Exploring the lived experiences of adolescent girls affected by head lice infestation: a qualitative descriptive study

Abstract

Abstract Background Head lice infestation is a prevalent dermatological condition among adolescent girls, which has wide-ranging adverse physical, psychological, and emotional effects on their lives. However, these experiences have been sparsely documented. This study aimed to investigate the lived experiences of Iranian adolescent girls regarding head lice infestation. Methods In this phenomenological study, a purposive sampling technique was employed to select 15 adolescent girls who were experiencing head lice infestation. Collaboration was established with local schools to identify and recruit the participants. Subsequently, the purpose and nature of the study were explained to the identified participants and their guardians. Semi-structured in-depth interviews were conducted to gather the necessary data. The collected data underwent analysis using Colaizzi’s seven-step method. To enhance the credibility of the findings, Lincoln and Guba’s (2004) criteria were applied. The management of the data was facilitated through the utilization of MAXQDA software version 0.9.5. Results The average age of the participants, aged 12 to 17, was 14.5 (standard deviation = 1.7). In terms of education, the majority of them had completed upper secondary education (n = 8, 53.3%), followed by lower secondary education (n = 4, 26.6%). The participants’ experiences were categorized into four main themes and 15 sub-themes. The main themes included living in the shadow of fear, torment of infestation, “struggling with head lice, and disturbing ramifications. The sub-themes encompassed social fear, fear of harm, fear of beauty decline, stigma, bullying behavior, self-blame, adversity, challenging struggle, effective coping, nonconforming behavior, family disruption, academic disruption, health threats, and confused mental state. Conclusion During head lice infestation, adolescent girls endured negative experiences and extensive fears, considering it a significant ordeal. They encountered multiple challenges while dealing with lice and utilized both adaptive and maladaptive strategies to cope with the infestation. It is recommended to enhance public awareness regarding head lice infestation, and healthcare providers should offer emotional support and counseling services to affected girls and their families.

Keywords

• Qualitative research
• Lice infestations
• Adolescent
• Female