Drogová závislosť liečba užívateľa drog v SR 2011

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1 E D Í C I A Z D R A V O T N Í C K A Š T A T I S T I K A Drogová závislosť liečba užívateľa drog v SR 2011 Drug Addiction Drug user treatment in the Slovak Republic in 2011

2 E D Í C I A Z D R A V O T N Í C K A Š T A T I S T I K A Drogová závislosť liečba užívateľa drog v SR 2011 Drug Addiction Drug user treatment in the Slovak Republic in 2011 Ročník 2012 ZŠ-44/2012

3 Národné centrum zdravotníckych informácií. Bratislava Bratislava Tel.: Lazaretská 26 Fax: Internet: Rozmnožovanie obsahu tejto publikácie, ako aj jednotlivých častí v pôvodnej alebo upravenej podobe je možné len s písomným súhlasom Národného centra zdravotníckych informácií. Údaje, ktoré sú obsahom tejto publikácie, je možné použiť len s uvedením zdroja. Copying contents of this publication either whole or single parts, both in original and adjusted form is possible only unless the National Health Information Center gives written permission. Data of this publication can be used only with identification of the source.

4 Obsah Úvod... 7 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a hlavných skupín užívanej primárnej drogy Podiel liečených drogovo závislých pacientov podľa hlavných skupín užívanej drogy (graf) Liečení užívatelia drog v rokoch (graf) Vývoj hlásených drogovo závislých pacientov podľa pohlavia a vekových skupín...15 Vývoj počtu liečených drogovo závislých pacientov podľa vekových skupín (graf) Vývoj počtu liečených drogovo závislých pacientov s trvalým bydliskom v SR (graf) Vývoj hlásených drogovo závislých pacientov podľa územia trvalého bydliska Vývoj drogovo závislých pacientov podľa krajov trvalého bydliska na obyvateľov...21 Prepočítaný počet liečených drogovo závislých osôb podľa trvalého bydliska (graf)...21 Drogovo závislí pacienti podľa pohlavia, vekových skupín a krajov trvalého bydliska Počet liečených drogovo závislých mužov podľa trvalého bydliska (graf) Počet liečených drogovo závislých žien podľa trvalého bydliska (graf) Drogovo závislí pacienti podľa pohlavia, hlavných skupín užívanej primárnej drogy a trvalého bydliska Drogovo závislí pacienti podľa pohlavia, rezortu a územia zdravotníckeho zariadenia... 27

5 Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej primárnej drogy...30 Drogovo závislí pacienti v SR podľa dĺžky užívania primárnej drogy v rokoch Drogovo závislí pacienti v SR podľa dĺžky užívania primárnej drogy v rokoch a územia zdravotníckeho zariadenia Dĺžka pravidelného užívania drog u liečených pacientov podľa územia zdravotníckeho zariadenia (graf) Drogovo závislí pacienti podľa dovŕšeného veku života a dĺžky užívania primárnej drogy (v rokoch) Drogovo závislí pacienti podľa spôsobu podávania užívanej primárnej drogy podľa územia zdravotníckeho zariadenia Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej sekundárnej drogy (S Drogovo závislí pacienti podľa pohlavia, užívania primárnej drogy a pracovného stavu...58 Úroveň vzdelania u drogovo závislých pacientov podľa užívania primárnej drogy, sekundárnej drogy (S1 S2)...66 Podiel liečených drogovo závislých pacientov podľa pracovného stavu (graf)...66 Úroveň vzdelania liečených drogovo závislých mužov podľa užívania primárnej a sekundárnej drogy (graf) Úroveň vzdelania liečených drogovo závislých žien podľa užívania primárnej a sekundárnej drogy (graf) Užívané drogy pri zápise diagnózy F Hlásení drogovo závislí pacienti podľa hlavných skupín užívanej drogy a priemerného veku...70 Vývoj priemerného veku liečených užívateľov drog podľa hlavných skupín užívanej drogy (graf)...70 Priemerný vek drogovo závislých pacientov podľa vybraných skupín užívanej drogy...71 Označenie krajov SR... 72

6 Content Preface... 9 Development of reported drug addicted patients according to sex and main groups of used primary drug Share of treated patients from drug addiction according to main groups of drug (graph) Treated drug users in (graph) Development of reported drug addicted patients according to sex, and age groups...15 Development of number of treated patients from drug addiction according to age groups (graph) Ddevelopment of number of treated patients from drug addiction with permannet address in the SR (graph) Development of reported drug addicted patients according to territory of permanent address Development of reported drug addicted patients according to regions of permanent address per inhabitants...21 Recalculated number of treated drug addicted persons according to permanent address (graph)...21 Drug addicted patients according to sex, age groups and territory of permanent address Number of treated drug addicted men according to permanent address (graph) Number of treated drug addicted women according to permanent address (graph) Drug addicted patients according to sex, main groups of used primary drug and region of permanent address Drug addicted patients according to sex, sector and territory of health facility... 27

7 Drug addicted patients according to sex, age groups and used primary drug...30 Drug addicted patients according to the period of primary drug use in years...38 Drug addicted patients according to the period of primary drug use in years and territory of health facility Length of regulary used drug among treated patients according to territory of health care facility (graph) Drug addicted patients according aetas perfecta and length of use of primary drug (in years) Patients addicted to drugs according to administration way of using primary drug in districts of health facility Drug addicted patients according to sex, age groups and secondary drug use (S...50 Drug addicted patients according to sex, primary drug use and working status...58 Drug addicted patients according to their education level and primary and secondary drug use (S1 S2) Share of treated drug addicted patients according to working status (graph) Level of education of treated drug addicted men according to use of primary and secondary drug (graph)...67 Level of education of treated drug addicted women according to use of primary and secondary drug (graph)...67 Used drugs with diagnosis F Reported drug addicted patients according to main groups of using drug and average age...70 Develpment of average age of treated drug users according to main groups of drug (graph)...70 Average age of drug addicted patients according to selected groups of using drug...71 Codes of regions in the SR... 72

8 Drogová závislosť liečba užívateľa drog v SR 2011 Úvod Národné centrum zdravotníckych informácií ponúka v publikácii Drogová závislosť liečba užívateľa drog v SR 2011 vybrané štatistické informácie o liečených užívateľoch drog. Zdrojom údajov je Hlásenie o užívateľovi drog liečenom zo závislosti ZS (MZ SR) 4-12, ktoré predkladajú vybrané spravodajské jednotky/vybrané zariadenia, ktoré poskytujú liečbu užívateľom drog prostredníctvom svojich špecializovaných i nešpecializovaných útvarov. Súbor obsahuje informácie spracované z rezortných a mimorezortných štatistických dát od zdravotníckych zariadení (medicínska liečba) a ďalších zariadení, ktoré poskytujú inú liečbu (zariadenia sociálnej starostlivosti, pedagogicko-psychologické poradne a pod.). Obsahová náplň formulára poskytuje za Slovensko porovnateľné informácie Európskej únii, Európskemu parlamentu a Európskej komisii v súlade s protokolom Indikátora dopytu po liečbe (IDL), ktorý vypracovalo Európske monitorovacie centrum pre drogy a drogovú závislosť (EMCDDA European Monitoring Centre for Drugs and Drug Addiction). V úvodnej časti nájdete prehľadné časové rady od roka 2001 o užívateľoch drog liečených zo závislosti, triedené podľa hlavných skupín užívanej primárnej drogy, pohlavia, vekovej kategórie a územia trvalého bydliska. Pod pojmom primárna (hlavná) označujeme drogu, ktorá je príčinou drogových problémov osoby, pre ktorú bola zahájená liečba a spôsobuje klientovi najväčšie problémy. Sekundárna droga (S, (S2), (S3), (S4) sú iné aktuálne užívané drogy. Poskytujú vecný obraz o mnohonásobnom užívaní drog. Celkový počet zo závislosti liečených užívateľov drog v roku 2011 bol 2 313, čo je nárast oproti minulému roku o 47 osôb, počet liečených mužov a 417 žien. Najvyšší podiel, až 70 % sú liečení užívatelia drog vo veku od 20 do 34 rokov. Vo vekovej skupine 15- až 19-ročných bolo v roku 2011 liečených 302 osôb a 14 detí vo veku do 14 rokov. Z prezentovaných údajov vidíme, že za posledné obdobia sa zvyšuje počet liečených pacientov vo vekovej kategórii osôb nad 55 rokov. Užívanie sekundárnej drogy (S evidujeme u 996 mužov a 192 žien, sekundárnu drogu (S2) u 475 mužov a 74 žien. V roku 2011 bola najčastejšie užívaná primárna droga pervitín (614 mužov a 145 žien) a heroín získaný na ulici, ktorý užívalo 362 mužov a 100 žien. Zvyšuje sa aj počet liečených pacientov (88) užívajúcich drogy patriace do skupiny hypnotík a sedatív. Od roka 2006 sledujeme v štatistickom zisťovaní užívanie kombinovaných psychoaktívnych drog, v roku 2011 sme zaznamenali 261 prípadov, čo je oproti roku 2010 až o 35 % viac. Dĺžku pravidelného užívania drog 11 a viac rokov udáva až 762 liečených osôb. Naďalej prevláda najčastejší spôsob užívania primárnej drogy injekčnou formou (817 prípadov), fajčením (589) a šnupaním (505) prípadov. Na území Slovenska malo trvalý pobyt pacientov liečených z drogovej závislosti, z toho najviac osôb bolo z Bratislavského kraja (684) s najvyšším počtom v okrese Bratislava 5 (190) a z Nitrianskeho kraja (37 s najvyšším počtom v okrese Nové Zámky (109). V roku 2011 sme zaznamenali najvyšší nárast užívateľov drog liečených zo závislosti s trvalým bydliskom v Košickom kraji (+36 osôb) oproti roku 2010 a úbytok liečených osôb s trvalým bydliskom v Banskobystrickom kraji (-53 osôb). V počte celkovo liečených pacientov z drogovej závislosti v roku 2011 je 6 osôb bez trvalého pobytu v SR. Z pohľadu úrovne vzdelania je zrejmé, že najpočetnejšiu skupinu tvoria pacienti s neukončeným a ukončeným stredným vzdelaním (1 192 osôb) a so základným vzdelaním (872 prípadov). Priemerný vek liečených drogovo závislých pacientov užívajúcich primárnu drogu je 28 rokov. Najvyšší počet zo závislosti liečených osôb podľa pracovného stavu bol v kategórii nezamestnaných (1 300 osôb). 7

