Funded by the Canadian Institutes of Heath Research, the overall objective of the 2004 Canadian Campus Survey is to build understanding regarding the individual, social and environmental determinants of hazardous drinking. This preliminary report describes (1) the prevalence of alcohol use, other drug use, mental health and gambling problems among Canadian undergraduates interviewed in 2004, (2) relationships between these outcomes and student characteristics, and (3) whether such outcomes have changed since 1998. Methods A random sample of 6,282 full-time university undergraduates (41 % of eligible students) drawn from 40 universities completed questionnaires by mail (56%) or online (44%) during March and April 2004. Sixty-four universities with an enrolment of about 642,000 Canadian undergraduates, met the following criteria for inclusion: (1) had a Registrar, (2) had more than 1000 full-time degree undergraduates, (3) had students physically attend classes (i.e., online universities were excluded), (4) were publicly-funded, and (5) were non-military or non-theological. Of the 64 universities (69 campuses) that met the eligibility criteria, 40 (45 campuses) agreed to participate, representing completion rates of 63 % of universities and 65 % of campuses. The sample of 6,282 undergraduates averaged 22 years of age ranged in age between 16 and 65 years and included 2,248 men and 4,034 women. The sample comprised, 793 students were surveyed from universities in British Columbia, 513 from the Prairies, 2,107 from Ontario, 2,076 from Québec and 793 from th
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