New aspects concerning Pediculus capitis (Anoplura: Pedicullidae) infestation in Iran

Мұқаба

Дәйексөз келтіру

Толық мәтін

Аннотация

Pediculosis caused by the Pediculus capitis (De Geer, 1767), is a major public health concern worldwide, including in Iran. Policymakers must be well-informed on the relevant evidence through comprehensive studies. No study has been done concerning trends of Pediculus capitis infestation in provinces of Iran, geographic and climatic regions, seasons, location of meridians and tropics areas, together with the distribution and stratification. Therefore, a study of the mentioned objectives was conducted. The data on P. capitis infestation levels and factor impacts on P. capitis infestation levels in Iranian people were extracted and summarized from 126 articles. The trends of P. capitis infestation have increased in about half of the country’s provinces over the previous two decades. These provinces are located mostly in the southern Caspian Sea shores, the central plateau, and the south coast. Pediculus capitis infestations are in the range of -ꝏ–-0.40, -0.40–-0.20, and -0.20–0.00 in the regression coefficient regarding the distribution and stratification. For the first time in this study, the impact of the meridians and the tropics that pass through Iran was also evaluated on P. capitis infestation. Based on the intensity of P. capitis infestation, the order of the influence of the factors that affect infestation is estimated. Interaction modeling demonstrated that primary school has a synergistic impact on time trends. In addition, the Western mountains, the central plateau, and the southeast showed synergistic effects with time trends on the incidence of the outcome. The findings provide the national baseline data to initiate steps for national pediculosis intervention programs.

Толық мәтін

Pediculosis is a major public health concern in many countries, especially among overcrowded and lower-income children. Pediculus capitis (De Geer, 1767), commonly known as the head lice, is an obligate human ectoparasite and can be found in various parts of the world, including Iran. Head lice infestations can occur in any place where there is close contact between individuals, such as schools, households, or communities. Head lice infest millions of children worldwide. Insects live in the immediate scalp vicinity of individual hair follicles, piercing the skin to feed on blood (Awaad et al., 2023; Feldmeier, 2023; Kassiri, Mehraghaei, 2021; Nasirian, 2023b; Nasirian, Ahmadi, 2024; Nawab et al., 2024; Valero et al., 2024). Epidemiological interpretations of head lice infestation rates and how factors including age, sex, family size, parent education level, and economic status influenced infestations were explored (Alarifi et al., 2022; Gholami et al., 2024; Nasirian, 2023b; Valero et al., 2024).

Several articles in the scientific literature have estimated infestation rates and the impact of factors affecting the head lice infestation in several regions of Iran, mostly focusing on a single study. Policymakers must be well-informed of the relevant evidence on time through comprehensive studies. This kind of study increases the ability, accuracy, and power of research outcomes for policymakers to provide documents that individual studies cannot provide to health system decision-makers (Nasirian, 2023b; Oliveira et al., 2021; Shanavaz et al., 2023). Pediculus capitis infestation and the impact of factors affecting infestation of school students and the community have recently been monitored on a global scale (Nasirian, 2023b; Nasirian and Ahmadi, 2024). However, so far, no study has been done that deals with the trends of P. capitis infestation in Iran’s provinces, geographic and climatic regions, seasons and in the meridians 50°E, 55°E and 60°E and the tropics at 30°N and 35°N, along with the distribution and stratification of the P. capitis infestation in Iran and statistical analysis including a comparison of factor impact on P. capitis infestation level and interaction modeling with Poisson regression at the same time. The findings may provide the national baseline data to initiate steps for national pediculosis intervention programs, which is important for this country and can establish a model for monitoring and controlling head lice in schools. Therefore, a study was designed and conducted with the mentioned objectives.