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10 Drogová závislosť liečba užívateľa drog v SR 2011 Preface National Health Information Center in publication Drug addiction drug user treatment in the SR in 2011 published selected statistical information about profile of treated drug users. Data source is Report on the drug user treated from addiction ZS (MZ SR) 4-12, this report is submitted by selected statistical units/selected facilities providing treatment to drug users through their special and non-special units. Set contains the information processed by sectoral and non-sectoral statistics from health care facilities (medical treatment) and other facilities that provide another treatment (social care facilities, pedagogical and psychological counselling centers etc.). Content of the form provides comparable information from Slovakia for the European Union, the European Parliament and the European Commission in accordance with the protocol treatment demand indicator (TDI) prepared by the European monitoring center for drugs and drug addiction, EMCDDA. In the first part of the publication you can find time series of development of drug addicted patients reported since 2001 and processed by main groups of primary drug use, sex, age group and territory of residence. The term primary (main) drug refers to the drug, which is causing problems for a person whose treatment was started and which is causing the client the most problems. Secondary drug (S, (S2), (S3), (S4) is any other currently used drug. They provide a real picture about multiple drug use. There were drug addicted drug users in SR in 2011, of which were men and 417 women, in comparison with the year 2010 it was an increase by 47 persons. The highest share, more than 70 % are treated drug users in age group from 20 to 34 years. There were 302 treated persons in the age group 15 to 19 years old of which were treated 14 children in age group of 14 in the year From the statistical data it can be seen increasing number of treated patients in age groups over 55 years. Use of secondary drug (S is reported among 996 men and 192 women and use of secondary drug (S2) is reported among 475 men and 74 women. In the year 2011 the most frequently used primary drug was pervitin (614 men and 145 women) and heroin that was acquired in the street and was used among 362 men and 100 women. There is an increasing trend in number of treated patients (88) who are used drug from the group of hypnotics and sedatives. Using of combination of psychoactive substances has been monitored since 2006, there were 261 cases reported in the year 2011, it is an increase by 35 % compared to persons regularly used drug 11 and more years. Remaining way of use of primary drug was intravenous use as the most frequent way (817 cases), (589) cases of smoking and (505) cases of snuff taking drug treated patients were with permanent address in Slovakia, the most people were from Bratislava region (684) the largest number was in Bratislava 5 (190) and Nitra region (37 with the largest number in district of Nove Zamky (109). In 2011, we recorded the highest increase of drug addiction treatment of persons with permanent residence in Košice region (+36 persons) compared to 2010 and drop of treated persons with permanent residence in region of Banska Bystrica (-53 persons). In 2011, the total number of treated patients from drug addiction includes 6 persons without permanent address in the SR. According to level of completed education on the first palce are patients with uncompleted and completed with completed secondary education (1 192 cases) and with primary level of education (872 cases). Average age of treated drug users of primary drug is 28years. The largest number of drug addicted drug users according to working status was reported in category of unemployed (1 300) persons. 9

11 Drug Addiction Drug user treatment in the Slovak Republic in 2011 Vysvetlenie symbolov Explanations to symbols Ležatá čiarka Macron Nula Zero Bodka Dot Ležatý krížik Cross Veľké D Capital D Znak zlomu Break symbol z toho of which v tom ( ) jav sa nevyskytoval the phenomenon did not occur (0; 0,0; 0,00) znamená viac ako nulu, ale menej ako najmenšiu jednotku vyjadriteľnú v tabuľke (.) údaj nie je k dispozícii alebo je nespoľahlivý (x) (D) zápis nie je možný z logických dôvodov údaj nie je možné publikovať pre jeho dôverný charakter (~) prerušenie porovnateľnosti časového radu z metodických alebo iných dôvodov znamená neúplný výber položiek znamená úplný výber položiek denotes greater than zero but less than the smallest unit expressible in the table data is not available or reliable the entry is not possible for logical reasons data cannot be published because of its confidentiality cut in comparability of time series due to methodology or other reasons means incomplete or complete selection of items 10

12 Drogová závislosť liečba užívateľa drog v SR 2011 T 1 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a hlavných skupín užívanej primárnej drogy Development of reported drug addicted patients according to sex and main groups of used primary drug začatie Beginning of table v tom podľa skupín užívanej drogy in hoc according to groups of used drug Rok Year Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives halucinogény hallucinogens prchavé látky volatile inhalants cannabis (konope) cannabis (hemp) iné drogy other drugs kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet spolu / number total na obyvateľov / per population ,4 34,6 1,4 0,1 2,7 1,6 0,1 3,2 3,4 0, ,1 23,9 1,6 0,2 3,7 2,2 0,2 3,1 4,1 0, ,7 19,5 1,1 0,3 7,0 2,3 0,2 3,4 5,6 0, ,0 17,4 0,9 0,3 10,7 2,0 0,3 3,6 7,4 0, ,6 15,9 0,8 0,2 9,3 1,6 0,1 3,0 7,4 0, ,7 14,0 1,1 0,4 8,1 0,8 0,0 2,0 5,8 3, ,8 12,9 2,4 0,2 8,9 1,1 0,1 1,9 6,0 3, ,0 13,8 2,0 0,2 10,1 1,0 0,1 1,7 5,7 3, ,2 10,0 3,6 0,2 9,9 1,0 0,0 1,4 6,1 3, ,7 10,9 3,8 0,3 13,7 1,1 0,1 1,2 7,5 3, ,8 9,9 2,9 0,3 14,6 1,6 1,4 7,3 4,8 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 11

