Objectives. This studyaimed to assess quality of life in first-onset stroke survivors, and to determine how stroke associates with social and demographic factors, peculiarities of lifestyle, and chronic non-infectious diseases.Material and methods.As part of the European Register of Stroke study, we recruited 508 stroke survivors aged 25–84 years (case group) in Kaunas city Lithuania, and randomly selected 508 age-and sex-matched residents from the city’s stroke-free population (controls). All participants completed the Short Form 12 Health Survey questionnaire. We analyzed participants’ physical and mental quality of life regarding social and demographic factors, lifestyle, chronic non-infectious disease morbidity, and the use of medications. Results. Quality of life among stroke survivors was poorer compared to controls in both the physical (Me=32.8/47.0, p&lt;0.001) and mental (Me=55.9/60.5, p&lt;0.001) health domains. Stroke survivors and controls with arterial hypertension reported poorer physical health, compared to subjects without hypertension (p&lt;0.05 vs. p&lt;0.001, respectively). Additionally, physical quality of life among survivors with atrial fibrillation was poorer compared to subjects without this disorder (p&lt;0.001). Employed stroke survivors reported better physical health (Me=38.9, p&lt;0.001) compared to unemployed survivors (Me=31.5), and we observed a similar pattern among controls (Me=50.8/38.9, p=0.005). Survivors and controls who used alcohol reported better physicalhealth (p&lt;0.001). Notably,both controls (p&lt;0.05) and stroke survivors (p&lt;0.01) reported better health if they did not live alone. During the period from the 3rd up to the 12th month after stroke, average physical and mental quality of life increased significantly among survivors (5.1±0.4 points, p=0.001 vs. 1.4±0.3 points, p=0.001, respectively). Conclusions. Previous stroke impaired both physical and mental quality of life in survivors. This study revealed that chronic non-infectious diseases experiencedprior to stroke significantly influence quality of life.Survivors with arterial hypertension, atrial fibrillation, or diabetes mellitus rated their physical quality of life lower than those who did not have these illnesses. Interestingly, only controls with atrial fibrillation reported decreased quality of life. Both physical and mental health improved12 months after stroke compared to quality of life 3 months after stroke / <p>ISBN 978-91-86739-79-9</p>

International prevalence of ever asthma and current wheeze in adults were examined in 55 countries participating in the World Health Survey. The prevalence of ever asthma ranged from 1.1-7.9% in Asia, 2.4-7.6% in Africa, 3.4-7.9% in Middle East, 2.4-12.1% in America, 3.9-6.8% in Eastern Europe, 4.2-17.1% in Western Europe, and 18.5% in Australia. Anxiety and ever depression were strong and consistent risk factors for ever asthma (Odds ratios (ORs) ranged from 0.64-4.08 and 1.42-18.49, respectively) and current wheeze (ORs ranged from 1.57-3.56 and from 1.72-16.23, respectively). Female and older age appeared to be risk factors, while higher education appeared to be a protective factor for both outcomes. In conclusion, large variations in ever asthma and current wheeze prevalence were observed both within and among geographic regions, with the highest prevalence generally found in Western Europe, Brazil, and Australia, and the lowest prevalence found in Asia and Africa. / Epidemiology

Background: Apart from individuals with clinical psychosis, community surveys have shown that many otherwise-well individuals endorse items designed to identify psychosis. The clinical relevance of psychotic-like experiences (PLE) in individuals who are not psychotic is not clear. This thesis aimed to examine the prevalence, demographic and psychosocial correlates and antecedents of PLE in the Australian community. Method: Data from three population-based studies was examined. The Australian National Survey of Mental Health and Wellbeing interviewed 10,641 individuals living in private dwellings in Australia. We examined the impact of selected demographic variables on endorsement of psychosis screen and probe items from the Composite International Diagnostic Interview (CIDI). We also examined the effect of exposure to traumatic events (with and without Post Traumatic Stress Disorder (PTSD)) on the endorsement of CIDI psychosis items. The youth component of the Australian National Survey of Mental Health and Wellbeing collected demographic and clinical data on a nationally representative sample of 1261 adolescents aged 13-17 years. The prevalence of hallucination endorsement on the Youth Self Report (YSR) in Australian adolescents was examined. The association between hallucination endorsement, demographic variables (sex, age, urbanicity and family composition) and clinical variables (self-reported depression, marijuana and alcohol use, DSM IV diagnoses, emotional/ behavioral problems as reported by the parent on the Child Behaviour Check List (CBCL)) were examined. The Mater- University of Queensland Study of Pregnancy (MUSP) is a prospective longitudinal birth cohort study of 7223 mothers and their offspring who received antenatal care between 1981 and 1984. Psychotic-like experiences were assessed in the offspring at the 21 year follow-up using the Peters Delusional Inventory (PDI) and the CIDI. We examined the prevalence of PLEs, and examined the effect of age (the age range at the 21 year follow-up was 18 to 23 years) and sex on PLE. A second study examined the emotional and behavioural antecedents of PLE at 21 years as measured by the CBCL at five and 14 years and the YSR at 14 years. Results: An estimated 11.7% of Australian adults endorsed at least one psychosisscreening item. Higher endorsement was associated with younger age, migrants from non- English speaking backgrounds, not being married, unemployment, living in an urban region and lowest socioeconomic levels. Exposure to any traumatic event was associated with increased endorsement of PLE (Rate Ratio =2.68; 95% CI 2.18, 3.30). A diagnosis of PTSD further increased endorsement of PLE (Rate Ratio =9.24; 95% CI 6.95, 12.27). Hallucinations were reported by 8.4% of Australian adolescents. Those living in blended or sole parent families were more likely to report hallucinations than those living with both biological parents (OR 3.27; 95% CI 1.93, 5.54; OR 2.60; 95% CI 1.63, 4.13 respectively). Hallucinations were more prevalent in adolescents who had high CBCL scores or elevated depression symptoms (OR 3.30; 95% CI 2.10, 5.20; OR 5.02; 95% CI 3.38, 7.45 respectively). Hallucinations were more prevalent in those adolescents who had smoked cannabis more than twice in the month prior to the survey (OR 3.27; 95% CI 1.76, 6.08). In the 21 year follow-up of the MUSP study, older age (18-20 compared to 21-23 years) was significantly associated with a reduction of CIDI delusions (OR 0.66, 95% CI 0.48, 0.92) and PDI total scores (OR=0.68, 95% CI 0.55, 0.83). Women were significantly more likely to endorse items related to hallucinations (OR=1.49, 95% CI 1.14, 1.95) but not delusions. High CBCL scores at 5 and 14 years predicted high total PDI scores; Those in the highest quartile of YSR scores at 14 years were nearly four times more likely to have high levels of psychotic-like experiences at age 21 (OR=3.71, 95% CI 2.92, 4.71). Adolescent onset psychopathology and continuous psychopathology through both childhood and adolescence strongly predict PLE at age 21. Conclusions: Psychotic-like experiences are relatively common in population surveys of Australian adults and adolescents. In adults, the demographic correlates of PLE are similar to those of schizophrenia. There is a strong association between PLE and exposure to trauma. The correlates of PLE in adolescents are different to those of adults. The reduction in prevalence of delusions between late adolescence and young adulthood is coincident with normal neurophysiological changes in the frontal lobes, suggesting hypotheses suitable for future research. The association between marijuana use and hallucinations in adolescents is further evidence of the potential harm caused by use of cannabis. The onset or persistence of emotional distress during adolescence is associated with an increased risk of PLE in adulthood. These findings are relevant to both clinical practice and future research. Psychotic symptoms create diagnostic uncertainty. There is potential for patients with anxiety (PTSD) or mood disorders to be incorrectly diagnosed with a psychotic illness and receive inappropriate management. Equally, there is a risk that subjects who have an emerging psychotic disorder and comorbid anxiety or depression or have had exposure to traumatic events may have treatment of their psychosis delayed as psychotic symptoms are incorrectly ascribed to a syndrome other than psychosis. Clinicians need to be aware of this diagnostic tension so that accurate assessments and appropriate treatments can be initiated at the earliest possible opportunity. The resolution of childhood emotional distress prior to adolescence appears to reduce the risk of PLE and possibly psychosis in adults. Strategies targeting emotionally distressed children may offer opportunities for psychosis prevention. Further research is required to explore the relationship between PLE and vulnerability to psychosis and other mental health problems. It remains unclear if PLE are reliable endophenotypes for schizophrenia. If this is the case, examining genetic and environmental risk factors for onset and persistence of PLE, and the neuroimaging changes that occur as individuals with PLE convert to psychosis will provide important new clues to our understanding of the aetiopathogenesis of psychosis.