Materials and methods

Collection and selection of papers for review

In order to conduct and design this study, the methods and research patterns of the following resources were exploited, including Ahmadi et al., 2024; Kassiri, Nasirian, 2021; Nasirian, 2017a, b; Nasirian, 2019a; Nasirian, 2019b; Nasirian, 2020, 2022, 2023a, c, 2024a, b; Nasirian and Salehzadeh, 2019; Nasirian et al., 2023; Nasirian, Zahirnia, 2021; and Zahirnia et al., 2023. Among the articles cited in Nasirian (2023) and Nasirian, Ahmadi (2024), those that were dedicated to P. capitis infestation and factors affecting P. capitis infestation in students of preschools and primary schools, and the community in Iran were chosen. These articles were collected from well-known indexing services, including Elsevier, Entomological Society of America publications, Google Scholar, PubMed, ScienceDirect, Scopus, Springer, and Web of Science (Nasirian, 2023b; Nasirian, Ahmadi, 2024). By researching, the new research that was done was also added to the resources. In the next step, if new information details are needed, they add to them according to data sources and grouped under specific titles in Tables 1–8.

 

Table 1. Pediculus capitis infestation in students of preschools and primary schools, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

Boys

Girls

Both

Boys

Girls

Both

Boys

Girls

Both

Schools

Students

Gender

Location

Date

Selection

Preschools

Rasht

Gilan

913

867

1780

38

54

92

41.0

59.0

5.1

29

1780

Both

Local

1998–1999

Overall

Gholchaye, Ahmadi Ghajari, 2000*

Across

Iran

351

4389

4740

2.5

2.2

2.2

213450

Both

Across

2005

Overall

Amirkhani et al., 2011*

Kashan

Isfahan

585

615

1200

1

7

8

0.17

1.1

0.7

1200

Both

Local

Feb 2009

Overall

Dehghani et al., 2012*

Urmia

West Azerbaijan

38

3

7.9

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Asadabad

Hamadan

2355

52

2.2

16438

Both

Local

Oct 2015–Jun 2016

Overall

Nazari et al., 2016b*

Sari

Mazandaran

123

293

416

8

19

27

6.5

6.5

6.5

10

416

Both

Local

2014

Randomly

Jahandideh et al., 2017*

Mashhad

Razavi Khorasan

575

15.5

Both

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Primary schools

Kashan

Isfahan

1986

17

0.86

8

1986

Boys

Local

1997

Randomly

Dehghani et al., 1999*

Sari

Mazandaran

6097

4894

10991

32

183

215

0.52

3.7

1.9

58

10991

Both

Local

1997–1998

Randomly

Motevalli Haghi et al., 1999*

Bushehr

Bushehr

3913

1962

1951

469

2.0

22.0

12.0

1951

Both

Local

1999–2000

Randomly

Arjomanzadeh et al., 2001*

Ilam

Ilam

320

338

658

14

22

36

4.5

6.5

5.5

6

658

Both

Local

Mar 97–Apr 98

Randomly

Gholamiparizad, Abedzadah, 2001*

Yasuj

Kohgiluyeh and Boyer–Ahmad

6438

5809

12247

85

1266

1351

1.3

21.8

11.0

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Shahriar

Tehran

1921

8.2

24.3

15.8

1921

Both

Local

Oct–Mar 1993

Overall

Bashiri et al., 2002*

Bandar Abbas

Hormozgan

3249

1.8

20.3

12.3

3249

Both

Local

1999–2000

Randomly

Soleimani Zadeh, Sharifi Sarasiabi, 2002*

Iranshahr

Sistan and Baluchestan

918

918

 

27.0

 