13 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 1 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a hlavných skupín užívanej primárnej drogy Development of reported drug addicted patients according to sex and main groups of used primary drug 1. pokračovanie 1 st continuation v tom podľa skupín užívanej drogy in hoc according to groups of used drug Rok Year Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives halucinogény hallucinogens prchavé látky volatile inhalants cannabis (konope) cannabis (hemp) iné drogy other drugs kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet muži / number males na mužov / per males ,4 55,4 1,9 0,3 4,3 1,9 0,3 6,2 5,8 0, ,4 38,2 2,2 0,4 6,0 2,6 0,3 5,9 7,4 0, ,2 30,8 1,4 0,5 11,7 1,9 0,3 6,4 9,9 0, ,2 27,4 1,2 0,5 17,8 1,7 0,6 6,9 13,6 0, ,4 24,8 1,4 0,4 15,7 1,3 0,2 5,7 13,6 0, ,7 22,1 1,8 0,7 12,9 0,6 0,0 3,6 10,4 5, ,5 20,2 4,2 0,3 14,5 1,1 0,2 3,6 11,2 5, ,0 21,6 3,5 0,3 17,3 1,0 0,2 3,0 11,0 6, ,9 15,8 5,6 0,3 15,9 0,9 0,1 2,7 11,5 5, ,4 18,0 6,0 0,5 23,1 1,1 0,1 2,1 14,4 5, ,1 16,1 4,8 0,5 24,2 1,8 2,5 13,8 8,4 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 12

14 Drogová závislosť liečba užívateľa drog v SR 2011 T 1 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a hlavných skupín užívanej primárnej drogy Development of reported drug addicted patients according to sex and main groups of used primary drug dokončenie End of table v tom podľa skupín užívanej drogy in hoc according to groups of used drug Rok Year Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives halucinogény hallucinogens prchavé látky volatile inhalants cannabis (konope) cannabis (hemp) iné drogy other drugs kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet ženy / number females na žien / per females ,0 15,0 0,8 0,0 1,1 1,4 0,4 1,2 0, ,4 10,4 1,0 0,0 1,5 1,9 0,1 0,5 0,9 0, ,5 8,8 0,8 0,1 2,7 2,6 0,1 0,5 1,5 0, ,5 8,0 0,7 0,1 4,1 2,0 0,1 0,5 1,5 0, ,2 7,6 0,3 0,0 3,3 1,8 0,4 1,6 0, ,1 6,3 0,5 0,1 3,5 1,0 0,5 1,4 1, ,4 5,9 0,8 0,1 3,6 1,0 0,3 1,0 1, ,5 6,5 0,5 0,1 3,3 1,1 0,5 0,7 0, ,8 4,6 1,8 0,1 4,1 1,1 0,2 0,9 1, ,6 4,3 1,8 0,1 4,8 1,1 0,4 0,9 1, ,1 4,1 1,0 0,1 5,4 1,5 0,3 1,1 1,4 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 13

15 Drug Addiction Drug user treatment in the Slovak Republic in 2011 G 1 Podiel liečených drogovo závislých pacientov podľa hlavných skupín užívanej drogy Share of treated patients from drug addiction according to main groups of drug Prchavé látky Volatile substances 3,2 % Hypnotiká a sedatíva Hypnotics and sedatives 3,8 % Cannabis (konope) Cannabis (hemp) 17,0 % Kombinované psychoaktívne drogy Combined psychoactive drugs 11,3 % Stimulanciá Stimulants 34,0 % Kokaín Cocaine 0,7 % Opiáty Opiate 29,9 % G 2 Liečení užívatelia drog v rokoch Treated drug users in Počet pacientov / Number of patients Rok / Year 14

16 T 2 začatie Drogová závislosť liečba užívateľa drog v SR 2011 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a vekových skupín Development of reported drug addicted patients according to sex, and age groups Beginning of table Rok Year Spolu Total v tom vo vekovej skupine / including in age group počet spolu / number total na obyvateľov / per population ,3 1,9 106,1 214,5 150,2 52,3 8, ,1 1,4 87,1 157,3 126,4 51,0 9, ,7 2,3 99,1 150,3 133,4 41,7 8, ,0 4,1 106,9 158,5 134,9 58,7 8, ,6 2,6 105,5 130,3 118,5 61,6 7, ,7 4,2 94,4 127,8 106,9 52,5 31,1 10,0 6,8 3,7 1, ,8 2,8 86,8 131,8 112,6 64,2 29,7 13,5 6,5 4,5 1, ,0 2,0 87,3 133,9 124,4 71,8 26,7 13,2 6,8 4,2 1, ,2 1,7 79,5 127,0 107,8 72,7 26,5 15,1 6,6 4,8 1, ,7 2,3 89,4 147,1 127,4 92,8 40,6 16,9 6,6 5,3 1, ,8 1,7 88,7 140,1 143,7 94,0 49,5 18,4 8,8 7,3 2,7 15

17 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 2 Vývoj hlásených drogovo závislých pacientov podľa pohlavia a vekových skupín Development of reported drug addicted patients according to sex, and age groups 1. pokračovanie 1 st continuation Rok Spolu v tom vo vekovej skupine počet muži / number males na mužov / per males ,3 3,3 155,6 342,8 240,5 78,4 11, ,1 1,8 128,5 247,3 211,9 83,8 12, ,1 3,0 144,0 239,6 217,6 70,0 9, ,2 7,3 167,8 253,8 217,9 92,9 11, ,4 4,2 167,5 214,4 195,4 99,5 10, ,7 6,0 141,7 197,6 173,8 85,9 45,8 11,0 8,1 3,6 1, ,5 4,5 135,3 208,4 183,3 104,0 45,8 16,9 6,7 5,6 1, ,0 3,9 137,2 221,0 202,9 117,9 42,0 18,2 8,9 5,1 1, ,9 3,0 125,7 202,9 170,2 115,7 44,4 21,3 7,4 4,1 0, ,4 3,1 136,2 250,0 208,0 147,8 68,7 25,2 10,0 5,7 1, ,1 2,8 135,0 232,8 234,2 158,4 79,3 27,6 9,6 7,4 3,6 16