Background Health-related quality of life (HRQoL) measures have become important when determining health priorities, but only five longitudinal studies limited to older adults and/or to subjects with an oral disadvantage have investigated the association between routine dental care and HRQoL. The aims in this study were to determine if dentist visiting or the volume, complexity and cost of general dental care, and baseline oral HRQoL and treatment need were associated with changes in HRQoL, and/or modify the impact of dental care on changes in HRQoL. Methods The project was an observational prospective cohort study of a sample of randomly selected dentate adult Tasmanians surveyed in 2006 and followed over a one-year period. The collection procedures comprised a computer-assisted telephone interview, an oral epidemiological examination, a baseline mail self-complete questionnaire, a service use log book, and a twelve-month mail self-complete questionnaire. Change in HRQoL was measured by change in the summary measure of the Oral Health Impact Profile (OHIP-14 severity) and change in the EuroQol index (EQ-5D), global oral and general transition statements, and follow-up OHIP-14 severity. Results From 1,745 eligible household numbers, 59.7% were interviewed, of whom 43.7% received epidemiological examinations. Of those, over three-quarters (77.4%) completed the baseline mail questionnaire. Nearly three-quarters of those who completed the baseline self-complete questionnaires completed the twelve-month follow-up questionnaire (73.5%). More than half of the respondents (53.8%) visited a dental practitioner, the vast majority of whom (94.9%) saw a private sector dentist. The most common types of dental care received were diagnostic, preventive and restorative services When the dependent variable was change in mean OHIP-14 severity, visiting a dentist was associated with a statistically significant worsening of oral HRQoL after adjusting for confounders. In contrast, visiting a dentist was associated with a significant improvement in quality of life when the dependent variable was the global oral health transition statement, although that association was not homogeneous. The global general health transition statement showed an unfavourable association of dental visits, although it was not statistically significant. Follow-up OHIP-14 dental attendance was associated with worsening QoL, although the association was not statistically significant. When change in HRQoL was measured by the global general health transition statement, high compared to low volume of dental care had a statistically significant favourable influence on HRQoL, although there was effect modification. With the global oral health transition statement, high complexity dental care was associated with a statistically significant worsening of HRQoL, while high cost dental care was associated with a statistically significant improvement of HRQoL. Across all measures of HRQoL, the survey participant factors most often subject to effect modification where those related to socio-economic status, particularly education and occupation. Conclusions The results varied according to which dependent measure of change in HRQoL was used. Dental care had a differing effect on general health compared to oral health, although the effects on general health varied considerably among some population groups. Researchers need to devise consistent definitions of health, HRQoL, oral health and oral HRQoL. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1375110 / Thesis (Ph.D.) - University of Adelaide, School of Dentistry, 2009

Background Health-related quality of life (HRQoL) measures have become important when determining health priorities, but only five longitudinal studies limited to older adults and/or to subjects with an oral disadvantage have investigated the association between routine dental care and HRQoL. The aims in this study were to determine if dentist visiting or the volume, complexity and cost of general dental care, and baseline oral HRQoL and treatment need were associated with changes in HRQoL, and/or modify the impact of dental care on changes in HRQoL. Methods The project was an observational prospective cohort study of a sample of randomly selected dentate adult Tasmanians surveyed in 2006 and followed over a one-year period. The collection procedures comprised a computer-assisted telephone interview, an oral epidemiological examination, a baseline mail self-complete questionnaire, a service use log book, and a twelve-month mail self-complete questionnaire. Change in HRQoL was measured by change in the summary measure of the Oral Health Impact Profile (OHIP-14 severity) and change in the EuroQol index (EQ-5D), global oral and general transition statements, and