PREVENTION THROUGH PERCEPTION: INVESTIGATING THE ROLE OF COGNITIVE-BEHAVIORAL FACTORS IN HEAD LICE CONTROL AMONG KARACHI SCHOOL GIRLS APPLICATION OF HEALTH BELIEVE MODEL

Main Article Content

Aisha Jabeen
Dr. Mirza Tasawer Baig
Sadaf Ibrahim
Noorulain Pirzada
Samina Sheikh
Hira Arif
Quratulain Pirzada

Keywords

Pediculosis, Preventive Behaviors, Cognitive behavior

Abstract

Background: In Pakistan, head lice pose a significant health concern for adolescents, particularly amongst female students. This study delves deeper into this issue by exploring potential links between head lice infestation and the cognitive and behavioral factors present in these young women.


Methods: To investigate the potential connection between cognitive-behavioral factors and head lice infestation among female high school students, a descriptive cross-sectional study was conducted in Karachi, Pakistan, during 2023. A total of 226 participants were carefully selected through a random sampling method, ensuring a representative sample of the student population. These young women actively participated by completing a self-administered questionnaire specifically designed to gather crucial information. The questionnaire comprehensively assessed two key aspects: Cognitive-behavioral factors: This explored various thoughts, beliefs, and behaviors that might influence head lice susceptibility or transmission. This could include factors like knowledge about hygiene practices, social interactions, and coping mechanisms related to itching or stigma. Head lice infestation status: The questionnaire effectively determined whether each participant currently had head lice or had experienced it in the past. This provided valuable data on the prevalence and potential risk factors within the study population.


Results: The study uncovered a distinct pattern when comparing students with and without head lice infestation. Those grappling with the infestation exhibited substantially lower scores in: Perceived severity: They tended to underestimate the seriousness of head lice and its potential consequences, potentially neglecting the urgency of addressing the issue. Perceived benefits: These students saw less value in engaging in preventive measures compared to their lice-free counterparts, possibly diminishing their motivation to adopt consistent hygiene practices. Self-efficacy: Individuals with head lice infestation reported lower confidence in their ability to effectively manage the situation, potentially leading to feelings of helplessness and discouragement.


Conclusion: The study revealed a concerning trend: female students with head lice infestations underestimated the problem's severity, felt less empowered to manage it, and saw less value in preventative measures. Importantly, these factors predicted both infestation and preventative behavior. This suggests targeted health programs could be highly effective. By raising awareness of risks, boosting self-efficacy in hygiene practices, and addressing barriers to prevention, such programs have the potential to significantly reduce head lice infestation among female students in Pakistan.