18 Drogová závislosť liečba užívateľa drog v SR 2011 T 2 dokončenie Vývoj hlásených drogovo závislých pacientov podľa pohlavia a vekových skupín Development of reported drug addicted patients according to sex, and age groups End of table Rok Year Spolu Total v tom vo vekovej skupine / including in age group počet ženy / number females na žien / per females ,9 0,5 54,3 81,7 57,1 25,7 5, ,4 1,0 43,8 64,2 38,3 17,6 6, ,5 1,5 52,3 57,6 46,7 12,7 7, ,4 0,6 43,5 59,3 48,8 23,7 6, ,2 0,9 41,0 49,6 38,6 22,7 5, ,1 2,3 45,1 55,1 37,4 18,1 16,1 8,9 5,6 3,9 1, ,4 1,0 36,2 52,1 39,0 22,9 13,1 10,1 6,2 3,4 1, ,5 35,0 43,4 42,5 23,8 11,1 8,1 4,7 3,4 1, ,8 0,2 31,1 48,1 42,6 27,8 8,1 8,8 5,8 5,4 1, ,6 1,5 40,4 39,9 43,1 35,4 11,6 8,4 3,1 5,0 2, ,1 0,5 40,3 43,8 48,8 26,0 18,5 9,0 8,0 7,2 2,0 17

19 Drug Addiction Drug user treatment in the Slovak Republic in 2011 G 3 Vývoj počtu liečených drogovo závislých pacientov podľa vekových skupín Development of number of treated patients from drug addiction according to age groups Počet pacientov / Number of patients Rok / Year 0- až 19-roční / years 20- až 29-roční / years 30- až 39-roční / years 40- a viacroční / and more years G 4 Vývoj počtu liečených drogovo závislých pacientov s trvalým bydliskom v SR Ddevelopment of number of treated patients from drug addiction with permannet address in the SR Počet pacientov / Number of patients Rok / Year 18

20 T 3 začatie Drogová závislosť liečba užívateľa drog v SR 2011 Vývoj hlásených drogovo závislých pacientov podľa územia trvalého bydliska Development of reported drug addicted patients according to territory of permanent address Beginning of table Územie trvalého bydliska Territory of permanent address Rok / Year počet / number Slovenská republika Bratislavský kraj Bratislava I Bratislava II Bratislava III Bratislava IV Bratislava V Malacky Pezinok Senec Trnavský kraj Dunajská Streda Galanta Hlohovec Piešťany Senica Skalica Trnava Trenčiansky kraj Bánovce nad Bebravou Ilava Myjava Nové Mesto nad Váhom Partizánske Považská Bystrica Prievidza Púchov Trenčín Nitriansky kraj Komárno Levice Nitra Nové Zámky Šaľa Topoľčany Zlaté Moravce Žilinský kraj Bytča Čadca Dolný Kubín Kysucké Nové Mesto Liptovský Mikuláš Martin Námestovo

21 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 3 dokončenie Vývoj hlásených drogovo závislých pacientov podľa územia trvalého bydliska Development of reported drug addicted patients according to territory of permanent address End of table Územie trvalého bydliska Territory of permanent address Rok / Year počet / number Ružomberok Turčianske Teplice Tvrdošín Žilina Banskobystrický kraj Banská Bystrica Banská Štiavnica Brezno Detva Krupina Lučenec Poltár Revúca Rimavská Sobota Veľký Krtíš Zvolen Žarnovica Žiar nad Hronom Prešovský kraj Bardejov Humenné Kežmarok Levoča Medzilaborce Poprad Prešov Sabinov Snina Stará Ľubovňa Stropkov Svidník Vranov nad Topľou Košický kraj Gelnica Košice I Košice II Košice III Košice IV Košice-okolie Michalovce Rožňava Sobrance Spišská Nová Ves Trebišov

22 T 4 Drogová závislosť liečba užívateľa drog v SR 2011 Vývoj drogovo závislých pacientov podľa krajov trvalého bydliska na obyvateľov Development of reported drug addicted patients according to regions of permanent address per inhabitants Kraj trvalého bydliska Regions of permanent address Rok na obyvateľov / per population Slovenská republika 48,4 38,4 35,5 36,6 37,8 35,1 41,6 42,7 Bratislavský kraj 219,6 137,4 131,8 112,5 112,1 95,9 109,1 113,4 Trnavský kraj 52,6 40,2 35,7 44,1 53,3 49,6 50,0 54,3 Trenčiansky kraj 34,2 30,2 20,5 29,3 35,7 40,2 43,7 42,1 Nitriansky kraj 31,3 38,1 34,3 40,5 33,0 30,3 48,9 53,8 Žilinský kraj 21,9 15,3 12,1 16,4 17,7 17,5 25,1 28,6 Banskobystrický kraj 24,2 36,3 36,3 33,1 33,9 34,9 38,1 29,7 Prešovský kraj 7,6 8,3 6,5 8,6 8,5 10,3 9,5 10,2 Košický kraj 21,5 20,6 23,0 23,9 25,8 18,5 24,3 28,4 G 5 Prepočítaný počet liečených drogovo závislých osôb podľa trvalého bydliska Recalculated number of treated drug addicted persons according to permanent address 140,0 120,0 Na obyvateľov Per population 100,0 80,0 60,0 40,0 20,0 0,0 BL TA TC NI ZI BC PV KI Kraj / Region