follow-up OHIP-14 severity. Results From 1,745 eligible household numbers, 59.7% were interviewed, of whom 43.7% received epidemiological examinations. Of those, over three-quarters (77.4%) completed the baseline mail questionnaire. Nearly three-quarters of those who completed the baseline self-complete questionnaires completed the twelve-month follow-up questionnaire (73.5%). More than half of the respondents (53.8%) visited a dental practitioner, the vast majority of whom (94.9%) saw a private sector dentist. The most common types of dental care received were diagnostic, preventive and restorative services When the dependent variable was change in mean OHIP-14 severity, visiting a dentist was associated with a statistically significant worsening of oral HRQoL after adjusting for confounders. In contrast, visiting a dentist was associated with a significant improvement in quality of life when the dependent variable was the global oral health transition statement, although that association was not homogeneous. The global general health transition statement showed an unfavourable association of dental visits, although it was not statistically significant. Follow-up OHIP-14 dental attendance was associated with worsening QoL, although the association was not statistically significant. When change in HRQoL was measured by the global general health transition statement, high compared to low volume of dental care had a statistically significant favourable influence on HRQoL, although there was effect modification. With the global oral health transition statement, high complexity dental care was associated with a statistically significant worsening of HRQoL, while high cost dental care was associated with a statistically significant improvement of HRQoL. Across all measures of HRQoL, the survey participant factors most often subject to effect modification where those related to socio-economic status, particularly education and occupation. Conclusions The results varied according to which dependent measure of change in HRQoL was used. Dental care had a differing effect on general health compared to oral health, although the effects on general health varied considerably among some population groups. Researchers need to devise consistent definitions of health, HRQoL, oral health and oral HRQoL. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1375110 / Thesis (Ph.D.) - University of Adelaide, School of Dentistry, 2009

Background: As high HIV transmission rates persist in Sub-Saharan Africa, the effect of wealth inequality rather than solely absolute wealth as a potential driver of the HIV epidemic has been given increased attention in recent research, but has not yet been investigated in the Nigerian setting. As, particularly in contexts of socioeconomic inequality, individuals may face barriers to both obtaining health-related knowledge and translating this knowledge into actual engagement in preventive measures, it is relevant to assess the level of HIV-related knowledge in the Nigerian population. Furthermore, it is of interest to investigate its socioeconomic predictors, and to identify risk-groups for low HIV-related knowledge, which consequentially are also potential risk groups for high HIV transmission. This will ultimately facilitate the targeting and implementation of more appropriate and effective preventive interventions among these groups. Due to the country’s high HIV prevalence and its ethnic and socioeconomic heterogeneity, it is both an interesting and highly relevant setting in which to analyse the socioeconomic determinants of HIV-related knowledge. Methods: Utilizing data from the Nigerian Demographic and Health Survey, Paper 1 of this thesis investigates wealth inequality as a predictor of low HIV-related knowledge in the Nigerian population through logistic regression modeling. The effects of other sociodemographic factors such as sex, literacy and rural or urban residence on HIV-related knowledge are also explored. In paper 2, a trend analysis is conducted of HIV-related knowledge in the country from 2003 to 2013, with changes in these trends represented graphically, stratified by various sociodemographic factors. ARIMA models were fit to the 2003-2013 trend data. Finally, Paper 3 presents a systematic review (using the Medline and Embase databases) and meta-analysis (conducted in R) of HIV-related knowledge interventions in Sub-Saharan Africa or among the African Diaspora, synthesising the available evidence for the efficacy of such interventions in 1) improving HIV-related knowledge, 2) resulting in increased engagement in preventive measures and safe sexual practices, and 3) reducing HIV incidence. Random-effects models were used for the meta- analyses. Results: The logistic regression model indicated that females were more than twice as likely as males to have low HIV-related knowledge in each wealth inequality category. In addition, females were more likely to have correct knowledge of mother-to-child transmission than males, but were over 1.5 times more likely to have poor knowledge of HIV risk reduction measures. Individuals with lower literacy levels were almost twice as likely as literate respondents to have low HIV-related knowledge. Ethnicity, religious affiliation, relationship status, and residing in rural areas were additional significant predictors of HIV-related knowledge. The trend analysis indicated an overall increase in HIV-related knowledge between 2003 and 2013, but a decrease in knowledge of mother-to-child-transmission. In addition, State-level disparities in knowledge regarding HIV risk reduction increased over time. The meta-analysis of HIV education interventions demonstrated significantly higher odds of correct knowledge of transmission routes as well as condom use, but insignificantly lower odds of HIV incidence. Conclusions: HIV-related knowledge in this sample is generally low among females, those with low literacy levels, the poor, the unemployed, those residing in rural areas, those with traditional religious beliefs, and those living in states with the highest wealth inequality ratios. The meta-analysis of HIV-related knowledge interventions in Paper 3 indicates that such interventions are generally effective at improving not only HIV-related knowledge but also increasing condom use, and should thus be targeted at the risk groups identified in Papers 1 and 2, in order to work towards the reduction of HIV transmission.

Made available in DSpace on 2014-06-11T19:29:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-05-26Bitstream added on 2014-06-13T19:38:43Z : No. of bitstreams: 1 baptista_ccwd_me_botfm.pdf: 436274 bytes, checksum: 9718ab06761a44f8ce86a377e88d3850 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Estudos sobre a utilização de serviços de saúde podem contribuir com a racionalização dos gastos, o planejamento, a reorganização das ações e programas buscando melhorar a qualidade dos serviços prestados. Os inquéritos de saúde de base populacional coletam simultaneamente informações sobre a situação de saúde, as condições de vida, a utilização dos serviços, incorporando informações sobre a população atendida e não atendida, caracterizando a demanda segundo variáveis biológicas, socioeconômicas e geográficas. O estudo da utilização dos serviços de saúde permite conhecer sua acessibilidade para os diversos grupos sócio-econômicos e avaliar a equidade do sistema de saúde. Conhecer o perfil de utilização dos serviços de saúde de Botucatu-SP, em relação à morbidade referida de 15 dias e outros motivos de utilização, segundo características dos usuários e dos serviços procurados. Foram analisados dados, coletados em inquérito de base populacional, relativos à procura de serviços de saúde em amostra populacional urbana de Botucatu, a partir das morbidades referidas e outros motivos, não mórbidos, de procura de serviços de saúde nos últimos 15 dias anteriores a data da entrevista. Os problemas de saúde foram classificados segundo os capítulos da CID 10, sua freqüência e prevalência foram analisadas segundo as variáveis de idade e sexo. Foram estudados a procura de serviços e os motivos da não-procura, o grau de satisfação com o atendimento recebido e a resolubilidade dos problemas de saúde entre os que procuraram e não procuraram os serviços de saúde. Foram caracterizados os serviços procurados, se públicos ou privados, as formas e fontes de pagamento dos atendimentos, de exames solicitados e de medicamentos prescritos. Foram estudadas as variáveis sexo e idade, grau de instrução... / Studies on the use of health services may contribute to reasonable spending, planning, reorganization of actions and programs aiming to improve the quality of delivered services. Populational-based health surveys simultaneously collect information about health condition, life conditions, and the use of services, incorporating information about serviced and non-serviced population, characterizing the demand according to biological, social, economic and geographical variables. The study of the use of health services allows knowing its accessibility to various social and economical groups and evaluating health system equity. To know the profile of the use of health service in Botucatu-SP, related to 15 days referred morbidity and other reasons of use, according to characteristics of users and pursued services. Collected data from a populational-based survey were analyzed and they were related to the pursuit of health services in an urban population sample in Botucatu, from the referred morbidity and other non-morbid reasons of pursuing health services on the last 15 days prior to the day of interview. Health problems were classified according to the chapters of CID 10, its frequency and prevalence were analyzed according to age and sex. The pursued and non-pursued of services, the degree of satisfaction of delivered service and the solution of problems among those who pursued and the ones who did not pursue the services were studied. Pursued services were characterized according to public or private, the ways and sources of service payment, asked examinations and prescribed medications. Variables like sex and age, education degree of the head of the family, and per capita income related to the use of the service were studied. Results: From 1558 interviewed people, 413 (26, 0%) referred one or more health problems... (Complete abstract click electronic access below)

Resumo: Estudos sobre a utilização de serviços de saúde podem contribuir com a racionalização dos gastos, o planejamento, a reorganização das ações e programas buscando melhorar a qualidade dos serviços prestados. Os inquéritos de saúde de base populacional coletam simultaneamente informações sobre a situação de saúde, as condições de vida, a utilização dos serviços, incorporando informações sobre a população atendida e não atendida, caracterizando a demanda segundo variáveis biológicas, socioeconômicas e geográficas. O estudo da utilização dos serviços de saúde permite conhecer sua acessibilidade para os diversos grupos sócio-econômicos e avaliar a equidade do sistema de saúde. Conhecer o perfil de utilização dos serviços de saúde de Botucatu-SP, em relação à morbidade referida de 15 dias e outros motivos de utilização, segundo características dos usuários e dos serviços procurados. Foram analisados dados, coletados em inquérito de base populacional, relativos à procura de serviços de saúde em amostra populacional urbana de Botucatu, a partir das morbidades referidas e outros motivos, não mórbidos, de procura de serviços de saúde nos últimos 15 dias anteriores a data da entrevista. Os problemas de saúde foram classificados segundo os capítulos da CID 10, sua freqüência e prevalência foram analisadas segundo as variáveis de idade e sexo. Foram estudados a procura de serviços e os motivos da não-procura, o grau de satisfação com o atendimento recebido e a resolubilidade dos problemas de saúde entre os que procuraram e não procuraram os serviços de saúde. Foram caracterizados os serviços procurados, se públicos ou privados, as formas e fontes de pagamento dos atendimentos, de exames solicitados e de medicamentos prescritos. Foram estudadas as variáveis sexo e idade, grau de instrução... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Studies on the use of health services may contribute to reasonable spending, planning, reorganization of actions and programs aiming to improve the quality of delivered services. Populational-based health surveys simultaneously collect information about health condition, life conditions, and the use of services, incorporating information about serviced and non-serviced population, characterizing the demand according to biological, social, economic and geographical variables. The study of the use of health services allows knowing its accessibility to various social and economical groups and evaluating health system equity. To know the profile of the use of health service in Botucatu-SP, related to 15 days referred morbidity and other reasons of use, according to characteristics of users and pursued services. Collected data from a populational-based survey were analyzed and they were related to the pursuit of health services in an urban population sample in Botucatu, from the referred morbidity and other non-morbid reasons of pursuing health services on the last 15 days prior to the day of interview. Health problems were classified according to the chapters of CID 10, its frequency and prevalence were analyzed according to age and sex. The pursued and non-pursued of services, the degree of satisfaction of delivered service and the solution of problems among those who pursued and the ones who did not pursue the services were studied. Pursued services were characterized according to public or private, the ways and sources of service payment, asked examinations and prescribed medications. Variables like sex and age, education degree of the head of the family, and per capita income related to the use of the service were studied. Results: From 1558 interviewed people, 413 (26, 0%) referred one or more health problems... (Complete abstract click electronic access below) / Orientador: Luana Carandina / Coorientador: Antonio Luiz Caldas Junior / Banca: Marilisa Berti de Azevedo Barros / Banca: Carmen Maria C. Monti Julian / Mestre

