Chronic conditions in childhood: Overview
Insights from the 2019 and 2023 Canadian Health Survey on Children and Youth.
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Context
A healthy childhood lays the foundation for good health later in life. That’s why it’s important to understand how children and youth in Canada are doing, what affects their health and how things change over time. Long-term conditions that start early in life often have lasting impacts on physical and mental health. This is especially true if they aren’t identified, diagnosed and effectively managed through proper supports.Footnote 1 Detecting, treating or supporting these conditions early may improve future outcomes. Adopting healthy lifestyles and behaviours early can also help to reduce the risk of some chronic conditions and poorer health later in life.Footnote 2Footnote 3Footnote 4
This report describes the national prevalence of diagnosed long-term conditions in 2019 and 2023 overall, as well as by sex, age and geographic region (Prevalence tab). Between 2019 and 2023, there were profound changes in public health, social environments and healthcare access due to the COVID-19 pandemic.
Analyzing data from these 2 cycles of the Canadian Health Survey on Children and Youth (CHSCY) offers a unique opportunity to:
- provide a baseline measure of long-term conditions in children and youth before the pandemic disrupted healthcare systems, routines and social supports
- provide a profile of the long-term conditions in children and youth after these pandemic related disruptions
- identify what to monitor through future cycles of the survey, other appropriate data sources or research studies
This report also compares the sociodemographic and health profile of those with and without long-term conditions in 2023 (Determinants and outcomes tab). The data in this report aims to provide initial insights to help guide public health programs for children and youth and point where we need more information.
Data source
This report uses cross-sectional data from the 2019 and 2023 cycles of the CHSCY. To develop and implement the 2023 cycle, the Public Health Agency of Canada collaborated with:
- Statistics Canada
- a national research team led by McMaster's Offord Centre for Child Studies
This important survey supports the collection, monitoring and analysis of health data in children and youth. You can access more data from this cycle in The Daily: Results from the 2023 Canadian Health Survey on Children and Youth, healthcare access.
You can find more details on the data source and variables used within this report in technical notes.
Key findings
Based on the 2019 and 2023 CHSCY:
- 24.8% (or more than 1.6 million) of children and youth aged 1 to 17 years had a diagnosed long-term condition in 2023.
- This is an increase from 23.0% in 2019.
- In both years, there was a higher prevalence of long-term conditions in males compared to females.
- The prevalence also increased with age.
- In 2023, the most prevalent conditions were:
- attention deficit hyperactivity disorder (ADHD) (8.4%)
- learning disabilities or disorders (6.8%)
- asthma (6.4%)
- Most long-term conditions remained stable between 2019 and 2023. The exceptions were:
- decreases in the prevalence of asthma (7.0% to 6.4%) and learning disabilities or disorders (8.4% to 6.8%)
- increases in the prevalence of ADHD (6.7% to 8.4%) and autism (2.0% to 3.0%)
Learn more in the Prevalence tab.
Based on the 2023 CHSCY, compared to children and youth without a long-term condition:
- a lower proportion of those with a long-term condition:
- lived in an urban area
- were a visible minority
- were from an immigrant family
- had parents with a bachelor’s degree or higher
- a higher proportion of those with a long-term condition were First Nation or Métis
- a higher proportion of those with a long-term condition experienced poorer physical health and lower positive mental health outcomes
- a lower proportion of those with a long-term condition met the Canadian 24-Hour Movement Guidelines for physical activity, sleep and screen time
Learn more in the Determinants and outcomes tab.
References
- Reference 1
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Canadian Institute for Health Information. Care for children and youth with mental disorders. Ottawa, ON: Canadian Institute for Health Information; 2015 [cited 2026 Mar 12]. Available from: https://www.cihi.ca/sites/default/files/document/care-children-youth-with-mental-disorders-en.pdf
- Reference 2
-
Public Health Agency of Canada. The Chief Public Health Officer’s report on the state of public health in Canada 2011 – youth and young adults – life in transition. Ottawa, ON: Public Health Agency of Canada ; 2011 [cited 2026 Mar 12]. Available from: https://www.phac-aspc.gc.ca/cphorsphc-respcacsp/2011/pdf/cpho-resp-2011-eng.pdf
- Reference 3
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Zwaigenbaum L, Brian JA, & Ip A. Early detection for autism spectrum disorder in young children. Paediatr Child Health. 2019;24(7):424–443. https://doi.org/10.1093/pch/pxz119
- Reference 4
-
Lucier J, Mathias PM. Type 1 Diabetes. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507713/
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