23 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 5 začatie Drogovo závislí pacienti podľa pohlavia, vekových skupín a krajov trvalého bydliska Drug addicted patients according to sex, age groups and territory of permanent address Muži / Males Beginning of table Územie trvalého bydliska Úhrn Sum spolu v tom vo vekovej skupine Slovenská republika Bratislavský kraj Trnavský kraj Trenčiansky kraj Nitriansky kraj Žilinský kraj Banskobystrický kraj Prešovský kraj Košický kraj G 6 Počet liečených drogovo závislých mužov podľa trvalého bydliska Number of treated drug addicted men according to permanent address Počet / Number BL TA TC NI ZI BC PV KI Kraj / Region 0- až 19-roční / years 20- až 29-roční / years 30- až 39-roční / years 40- a viacroční / and more years 22

24 T 5 dokončenie Drogová závislosť liečba užívateľa drog v SR 2011 Drogovo závislí pacienti podľa pohlavia, vekových skupín a krajov trvalého bydliska Drug addicted patients according to sex, age groups and territory of permanent address Ženy / Females End of table Territory of permanent address total including in age group Slovenská republika Bratislavský kraj Trnavský kraj Trenčiansky kraj Nitriansky kraj Žilinský kraj Banskobystrický kraj Prešovský kraj Košický kraj G 7 90 Počet liečených drogovo závislých žien podľa trvalého bydliska Number of treated drug addicted women according to permanent address Počet / Number BL TA TC NI ZI BC PV KI Kraj / Region 0- až 19-ročné / years 20- až 29-ročné / years 30- až 39-ročné / years 40- a viacročné / and more years 23

25 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 6 Drogovo závislí pacienti podľa pohlavia, hlavných skupín užívanej primárnej drogy a trvalého bydliska Drug addicted patients according to sex, main groups of used primary drug and region of permanent address začatie Beginning of table v tom podľa skupín užívanej drogy in hoc according to groups of used drug Územie trvalého bydliska Territory of permanent address Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives prchavé látky volatine inhalants kanabis cannabis kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet spolu / number total Slovenská republika Bratislavský kraj Trnavský kraj Trenčiansky kraj Nitriansky kraj Žilinský kraj Banskobystrický kraj Prešovský kraj Košický kraj na obyvateľov / per population Slovenská republika 42,7 9,9 2,9 0,3 14,6 1,6 1,4 7,3 4,8 Bratislavský kraj 113,4 47,1 4,6 1,3 38,8 1,5 0,3 12,6 7,1 Trnavský kraj 54,3 13,0 8,1 14,8 1,8 0,9 5,2 10,5 Trenčiansky kraj 42,1 8,1 1,2 0,2 16,2 1,3 1,3 9,4 4,4 Nitriansky kraj 53,8 10,6 2,3 0,6 17,5 2,9 2,8 8,7 8,4 Žilinský kraj 28,6 1,5 0,4 0,1 14,4 1,9 1,0 7,4 1,9 Banskobystrický kraj 29,7 5,8 1,2 11,1 1,1 0,9 5,8 3,9 Prešovský kraj 10,2 0,4 1,1 0,1 2,2 0,5 0,5 2,6 2,8 Košický kraj 28,4 0,8 4,8 0,3 8,0 2,1 3,0 7,7 1,8 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 24

26 Drogová závislosť liečba užívateľa drog v SR 2011 T 6 Drogovo závislí pacienti podľa pohlavia, hlavných skupín užívanej primárnej drogy a trvalého bydliska Drug addicted patients according to sex, main groups of used primary drug and region of permanent address 1. pokračovanie 1 st continuation v tom podľa skupín užívanej drogy in hoc according to groups of used drug Územie trvalého bydliska Territory of permanent address Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives prchavé látky volatine inhalants kanabis cannabis kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet muži / number males Slovenská republika Bratislavský kraj Trnavský kraj Trenčiansky kraj Nitriansky kraj Žilinský kraj Banskobystrický kraj Prešovský kraj Košický kraj na mužov / per males Slovenská republika 72,0 16,0 4,8 0,5 24,2 1,8 2,5 13,8 8,4 Bratislavský kraj 181,0 70,7 6,7 2,5 63,7 2,5 0,7 23,5 10,9 Trnavský kraj 95,6 22,1 15,5 25,5 1,8 1,8 9,2 19,6 Trenčiansky kraj 73,4 16,1 2,1 0,3 26,4 0,3 2,4 17,5 8,2 Nitriansky kraj 92,4 18,5 4,2 0,6 29,0 2,7 5,7 16,4 15,2 Žilinský kraj 48,8 2,4 0,6 0,3 23,4 2,7 1,5 14,8 3,3 Banskobystrický kraj 54,7 10,6 1,9 19,7 0,9 1,9 11,9 7,8 Prešovský kraj 16,2 0,2 2,0 0,2 4,2 0,7 0,7 4,2 3,7 Košický kraj 48,7 1,6 7,5 0,5 13,5 2,3 5,2 15,3 2,8 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 25

