3. a. karnite - improvements in the linkage between drid ... · improvements in the linkage between...

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Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox National Focal Point Assistant Professor, Riga Stradins University [email protected] EMCDDA, Lisbon, October 2014

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Page 1: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Improvements in the linkage

between DRID and TDI in Latvia

ANDA KARNITE, MPH, PHD

National DRID expert, Latvian Reitox National Focal Point

Assistant Professor, Riga Stradins University

[email protected]

EMCDDA, Lisbon, October 2014

Page 2: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Registration form of a

narcological patient

Page 3: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Registration form of a

narcological patient (2)

Page 4: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Data from PREDA, 2013

• 13786 episodes of treatment = 7297 treated individuals

Data entry in PREDA

(Patient Register Data –unified data system for register of patients

suffering from certain diseases)

Page 5: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

HIV testing among narcological patients

(2013)

1222;

52%

714;

30%

269;

12%

139;

6%

never tested during the lifetime last year last month

In 68% of the cases

(individuals) the

information on testing

is missing

Page 6: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

HCV testing among narcological patients

(2013)In 68% of the cases

(individuals) the

information on testing

is missing

1190;

51%

730;

32%

282;

12%

123;

5%

never tested during the lifetime last year last month

Page 7: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

HIV testing according to gender

(individuals)

1013;

54.5%209;

43.0%

845;

45.5%277;

57.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Males Females

Not tested Tested

Page 8: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

HIV testing according to age

(individuals)

n=164

n=180

n=301

n=308

n=269

n=49

n=473

n=329

n=166

n=105

0% 20% 40% 60% 80% 100%

<25

25-34

35-44

45-54

55+

Not tested Tested

Page 9: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

HIV testing according to ICD-10

(episodes)

0% 20% 40% 60% 80% 100%

F10 (alcohol)

F11 (opioids)

F12 (cannabinoids)

F13 (sedatives)

F14 (cocaine)

F15 (stimulants)

F17 (tobacco)

F18 (solvents)

F19 (polydrug)

Not tested

Tested

Missing

Page 10: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Injecting experience (episodes)

804;

5.8% 987;

7.2%656;

4.8%

1488;

10.8%

9851;

71.4%

never

lifetime

last year

last month

missing

Needle sharing –

basically information

missing; sharing ever

in lifetime – 100%

Page 11: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox

Challanges

• Quality of filling in the forms

• Validity of self-reported HIV testing status

• Treatment episodes vs. treated individuals

• Information changing over the time – longitudinal

data analysis?

Page 12: 3. A. Karnite - Improvements in the linkage between DRID ... · Improvements in the linkage between DRID and TDI in Latvia ANDA KARNITE, MPH, PHD National DRID expert, Latvian Reitox