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
EMCDDA, Lisbon, October 2014
Registration form of a
narcological patient
Registration form of a
narcological patient (2)
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)
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
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
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
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
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
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%
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?
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