27 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 6 Drogovo závislí pacienti podľa pohlavia, hlavných skupín užívanej primárnej drogy a trvalého bydliska Drug addicted patients according to sex, main groups of used primary drug and region of permanent address dokončenie End of table v tom podľa skupín užívanej drogy in hoc according to groups of used drug Územie trvalého bydliska Territory of permanent address Spolu Total heroín heroin ostatné druhy opiátových drog other opiates kokaín 2) kokain 2) stimulanciá stimulants hypnotiká a sedatíva hypnotics and sedatives prchavé látky volatine inhalants kanabis cannabis kombinácia psychoaktívnych látok 3) combination of psychoactive substances 3) heroín / Heroin 111, 164 2) kokaín / Kokain 210, 211, 212, 213 počet ženy / number females Slovenská republika Bratislavský kraj Trnavský kraj Trenčiansky kraj Nitriansky kraj Žilinský kraj Banskobystrický kraj Prešovský kraj Košický kraj na žien / per females Slovenská republika 15,0 4,1 1,0 0,1 5,4 1,5 0,3 1,1 1,4 Bratislavský kraj 52,6 25,8 2,8 0,3 16,4 0,6 2,8 3,8 Trnavský kraj 14,8 4,2 1,1 4,6 1,8 1,4 1,8 Trenčiansky kraj 11,9 0,3 0,3 6,3 2,3 0,3 1,7 0,7 Nitriansky kraj 17,4 3,1 0,6 0,6 6,8 3,1 1,4 2,0 Žilinský kraj 9,1 0,6 0,3 5,7 1,1 0,6 0,3 0,6 Banskobystrický kraj 6,2 1,2 0,6 2,9 1,2 0,3 Prešovský kraj 4,4 0,5 0,2 0,2 0,2 0,2 1,0 1,9 Košický kraj 9,1 2,2 2,7 2,0 1,0 0,5 0,7 3) kombinácia psychoaktívnych látok vykazovaná samostatne diagnózou F19 (zmena metodiky od roku 2006) 3) The combination of psychoactive substances reported independently by diagnosis F19 (change of methodics since the year 2006) 26

28 T 7 začatie Drogová závislosť liečba užívateľa drog v SR 2011 Drogovo závislí pacienti podľa pohlavia, rezortu a územia zdravotníckeho zariadenia Drug addicted patients according to sex, sector and territory of health facility Beginning of table Územie zdravotníckeho zariadenia Territory of health facility Spolu Total Rezort Ministerstva zdravotníctva SR Sector of The Ministry of Health of The Slovak Republic Rezort Ministerstva spravodlivosti SR Sector of The Ministry of Justice of The Slovak Republic muži ženy males females muži ženy Slovenská republika Bratislavský kraj Bratislava I Bratislava II Bratislava III Bratislava IV Bratislava V Malacky Pezinok Senec Trnavský kraj Dunajská Streda Galanta Hlohovec Piešťany Senica 1 1 Skalica 1 1 Trnava Trenčiansky kraj Bánovce nad Bebravou 3 3 Ilava Myjava Nové Mesto nad Váhom Partizánske 4 4 Považská Bystrica Prievidza Púchov Trenčín z dôvodu ochrany práv klientov, pre nízky počet liečených v zdravotníckych zariadeniach rezortov MO SR, MV SR a MDPaT SR, je tento počet zahrnutý v rezorte MZ SR / to protect rights of clients and due to low reported number of treated patients in health care establishments of sector of Ministry of Defence of the SR, Ministry of Justice of the SR, Ministry of Transport, Posts and Telecommunications of the SR, this reported number is included in sector of Ministry of Health of the SR 27

29 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 7 Drogovo závislí pacienti podľa pohlavia, rezortu a územia zdravotníckeho zariadenia Drug addicted patients according to sex, sector and territory of health facility 1. pokračovanie 1 st continuation Územie zdravotníckeho zariadenia Spolu Rezort Ministerstva zdravotníctva SR Rezort Ministerstva spravodlivosti SR muži ženy males females muži ženy Nitriansky kraj Komárno Levice Nitra Nové Zámky Šaľa Topoľčany 4 4 Zlaté Moravce Žilinský kraj Bytča Čadca 1 1 Dolný Kubín Kysucké Nové Mesto Liptovský Mikuláš Martin Námestovo Ružomberok Turčianske Teplice Tvrdošín Žilina Banskobystrický kraj Banská Bystrica Banská Štiavnica Brezno Detva Krupina 2 2 Lučenec 1 1 Poltár Revúca Rimavská Sobota Veľký Krtíš Zvolen Žarnovica Žiar nad Hronom z dôvodu ochrany práv klientov, pre nízky počet liečených v zdravotníckych zariadeniach rezortov MO SR, MV SR a MDPaT SR, je tento počet zahrnutý v rezorte MZ SR 28

30 T 7 dokončenie Drogová závislosť liečba užívateľa drog v SR 2011 Drogovo závislí pacienti podľa pohlavia, rezortu a územia zdravotníckeho zariadenia Drug addicted patients according to sex, sector and territory of health facility Territory of health facility Total Sector of The Ministry of Health of The Slovak Republic End of table Sector of The Ministry of Justice of The Slovak Republic muži ženy males females muži ženy Prešovský kraj Bardejov Humenné Kežmarok 1 1 Levoča Medzilaborce Poprad Prešov Sabinov 1 1 Snina Stará Ľubovňa Stropkov Svidník Vranov nad Topľou Košický kraj Gelnica Košice I Košice II Košice III Košice IV Košice-okolie Michalovce Rožňava Sobrance Spišská Nová Ves Trebišov to protect rights of clients and due to low reported number of treated patients in health care establishments of sector of Ministry of Defence of the SR, Ministry of Justice of the SR, Ministry of Transport, Posts and Telecommunications of the SR, this reported number is included in sector of Ministry of Health of the SR 29

31 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 8 začatie Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej primárnej drogy Drug addicted patients according to sex, age groups and used primary drug Beginning of table Užívaná primárna droga Úhrn (muži a ženy) Sum (males and females) spolu Muži veková skupina Celkom Spolu: opiáty heroín, diamorfín (získaný na ulici/nelekárske užívanie) prehľad obsahuje počet všetkých hlásených drogovo závislých pacientov vrátane cudzích štátnych príslušníkov a pacientov s neznámou štátnou príslušnosťou morfín (získaný na ulici/nelekárske užívanie) ópium (získaný na ulici/nelekárske užívanie) domáca výroba zmesí (odvarov) z makovice 2 2 nešpecifikovaný kodeín, kodeínový preparát 1 hydrokodeín (získaný na ulici/nelekárske užívanie) iná špecifikovaná forma kodeínu alebo preparátu 1 1 nešpecifikovaný syntetický opiát petidín (získaný na ulici/nelekárske užívanie) iný špecifikovaný syntetický opiát (DOLSIN) nešpecifikovaný agonista-antagonista 1 buprenorfín (získaný na ulici/nelekárske užívanie) pentazocín (FORTRAL) (získaný na ulici/nelekárske užívanie) iný špecifikovaný opiát agonista- -antagonista (BEFORAL) nešpecifikovaná opiátová náhrada 1 1 metadón (náhradný opiát/opioid užívaný ako súčasť protidrogovej liečby) buprenorfín heroín (náhradný opiát/opioid užívaný ako súčasť protidrogovej liečby) iný špecifikovaný druh opiátovej drogy Spolu: kokaín nešpecifikovaný kokaín kokaín hydrochlorid iná špecifikovaná forma kokaínu (napr. coca paste)

32 T 8 Drogová závislosť liečba užívateľa drog v SR 2011 Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej primárnej drogy Drug addicted patients according to sex, age groups and used primary drug 1. pokračovanie 1 st continuation Males age group Using primary drug Total Total: opiate heroin, diamorphine (obtained in the street/illegal use) morphine (obtained in the street/illegal use) opium (obtained in the street/illegal use) 2 home production of medley (decoctions) inspecified codeine or codeine preparation 1 hydrocodeine (acquired in the street/non-medical use) 1 other specified form of codeine or preparate inspecified synthetic opiate petidin (obtained in the street/illegal use) 1 different (specified) synthetic opiate (DOLSIN) inspecified agonist-antagonist buprenorfin (obtained in the street/illegal use) pentazocin (FORTRAL) (obtained in the street/illegal use) different (specified) opiate agonist-antagonist (BEFORAL) 1 inspecified opiate substitute buprenorfin methadone (substitutional opiate/ opioid part of drug addicted treatment) heroin (substitutional opiate/ opioid part of drug addicted treatment) different (specified) type of opiate Total: cocaine 1 2 inspecified cocaine 1 1 cocaine hydrochlorid 1 1 different (specified) form of cocaine (e. g. coca paste) Survey involves number of all reported drug addicted patients including foreign state citizens and patients with unknown citizenship 31

33 Drug Addiction Drug user treatment in the Slovak Republic in 2011 T 8 Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej primárnej drogy Drug addicted patients according to sex, age groups and used primary drug 2. pokračovanie 2 nd continuation Užívaná primárna droga Úhrn (muži a ženy) Sum (males and females) spolu Muži veková skupina Spolu: stimulanciá nešpecifikovaný amfetamín amfetamín sulfát metylamfetamín Picco metylamfetamín k fajčeniu iná špecifikovaná forma amfetamínu (PERVITÍN) efedrín, norefedrín, pseudoefedrín 1 1 MDMA (extáza) Spolu: hypnotiká a sedatíva nešpecifikovaná hypnoticko-sedatívna droga 1 nešpecifikované hypnotikum 2 1 barbituráty 1 1 iné špecifikované hypnotikum, okrem benzodiazepínov prehľad obsahuje počet všetkých hlásených drogovo závislých pacientov vrátane cudzích štátnych príslušníkov a pacientov s neznámou štátnou príslušnosťou 5 2 nešpecifikovaný benzodiazepín diazepam 10 7 oxazepam 3 3 iný špecifikovaný benzodiazepín iné špecifikované sedatívum a anxiolytikum, okrem benzodiazepínov 4 2 Spolu: prchavé látky riedidlá/rozpúšťadlá (TOLUÉN) iná špecifikovaná prchavá látka Spolu: cannabis nešpecifikovaný cannabis rastlinná konopa (vňať)-marihuana, tráva živica (hašiš) iná špecifikovaná forma cannabisu Kombinované psychoaktívne drogy (MKCH-10 = F19)

34 T 8 Drogová závislosť liečba užívateľa drog v SR 2011 Drogovo závislí pacienti podľa pohlavia, vekových skupín a užívanej primárnej drogy Drug addicted patients according to sex, age groups and used primary drug 3. pokračovanie 3 rd continuation Males age group Using primary drug Total: stimulants 1 unspecified amphetamine 1 amphetamine sulphate 1 1 metylamphetamine Picco 1 1 metylamphetamine to smoking different (specified) form of amphetamine (PERVITIN) 1 ephedrine, norephedrine, pseudoephedrine 1 MDMA (ecstasy) Total: hypnotics and sedatives inspecified hypnotic sedative drug 1 inspecified hypnotic 1 barbiturate 2 different (specified) hypnotic, apart from benzodiazepines inspecified benzodiazepin diazepam oxazepam different specified benzodiazepine 1 1 different specified hypnotic, apart from benzodiazepines Total: volatile substances dilutent/dissolvent (TOLUEN) 1 different (specified) volatile substance Total: cannabis 3 1 inspecified cannabis marihuana (plant top), grass 1 resin (hashish) 4 different specified form of cannabis Combination psychoactive substances (ICD-10 = F19) Survey involves number of all reported drug addicted patients including foreign state citizens and patients with unknown citizenship 33

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