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

1650

74

4.5

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

1195

235

19.7

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Ardabil

Ardabil

417

119

28.5

417

Girls

Local

Oct 2001–May 2002

Randomly

Edalatkhah et al., 2005*

Kerman

Kerman

564

636

1200

2

43

45

0.35

6.8

3.8

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Rasht

Gilan

1493

1400

2893

49

80

129

3.3

5.7

4.5

2893

Both

Local

2002–2003

Randomly

Pourbaba et al., 2005*

Babol

Mazandaran

2300

51

0.96

3.5

2.2

9

Local

2003–2004

Randomly

Zabihi et al., 2005*

Hamadan

Hamadan

7219

975

13.5

120

975

Girls

Local

2000–2001

Randomly

Zahirnia et al., 2005*

Gorgan

Golestan

200

10.8

Local

Overall

Borghei, Gharaje, 2006*

Hamadan

Hamadan

440

407

847

3

55

58

0.7

13.5

6.9

12

847

Both

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

2115

2129

4244

100

292

392

4.7

13.7

9.2

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

1066

313

29.4

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

269

246

515

96

27

123

35.7

11.0

23.9

Both

Local

Randomly

Soleimani–Ahmadi, 2007*

Sanandaj

Kurdistan

600

46

7.7

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Tabriz

East Azerbaijan

847

1948

2795

0

102

102

0

5.2

3.6

13

2795

Both

Local

Jul–Nov 2006

Overall

Hodjati et al., 2008*

Kerman

Kerman

19774

20812

40586

118

603

721

0.6

2.9

1.8

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008*

Bahar

Hamadan

450

450

900

2

10

12

0.44

2.2

1.3

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Ahvaz

Khuzestan

810

89

11.0

810

Girls

Local

Apr–Jun 2006

Randomly

Rafie et al., 2009*

Birjand

South Khorasan

1531

1515

3046

16

75

91

1.0

5.0

3.0

500

Both

Local

Jan–Mar 2001

Randomly

Ghaderi et al., 2010*

Khajeh

East Azerbaijan

200

300

500

4

20

24

2.0

6.7

4.8

20

213450

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010*

Across

Iran

9338

122715

132053

65.2

61.7

61.9

213450

Both

Across

2005

Overall

Amirkhani et al., 2011*

Amlash

Gilan

45

102

147

2

14

16

4.4

13.7

10.9

147

Both

Local

Randomly

Rafinejad et al., 2011*

Urmia

West Azerbaijan

866

1174

2040

16

65

81

1.8

5.5

4.0

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Bahar

Hamadan

8568

701

8.2

17722

Both

Local

Oct–Dec 2011

Overall

Moradi et al., 2012*

Qom

Qom

1725

131

7.6

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

810

 

38

4.7

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Sirjan

Kerman

30

65

95

0

16

16

0

24.6

16.8

22

Both

Local

2010–2011

Overall

Yousefi et al., 2012*

Robat Karim

Tehran

 

