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Because health behaviours can be influenced at many different levels, there is value in examining differences in risk factors and health behaviours between the largest cities in Canada. A recent Cancer System Performance Spotlight Report on population health produced by the System Performance Initiative at the Canadian Partnership Against Cancer examines differences in risk factors and health behaviours for the largest cities in Canada1. Approximately one third of cancers can be prevented by not smoking; another third can be prevented through a combination of eating nutritious food, limiting alcohol consumption, participating in regular physical activity, and maintaining a healthy body weight2.  Understanding the role of risk factors and their prevalence in urban communities can help to guide prevention at the municipal level, where urban planning and infrastructure, policies, and bylaws can influence the behaviour of residents. For the largest metropolitan areas in Canada, indicators are presented for these risk factors: tobacco use, exposure to second-hand smoke, and overweight and obesity. The results identify substantial differences in the prevalence of risk factors in different metropolitan areas across Canada. Although the general trend was for healthier lifestyles in cities in the western parts of the country compared with their eastern counterparts (and better cancer-risk profiles as a result), there were often striking differences between cities in the same province.

Examining Cancer-Risk Profiles for the Largest Metropolitan Areas across Canada