Introdução: A relação entre cães, gatos e seres humanos é antiga e ainda polêmica ,principalmente, nos aspectos referentes à questão da saúde. O desequilíbrio na população animal levou a excessos populacionais, que junto com a falta de saneamento e o crescimento desordenado das cidades, propiciaram a disseminação de zoonoses, principalmente, nas metrópoles. Ainda não é claro o risco dos animais à população humana frente aos benefícios possíveis. Justificativa: As freqüentes interações entre o homem e animais de estimação propiciam surgimento de novas zoonoses, tornando fundamental o conhecimento da dinâmica populacional de cães e gatos nas diferentes cidades brasileiras. A análise desses parâmetros, através de um inquérito domiciliar, abrirá um novo leque de opções, que permitirá novos conhecimentos técnicos e poderá ser um norteador de políticas públicas para essa área tão carente de informação. Objetivo: Analisar o perfil da população domiciliada de cães e correlacionando com as condições dos domicílios e do seu entorno e o nível sócio- econômico dos proprietários de animais. Material e Método: Foram utilizados dados de estudos de corte transversal e base populacional, com uso de questionários aplicados em entrevistas domiciliares. A área estudada foi o município de São Paulo, as entrevistas foram realizadas em 2003, como parte do “Inquérito de Saúde no Município de São Paulo – ISA - CAPITAL”. O presente projeto analisou o bloco de entrevistas que versa sobre a questão de cães e gatos nos domicílios. A análise geral dos dados foi realizada pelos softwares SPSS e STATA. Resultados: Em 42,77 % dos lares há presença de cães e/ou gatos. A média de idade dos cães nas residências é de 4,28 anos e a dos gatos é de 3,44 anos. Houve predominância de fêmeas na população felina e de machos na canina. Foi notada uma alta porcentagem, 90,13 % dos cães e 71,93% dos gatos, de vacinação contra a Raiva , nos últimos 12 meses. As clínicas particulares têm grande importância na vacinação contra a Raiva com 29,8 % dos cães vacinados em clínicas e 55,5 % dos gatos. Conclusões Finais: Há necessidade de um sistema de informação entre clínicas particulares e serviço público, principalmente no tocante à vacinação contra a raiva; maior número de estudos sobre a população felina na cidade; programas educativos para a população em geral e para os “cuidadores” de cães. / The relationship between dogs or cats with human is ancient and nevertheless controversy. The imbalance in the animal population drove to an overpopulation that allied to the lack of sanitation and disordered increase of the cities enabled the dissemination of zoonoses especially in the metropolises. It is still not clear the risk of the animals to the human population compared to the plausible benefits. Justification: The frequent interactions between man and domestic animals results in new zoonoses emergences, and in this context the information of dog and cats population dynamics in different Brazilian cities is crucial. The analysis of these parameters, through a health survey, will raise new options that could allow improvement in technical information. As an effect, this development could have a leading role in public politics for an area with such scarce knowledge.Objective: To analyze the profile of dogs an cats and its parameters related (vaccination, population dynamics), with the household and surroundings conditions by making use of a health survey. Materials and Methods: Transversal cut study and populational basis investigation with use of inquiries applied on household interviews were performed. The examined area was São Paulo city in 2003, as part of the “Health Survey in São Paulo municipality”- Inquérito de Saúde no Município de São Paulo – ISA - CAPITAL”. The present survey analyzed the segment of the interviews that comprised the information on the dogs and cats in the domiciles. The general data analysis was performed with the softwares SPSS and STATA. Results: Our results indicated that 42,77% of the domiciles have either dogs, cats or both. The average age of the dogs is 4,28 years and of the cats 3,44 years. There was a predominance of females in the canine population and males in the feline one. A high level of rabies vaccination was noticed (90,13 % of dogs and 71,93% of cats) in the last 12 months. The private practices were responsible for a significant participation in the rabies vaccination with 29,8% of the dogs and 55,5% of the cats. Final conclusions: There is a need for an information network between private practices and public service specially regarding vaccination against rabies, and also a requirement for more studies on the feline population of the city, as well as educational programs for the general population and the animal caretakers.

No description available.