10000

125

1.3

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Javanrud

Kermanshah

865

72

8.3

865

Girls

Local

2011

Randomly

Geravandi et al., 2013*

Chabahar

Sistan and Baluchestan

153

116

75.8

2

153

Girls

Local

2008–2009

Randomly

Gholamnia Shirvani et al., 2013*

Qom

Qom

900

120

13.3

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Ravansar

Kermanshah

385

61

15.8

6

385

Girls

Local

Overall

Sayyadi et al., 2013*

Paveh

Kermanshah

750

60

8.0

25

750

Girls

Local

2009–2010

Randomly

Vahabi et al., 2013*

Aran va Bidgol

Isfahan

2096

1493

3589

2

15

17

0.05

0.42

0.47

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

1077

1074

2151

6

8

14

0.6

0.75

0.7

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Maneh–Semelghan

North Khorasan

120

130

250

4.2

15.4

10.0

250

Both

Local

2013

Randomly

Hosseini et al., 2014*

Damghan

Semnan

2700

97

3.6

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

1510

55

3.6

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

645

4067

4712

9

69

78

1.4

1.7

1.7

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Kalaleh

Golestan

2500

10

147

157

1.8

10.1

6.3

2500

Both

Local

Oct 2013–Jun 2014

Randomly

Noori et al., 2014*

Abadan

Khuzestan

302

322

624

0

27

27

0

8.4

4.3

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

164

220

384

14

40

54

8.5

18.2

14.1

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Pakdasht

Tehran

28242

25490

53732

122

556

678

0.43

2.2

1.3

53732

Both

Local

Oct–Dec 2013

Overall

Davari et al., 2015*

Sarab

East Azerbaijan

138

490

628

2.8

6.6

5.9

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015*

Bonab

East Azerbaijan

3757

106

2.8

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Bojnurd

North Khorasan

722

753

1475

21

93

114

2.9

12.4

7.7

75

1475

Both

Local

Jan–Mar 2013

Randomly

Rajabzade et al., 2015*

Shahriar

Tehran

750

36

4.8

3

Local

2012–2103

Randomly

Alborzi et al., 2016*

Savojbolagh

Alborz

3847

8935

12782

11

227

238

0.29

2.5

1.9

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

BandarAbbas

Hormozgan

116

100

216

45

6.0

33.3

20.8

216

Both

Local

2014

Overall

Hosseinpour et al., 2016*

Galugah

Mazandaran

132

168

300

9

8

17

6.8

4.8

5.7

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

405

345

750

15

1.5

2.6

2.0

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016*

Hashtgerd

Alborz

185

187

372

1

16

17

0.54

8.6

4.6

6

372

Both

Local

Oct 2012– Jun 2013

Randomly

Morowati Sharifabad et al., 2016*

Kalaleh

Golestan

265

276

541

5

30

35

1.9

10.9

6.5

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Lar

Fars

2084

82

3.9

2

Girls

Local

Dec 2013–Jan 2014

Overall

Moemenbellah–Fard et al., 2016*

Asadabad

Hamadan

188

412

600

1

13

14

0.53

3.2

2.3

16

600

Both

Local

2013–2014

Randomly

Nazari et al., 2016a*

Asadabad

Hamadan

30168

564

1.9

16438

Both

Local

Oct 2015–Jun 2016

Overall

Nazari et al., 2016b*

Paveh

Kermanshah

485

85

17.5

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Khorramshahr

Khuzestan

170

22

12.9

Girls

Local

Mar–Apr 2015

Overall

Ghajari et al., 2017*

Pakdasht, Pishva, Qrachak and Varamin

Tehran

3483

7.9

10

3483

Both

Local

Oct 2014–Jun 2015

Randomly

Ghandali et al., 2017*

Zanjan

Zanjan

915

95

10.6

Girls

Local

Overall

Ghavami, Ahmadi, 2017*

Lowshan

Gilan

414

78

18.8

Both

Local

2016

Randomly

Goodarzvand Chegini et al., 2017*

Mashhad

Razavi Khorasan

1810

48.7

Both

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Jahrom

Fars

330

387

717

14

35

49

4.2

9.0

6.8

717

Both

Local

2016–2017

Randomly

Majidi et al., 2017*

Sirik

Hormozgan

358

201

56.1

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017*

Bashagard

Hormozgan

300

202

67.3

300

Girls

Local

Randomly

Soleimani–Ahmadi et al., 2017*

Meshginshahr

Ardabil

895

1055

1950

69

131

200

3.5

6.7

10.3

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Yazd

Yazd

338

312

650

3

14

17

0.9

4.5

2.6

30

650

Both

Local

Oct–Mar 2013

Randomly

Ebrahimzadeh Ardakani, Fayazi Bargin, 2018*

Meshginshahr

Ardabil

895

1055

1950

69

131

200

7.7

12.4

10.3

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

402

59

14.7

4

402

Girls

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

13141

15269

28410

797

2198

2995

6.1

14.4

10.5

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

1725

229

13.3

75

1725

Girls

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

1200

146

8.6

18.9

12.2

1200

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018*

Mashhad

Razavi Khorasan

33

121

154

21.4

78.6

Both

Local

Sep 2015–Mar 2016

Randomly

Tashakori et al., 2018*

Mashhad

Razavi Khorasan

42.6

Both

Local

Nov 2016–Mar 2017

Overall

Beygi et al., 2019*

Badrud

Isfahan

808

787

1595

10

115

125

0.62

7.2

7.8

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

1466

292

19.9

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Kavar

Fars

3728

87

2.3

21

Girls

Local

Dec 2016–Jul 2017

Randomly

Kalari et al., 2019*

Karun

Khuzestan

851

199

23.4

851

Girls

Local

2017–2018

Randomly

Ghofleh Maramazi et al., 2019*

Mashhad

Razavi Khorasan

3062

417

  

13.6

 

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019*

Jam

Bushehr

854

132

15.4

 

