{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T02:51:41Z","timestamp":1771210301731,"version":"3.50.1"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<sec>\t\t\t\t\n         <title>Introduction<\/title>\t\t\t\t\n\t\t\t<p>The 2023 Canadian Centre on Substance Use and Addiction drinking guidelines specify a universal low-risk threshold of 2 or fewer drinks per week, lower than previous guidelines that recommended no more than 10 drinks per week or 2 per occasion for females, and 15 per week or 3 per occasion for males. This study examined the increases in risk classification and perceptions of these new guideline thresholds.<\/p>\t\n\t\t<\/sec>\t\t\n\t<sec>\t\t\t\n         <title>Methods<\/title>\t\t\t\t\n\t\t\t<p>Prevalence of those exceeding the new low-risk threshold was compared with that of previous and other international guidelines in an observational cohort of community adults (N = 1502) from southern Ontario who had been followed since 2018 (11 waves of data collection). To examine awareness of the new guidelines and perceived risk of drinking beyond them, a follow-up was conducted with a subset of the cohort, three months after the release of the guidelines (April 2023).<\/p>\t\n \t<\/sec>\t\t\t\n\t<sec>\t\t\t\n        <title>Results<\/title>\t\t\t\t\n\t\t\t<p>Across waves, on average, 52% exceeded the new low-risk threshold compared to 11% who exceeded previous guidelines. Other international guidelines classified, on average, 16% (US), 20% (UK) and 29% (WHO) of the sample as exceeding low-risk guidelines. Approximately half of study participants (51%) were aware of Canada\u2019s new guidelines, but 77% perceived exceeding 2 drinks per week as having little to no risk.<\/p>\t\n\t\t<\/sec>\t\t\n\t   <sec>\t\t\t\n         <title>Conclusion<\/title>\t\t\t\t\n\t\t\t<p>Over four times more adults exceeded the new low-risk drinking threshold compared to that of the previous Canadian guidelines. Additionally, more were classified as exceeding the new low-risk threshold compared to other international drinking thresholds. These results, combined with low perceptions of risk associated with consuming more than 2 drinks per week, suggest that many Canadians are at risk of exceeding the new guidelines.<\/p>\t\n\t\t <\/sec>","DOI":"10.24095\/hpcdp.45.2.03","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T11:30:41Z","timestamp":1739187041000},"page":"85-97","source":"Crossref","is-referenced-by-count":3,"title":["The increase in risk classification using Canada\u2019s Guidance on Alcohol and Health: an empirical examination in a sample of community adults in Ontario"],"prefix":"10.24095","volume":"45","author":[{"given":"Kyla L.","family":"Belisario","sequence":"first","affiliation":[{"name":"Peter Boris Centre for Addictions Research, McMaster University; St. Joseph\u2019s Healthcare Hamilton, Hamilton, Ontario, Canada"},{"name":"Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Doggett","sequence":"additional","affiliation":[{"name":"Peter Boris Centre for Addictions Research, McMaster University; St. Joseph\u2019s Healthcare Hamilton, Hamilton, Ontario, Canada"},{"name":"Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"MacKillop","sequence":"additional","affiliation":[{"name":"Peter Boris Centre for Addictions Research, McMaster University; St. Joseph\u2019s Healthcare Hamilton, Hamilton, Ontario, Canada"},{"name":"Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-45-no-2-2025\/increase-risk-classification-guidance-alcohol-health-examination-sample-community-adults-ontario.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T11:30:45Z","timestamp":1739187045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-45-no-2-2025\/increase-risk-classification-guidance-alcohol-health-examination-sample-community-adults-ontario.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":0,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.45.2.03","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}