premature mortality Probability of dying (%) between ages 30 and 69 years from cancer. 6.8% CVS (2012) Description of Probability of dying (%) between ages 30 and 69 years from cancer.
Premature mortality Probability of dying (%) between ages 30 and 69 years from chronic respiratory diseases. 0.7% CVS (2012) Description of Probability of dying (%) between ages 30 and 69 years from chronic respiratory diseases.
Premature mortality Probability of dying (%) between ages 30 and 69 years from diabetes. 0.5% CVS (2012) Description of Probability of dying (%) between ages 30 and 69 years from diabetes.

Notes

  • Abbreviations: CCDSS, Canadian Chronic Disease Surveillance System; CCHS, Canadian Community Health Survey; CCR, Canadian Cancer Registry; CHMS, Canadian Health Measures Survey; CIS, Canadian Income Survey; CTADS, Canadian Tobacco, Alcohol and Drugs Survey; CVD, Cardiovascular Disease; CVS, Canadian Vitals Statistics; HDL-C, high-density lipoprotein cholesterol; HMBD, Hospital Morbidity Database; LFS, Labour Force Survey; MH, Mental Health; TC, total cholesterol.
  • a All pan-Canadian rates in this table are crude unless otherwise stated.
  • b The estimates for sedentary behaviour differ from those presented in the 2015 CDIIF due to an adjustment made to account for a change in variable formatting during the survey's data collection.
  • c This indicator captures people found to have elevated levels of the condition when assessed at a single clinical visit regardless of diagnosis status (i.e. those previously diagnosed and well controlled are not captured).
  • d CHMS data exist for this indicator presenting pan-Canadian rates according to diagnosis and control status of hypertension.
  • e The ten chronic diseases included are: heart disease, stroke, cancer, asthma, chronic obstructive pulmonary disease, diabetes, arthritis, Alzheimer’s or other dementia, mood disorder (depression), and anxiety.
  • f The four main groups of chronic diseases include: cancer, diabetes, cardiovascular disease (heart disease and/or stroke), chronic respiratory diseases (asthma and/or chronic obstructive pulmonary disease).
  • g Rates are age-standardized to the 1991 Canadian population.
  • Correspondence: Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON K1A 0K9; Email: Infobase@phac-aspc.gc.ca
  • Suggested Citation: Centre for Chronic Disease Prevention, Public Health Agency of Canada. Chronic Disease and Injury Indicator Framework: 2016 Edition. Ottawa (ON): Public Health Agency of Canada; 2016.
Date modified: