Moosazadeh Mahmood, Afshari Mahdi, Hajheydari Zohreh, Charkameh Ali, Nezammahalleh Asghar, Zerafat Aliakbar, Rezaei Foroozan, Rankoohi Maryam, Safari Nasim, Shojaei Jalil, Enayati Ahmad Ali
Health Science Research Center, Addiction Institute, Mazandaran University of Medical Science, Sari, Iran.
Department of Community Medicine, Zabol University of Medical Sciences, Zabol, Iran.
Int J Adolesc Med Health. 2019 Jan 26;33(1):/j/ijamh.ahead-of-print/ijamh-2018-0039/ijamh-2018-0039.xml. doi: 10.1515/ijamh-2018-0039.
Head lice infestation is one of the main public health problems worldwide and a sanitary, cultural and economic indicator for communities' health. This study aims to estimate the prevalence of head lice infestation among female primary school children in selected districts of Mazandaran Province, Iran.
In this cross-sectional study, 3033 female school children were recruited using the consensus method. Head lice infestation was defined as visible adult lice, nymph or egg with the naked eye. Data were described by percent frequency and analyzed using the chi-squared test and multivariate logistic regression models. A p-value less than 0.05 was considered significant.
Prevalence of head lice infestation among female school children was estimated at 7.9%. The adjusted odds ratios (OR) [95% confidence intervals (CI)] for rural residents, low level educated mothers, family size more than five and not combing their hair were 1.96 (1.41-2.78), 2.46 (1.35-4.49), 2.04 (1.12-3.70) and 3.94 (1.73-8.96), respectively. In addition, considering first grade students as a reference group, the ORs (95% CI) for second and third grades were 1.89 (1.18-3.05) and 1.69 (1.05-2.74), respectively.
Our study showed that studying in urban schools, low educational level of mothers, grade, family size and no history of regular combing were predictors of head lice infestation.
头虱感染是全球主要的公共卫生问题之一,也是社区健康的一项卫生、文化和经济指标。本研究旨在估计伊朗马赞德兰省选定地区小学女生头虱感染的患病率。
在这项横断面研究中,采用共识法招募了3033名女学生。头虱感染定义为肉眼可见的成年虱子、若虫或虫卵。数据以百分比频率描述,并使用卡方检验和多因素逻辑回归模型进行分析。p值小于0.05被认为具有统计学意义。
估计女学生头虱感染的患病率为7.9%。农村居民、母亲受教育程度低、家庭规模超过五口以及不梳理头发的调整比值比(OR)[95%置信区间(CI)]分别为1.96(1.41 - 2.78)、2.46(1.35 - 4.49)、2.04(1.12 - 3.70)和3.94(1.73 - 8.96)。此外,以一年级学生作为参照组,二年级和三年级的OR(95%CI)分别为1.89(1.18 - 3.05)和1.69(1.05 - 2.74)。
我们的研究表明,在城市学校就读、母亲教育水平低、年级、家庭规模以及无定期梳理头发史是头虱感染的预测因素。