Explaining the Determinants of Pediculosis Control and Prevention: A Qualitative Study in Southern Iran

Abstract

In many regions of the world, human head lice infestations caused by Pediculus capitis are a major health concern among school-aged children. This study was carried out to explain variables influencing pediculosis prevention and control from the perspective of parents and teachers of female elementary school pupils, as well as healthcare practitioners in Bandar Abbas, Iran. Participants in this qualitative study included 23 participants, including parents and teachers of primary school girls, as well as healthcare practitioners. Purposive sampling was employed and sustained until data saturation was reached. Data was acquired through in-depth interviews and evaluated using content analysis in the form of constant comparison. To assess the quality of the outcomes, Lincoln and Guba’s criteria were used. The data were extracted into 2 primary categories, including challenges and facilitators to controlling pediculosis, each with several subcategories as follows: 1) economic-political aspects; 2) family factors; 3) social-cultural elements; 4) personal and mental issues; 5) geographical position of the investigated region; 6) school and education factors; and 7) factors related to medications and therapy. There were 2 types of facilitators: 1) informative factors and 2) social-cultural variables. According to the findings, pediculosis prevention, control, and treatment necessitate multifaceted and multi-level intervention. Some solutions must be addressed at the personal-psychological, familial, political-economic, geographical, and informational levels, as well as school-related concerns, social stigma elimination, and evaluation of cultural components of the issue at the social level.