Treatment Demand Data: a breakdown by gender in some EU countries Linda Montanari, Colin Taylor, Lisbon, 22-23 September 2004 Annual Expert Meeting on.

Treatment Demand Data: a breakdown by gender in some EU countries

Linda Montanari, Colin Taylor, Lisbon, 22-23 September 2004

Annual Expert Meeting on Treatment Demand Indicator

Basic analysis on gender using TDI data

• Sources: ST 4 and TDI

• Outpatient treatment centres

• 2002 data and trends up to 2000

• Baseline of countries, but not all data available

• Focus on: • Males/Females ratio• Trends in males/females distribution• Primary Drug• Socio-demographic information• Injection

Males/Females ratio among new clients in outpatient treatment centres

4.24.14.3

1.0

2.0

3.0

4.0

5.0

6.0

New clients Clients previouslytreated

All clients

Source: TDI data –Outpatient Treatment Centers Year: 2002Countries included: CZ, DK, FIN, GE, GR, LUX, NL, SP, SL, SWNew clients: 47 660; Clients previsouly treated: n. 42 558; All clients: n. 89 918

Males/Females ratio among:all clients (2002) / drug related deaths (2000-2002)

0

1

2

3

4

5

6

7

All clients (2002) (n. 84 449) Acute Drug Related Deaths(2000+2001+2002) (n. 8436)

Source: TDI data - ST. 3; Year: 2002Acute DRD – ST 6; Years: 2000 + 2001 +2002Countries included: CZ, DK, FIN, GE, GR, LUX, NL, SP, SL, SW

Males/Females ratio among:all clients (2002) and drug related deaths (2000-2002)

Source: ST. 3; Year: 2002; All clients: n. 84 449Acute DRD – ST 6; Years : 2000+2001+2002; N. DRD: n. 8 436

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

Czech

Rep

ublic

Denm

ark

German

y

Greec

eSpa

in

Luxe

mbo

urg

Nethe

rland

s

Sloven

ia

Finlan

d

Sweden

All clients (2002)

Acute Drug Related Deaths(2000+2001+2002)

Males/Females ratio by year among new clientsin outpatient centres over three years

0

1

2

3

4

5

6

7

Denm

ark

Germ

any

Greec

e

Spain

Nether

lands

Finla

nd

Sweden

Total

2000

2001

2002

Source: TDI data – Outpatient Treatment Centres; Year: 2000, 2001, 2002New clients; 2000: n. 40 615; 2001: n. 40907; 2002: n. 42 427Some countries were not included since data were not available

New clients in treatment in some EU countries 2000-2001-2002 (index on 2000 data)

Source: TDI data – ST 3; Year: 2000; 2001, 2002New clients

0

50

100

150

200

250

2000(n.28403)

2001(n. 28457)

2002(n.29038)

Greece (n.1049)

Germany (n.6071)

Slovenia (n.377)

Denmark (n.1057)

Netherlands(n.4074)Czech Republic(n.4148)Finland (n.909)

Spain (n.17135)

Hungary (n.4701)

Sweden (n.688)

Males/Females ratio by primary drug amongnew clients in 2002

0

1

2

3

4

5

6

7

Co

ca

ine

Ca

nn

ab

is

Vo

lati

leIn

ha

lan

ts

Ha

lluc

ino

ge

ns

Op

iate

s

Sti

mu

lan

ts

Hy

pn

oti

cs

an

d S

ed

ati

ve

s

Oth

er

Su

bs

tan

ce

s

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients by primary drug: n. 41 518Countries included: Cz, Dk, Ge, Gr, Sp, Nl, Sl, Fi, Sw

Proportion of women in treatment by sources of referral in some EU countries (% by source + males/females ratio())

49.3

38.0

34.834.4

32.5

31.4

10.1Court/probation/Police

Social Services

Other Drug TreatmentCentres

Self Referred

Family and Friends

General Practitioners

Hospital /Medical Centre

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients by source of referrals: n. 14 584Countries included: Cz, Ge, Fi, Gr, Nl, Sl

(1.0)

(8.9)

(2.2)

(2.1)

(1.9)(1.9)

(1.6)

Age distribution among new clients in 2002

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients: n. 42 024Countries included: Cz, Dk, Ge, Gr, Sp, Hu, Nl, Sl, Fin, Sw

Age Groups Males/females ratio

<25 3.625-29 6.030-34 4.6

35-39 4.0>39 3.0

Age distribution among men and women (ratio) new clients in 2002: breakdown by country

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients: n. 42 024

1.84.5 4.1 5.5

3.2 3.6 2.5 2.5 2.5

4.93.8

3.75.2 4.5

5.6

3.3 4.33.7 5.2

2.1

3

3.32.6

1.8

9.5 6.2

0.7

3.29

1.6

0.8

3.6 4.1

>39

25-39

<25

Socio-demographic characteristics: % of men and women by level of education

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients by educational level: n. 26 068Countries included: Cz, Dk, Ge, Gr, Sp, Nl, Sl, Fin, Sw

81.3 84.8 81.1 74.4

18.7 15.2 18.9 25.6

0%

20%

40%

60%

80%

100%

Never went toschool/

never completedprimary school

Primary level ofeducation

Secondary level ofeducation

Higher education

Males Row % Females Row %

Socio-demographic characteristics: % of men and women by labour status

47.9

10.43.0

30.732.1

16.6

7.2

32.2

0

10

20

30

40

50

60

Regular e

mplo

ymen

t

Pupil/Stu

dent

Econom

ical

ly in

activ

e (..

.

Unemplo

yed

Males

Females

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients by educational level: n. 28 517Countries included: Dk, Ge, Gr, Sp, Sl, Fin, Sw

Socio-demographic characteristics: Males/females ratio for living status

0 2 4 6 8 10

Living with parents

Alone with child(ren)

With partner andchild(ren)

In institutions

In an unstableaccomodation

Source: TDI data – Outpatient Treatment Centres; Year: 2002 –

All clients by living status: n. 3 892

Countries included: Cz, Dk, Ge, Gr, Lu, Sl, Fin, Sw

Ever injected any drug:males/females ratio among new clients

Source: TDI data – Outpatient Treatment Centres; Year: 2002New clients: n. 20 764Countries included: Dk, Ge, Gr, Sp, Sl, Fi, Sl, Sw

3.8

4.0

4.2

4.4

4.6

4.8

5.0

5.2

Ratio new clients Ever injected, butnot currently

Currently injecting Never injected

Issues….

• Prevalence data?

• Treatment organisation?

• Different accessibility to treatment?

• Cultural and social background?

• What else…..