Abstract 82 | PDF Downloads 43

References

1. Ahmad Nasrollahi, S., Daneshmand, B., & Kashani, N. (2018). Review of common head lice treatments. Journal of Dermatology and Cosmetic, 9(3), 219-225.
2. Alizadeh-Siuki, H., Jadgal, M. S., & Fahimeh, A. (2023). Predictive and preventive Factors related to of head lice infestations among teenage girls student: Application of Health Belief Model.
3. Amanzougaghene, N., Fenollar, F., Raoult, D., & Mediannikov, O. (2020). Where are we with human lice? A review of the current state of knowledge. Frontiers in Cellular and Infection Microbiology, 9, 474.
4. Arserim, S. K., Cetin, H., Yildirim, A., Limoncu, M. E., Cinbilgel, I., Kaya, T., ... & Balcioglu, I. C. (2021). The Toxicity of Essential Oils From Three Origanum Species Against Head Louse, Pediculus humanus capitis. Acta Parasitologica, 66(3), 1003-1011.
5. Babazadeh, T., Kouzekanani, K., Oliaei, S., Gaffari-Fam, S., Abbasabad, G. D., Chollou, K. M., & Heidari, S. (2020). Assessing the link between head lice infestation and selected cognitive-behavioral factors in a sample of Iranian female adolescents. Heliyon, 6(5).
6. Babazadeh, T., Kouzekanani, K., Oliaei, S., Gaffari-Fam, S., Abbasabad, G. D., Chollou, K. M., & Heidari, S. (2020). Assessing the link between head lice infestation and selected cognitive-behavioral factors in a sample of Iranian female adolescents. Heliyon, 6(5).
7. Babazadeh, T., Nadrian, H., Ranjbaran, S., Rezakhani-Moghaddam, H., & Aghemiri, M. (2019). Cognitive factors associated with Brucellosis preventive behaviours among diagnosed patients: an application of Empowerment Model. Eastern Mediterranean Health Journal, 25(8), 567-574.
8. Barati, M., Shayghan Zahed, R., Bakhtiari, M., Fathi, Y., Afshari, M., & Taheri-Kharameh, Z. (2022). Factors Influencing Brucellosis Preventive Behaviors among Marginalized Iranian Women: An Application of the Health Belief Model. The Scientific World Journal, 2022.
9. Bekry, G., Sarbakhsh, P., Allahverdipour, H., & Shaghaghi, A. (2022). A Model-based Survey to Predict Head Lice Infestation (HLI)-related Preventive Behaviors Among the Iranian Primary School-aged Children. Journal of Pediatric Infection/Cocuk Enfeksiyon Dergisi, 16(3).
10. Bekry, G., Sarbakhsh, P., Allahverdipour, H., & Shaghaghi, A. (2022). Children’s perception scale of head lice infestation (CPS-HLI): Design and psychometrics. Archives of Pediatric Infectious Diseases, 10(1).
11. Centers for Disease Control and Prevention. (2019). Head lice general information. http://www.cdc.gov/parasites/lice/head/gen_info/faqs.html
12. Dagne, H., Biya, A. A., Tirfie, A., Yallew, W. W., Andualem, Z., & Dagnew, B. (2020). Knowledge, attitude, and practice of pediculus capitis prevention and control and their predictors among schoolchildren in Woreta Town, Northwest Ethiopia, 2018: a school-based cross-sectional study. International Journal of Pediatrics, 2020.
13. Daneshvar, S., Aivazi, A. A., Naghizadeh, M. M., & Ghazanfari, Z. (2021). Efficacy of educational intervention on preventive behavior against head lice infestation in girl school students. Journal of Education and Community Health, 8(3), 215-221.
14. Daneshvar, S., Aivazi, A. A., Naghizadeh, M. M., & Ghazanfari, Z. (2019). Factors Associated with preventive behaviors of pediculosis infection among elementary school girl students in Eyvan: an application of the health belief model. Journal of Education and Community Health, 6(1), 3-9.
15. Dehghani Tafti, A., Rahaei, Z., Askar Shahi, M., & Hakimi, T. (2018). The effect of educational program on the prevention of pediculosis in primary school fifth grade students: An application of the Health Belief Model. Journal of Social Behavior and Community Health, 2(1), 134-143.
16. Eftekhari, M. J., & Peyman, N. (2018). Effect of educational intervention based on protection motivation theory on promoting pediculosis preventive behaviors among elementary school girls in Neyshabur. Journal of Education and Community Health, 5(2), 1-7.
17. Kassiri H, Mehraghaei M, Lotfi M, Kasiri R (2020) Head lice prevalence and associated factors in primary schools in Karun County, Khuzestan Province, Iran. Med Sci 24(104):2280–2290
18. Koch, E., Clark, J. M., Cohen, B., Meinking, T. L., Ryan, W. G., Stevenson, A., Yetman, R., & Yoon, K. S. (2016). Management of head louse infestations in the United States–A literature review. Pediatric Dermatology, 33(5), 466-472. 6.
19. Louni, M., Mana, N., Bitam, I., Dahmani, M., Parola, P., Fenollar, F., ... & Mediannikov, O. (2018). Body lice of homeless people reveal the presence of several emerging bacterial pathogens in northern Algeria. PLoS neglected tropical diseases, 12(4), e0006397.
20. Maramazi, H. G., Sharififard, M., Jahanifard, E., Maraghi, E., Sourestani, M. M., Malehi, A.S., & Rasaei, S. (2019). Pediculosis humanus capitis prevalence as a health problem in girl’s elementary schools, southwest of Iran (2017-2018). Journal of research in health sciences, 19(2), e00446.
21. Moshki, M., Zamani-Alavijeh, F., & Mojadam, M. (2017). Efficacy of peer education for adopting preventive behaviors against head lice infestation in female elementary school students: a randomised controlled trial. PloS one, 12(1), e0169361.
22. Moshki, M., Zamani-Alavijeh, F., & Mojadam, M. (2019). Correction: Efficacy of peer education for adopting preventive behaviors against head lice infestation in female elementary school students: A randomised controlled trial. PLoS One, 14(2), e0212625.
23. Mumcuoglu KY, Pollack RJ, Reed DL, Barker SC, Gordon S, Toloza AC, et al. International recommendations for an efective control of head louse infestations. Int J Dermatol. 2021;60:272–80.
24. Mumcuoglu, K. Y., Pollack, R. J., Reed, D. L., Barker, S. C., Gordon, S., Toloza, A. C., ... & Vander Stichele, R. H. (2021). International recommendations for an effective control of head louse infestations. International journal of dermatology, 60(3), 272-280.
25. Muršić, I., Kuric, I., Raguž, M., Kovačević, T., & Muršić, D. (2018). Treatment of scabies and pediculosis in health education publications and folk medicine of Eastern Croatia-Slavonija, Baranja and Western Srijem county. Acta dermatovenerologica Croatica, 26(1), 33-33.
26. Nasirzadeh, M., Kaveh, F., Sayadi, A. R., & Asadpour, M. (2021). Effect of educational intervention on preventive behaviors of brucellosis among health volunteers in Rafsanjan city: Application of health belief model. Journal of Education and Health Promotion, 10.
27. Oncu, E., Vayisoglu, S. K., Guven, Y., Onen, E., Bulut, E. R., Cekic, H., & Ozturk, F. (2018). The prevalence of pediculus capitis in primary schools in a city of Turkey and the efficacy of health education in treatment. Med Sci (Turkey), 7(3), 469-75.
28. Saghafipour, A., Zahraei-Ramazani, A., Vatandoost, H., Mozaffari, E., Rezaei, F., & KaramiJooshin, M. (2018). Prevalence and risk factors associated with head louse (Pediculus humanus capitis) among primary school girls in Qom province, Central Iran. International Journal of Pediatrics, 6(4), 7553-7562.
29. Sanchezruiz, W. L., Nuzum, D. S., & Kouzi, S. A. (2018). Oral ivermectin for the treatment of head lice infestation. The Bulletin of the American Society of Hospital Pharmacists, 75(13), 937-943.
30. Sangaré AK, Doumbo OK, Raoult D (2016) Management and treatment of human lice. Biomed Res Int 2016:8962685. https:// doi.org/10.1155/2016/8962685
31. Shekarbeygi, N., Mirzaei-Alavijeh, M., Jalilian, F., Hamzeh, B., Almasi, A., Limoee, M., ... & Hosseini, S. N. (2022). Cognitive Determinants Predicting Pediculosis Preventive Behaviors: Application of Health Belief Model. International Journal of Pediatrics, 10(1), 15271-15280.
32. Shekarbeygi, N., Mirzaei-Alavijeh, M., Jalilian, F., Hamzeh, B., Almasi, A., Limoee, M., ... & Hosseini, S. N. (2022). Cognitive Determinants Predicting Pediculosis Preventive Behaviors: Application of Health Belief Model. International Journal of Pediatrics, 10(1), 15271-15280.
33. Singhasivanon, O. U., Lawpoolsri, S., Mungthin, M., Yimsamran, S., Soonthornworasiri, N., & Krudsood, S. (2019). Prevalence and alternative treatment of head-lice infestation in rural Thailand: a community-based study. The Korean journal of parasitology, 57(5), 499.
34. Siuki, H. A., Jadgal, M. S., & Fahimeh, A. (2023). Predictive and preventive Factors related to of head lice infestations among teenage girls student: Application of Health Belief Model.
35. Torre, G. L. T. D., Ponsaran, K. M. G., De Guzman, A. L. D. P., Manalo, R. A. M., & Arollado, E. C. (2017). Safety, efficacy, and physicochemical characterization of Tinospora crispa ointment: A community-based formulation against Pediculus humanus capitis. The Korean Journal of Parasitology, 55(4), 409.
36. Yingklang, M., Sengthong, C., Haonon, O., Dangtakot, R., Pinlaor, P., Sota, C., & Pinlaor, S. (2018). Effect of a health education program on reduction of pediculosis in school girls at Amphoe Muang, Khon Kaen Province, Thailand. PloS one, 13(6), e0198599.