Girls

Local

2019

Overall

Asadian et al., 2020*

Ardabil, Tabriz, Urmia and Zanjan

Ardabil, East Azerbaijan, West Azerbaijan and Zanjan

6410

562

8.8

52

Both

Across

2016–2018

Overall

Ghavami et al., 2020*

Ahvaz

Khuzestan

41392

504

1.2

41392

Both

Local

2008

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

30762

621

2.0

30762

Both

Local

2009

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

35721

528

1.5

35721

Both

Local

2010

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

40726

172

0.4

40726

Both

Local

2011

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

63133

1368

2.1

63133

Both

Local

2012

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

41174

4561

3.3

41174

Both

Local

2013

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

252908

4561

1.8

252908

Both

Local

2008–2013

Overall

Kassiri et al., 2020a*

Karun

Khuzestan

379

372

751

77

140

217

20.3

37.6

28.9

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Birjand

South Khorasan

2417

329

13.6

19

2417

Girls

Local

2017

Randomly

Lashkari et al., 2020*

Semnan

Semnan

384

383

767

15

25

40

3.9

6.5

5.2

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

1774

2116

3890

27

121

148

1.5

5.7

3.8

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

3027

2903

5930

461

1101

1562

15.2

37.9

26.3

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Rasht

Mazandaran

3033

7.9

3032

Both

Local

Overall

Moosazadeh et al., 2021*

Tabriz

East Azerbaijan

1515

1517

3032

37

93

130

2.4

6.1

4.3

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan–e Gharb

Kermanshah

1335

1180

2515

12

52

64

0.9

4.4

2.5

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Dorud

Lorestan

896

10.5

361

Both

Local

2020

Randomly

Barik–Abi et al., 2022*

Paveh

Kermanshah

361

26

7.2

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

499

89

17.8

499

Girls

Local

2020

Overall

Hajiloie et al., 2022 *

Marivan

Kurdistan

227

230

457

34

75

109

15.0

32.6

23.9

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

211

189

400

13

28

41

6.2

14.8

10.3

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Kerman

Kerman

179

12

6.7

Girls

Local

Sep 2019–Mar 2019

Randomly

Shirani–Bidabadi et al., 2022

Notes. E ‒ examined, I ‒ infested. * Cited in Nasirian, Ahmadi, 2024.

 

Table 2. Pediculus capitis infestation in the age groups of primary school students, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

Age groups

Boys

Girls

Both

Boys

Girls

Both

Boys

Girls

Both

Schools

Students

Gender

Location

Date

Selection

6 years

Iranshahr

Sistan and Baluchestan

35

3

8.6

12

35

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Kerman

Kerman

7412

298

4.0

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Urmia

West Azerbaijan

47

4

8.5

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Sirik

Hormozgan

5

20.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Karun

Khuzestan

126

39

31.0

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Ahvaz

Khuzestan

999

279

27.9

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

628

38

6.1

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

7 years

Yasuj

Kohgiluyeh and Boyer-Ahmad

1233

1148

2381

5

176

181

0.41

15.3

7.6

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Iranshahr

Sistan and Baluchestan

151

42

27.8

 

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

319

1.9

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

230

26

11.3

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Kerman

Kerman

195

7

3.6

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Hamadan

Hamadan

56

11

19.6

12

847

Both

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

754

76

10.1

95

4244

Both

Local

2003– 2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

228

46

20.2

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

11.6

Both

Local

Randomly

Soleimani-Ahmadi, 2007*

Sanandaj

Kurdistan

113

1

0.88

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Kerman

Kerman

6051

194

3.2

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Bahar

Hamadan

180

3

1.7

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Khajeh

East Azerbaijan

96

13

13.5

20

500

Both

Local

2008– 2009

Randomly

Shayeghi et al., 2010*

Urmia

West Azerbaijan

423

20

4.7

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Qom

Qom

23.6

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

148

4

2.7

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Robat Karim

Tehran

10000

22

22.5

10000

Girls

Local

2008– 2009

Randomly

Afshari et al., 2013*

Qom

Qom

28

15.5

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Ravansar

Kermanshah

75

15

20.0

6

385

Girls

Local

Overall

Sayyadi et al., 2013*

Paveh

Kermanshah

125

14

11.2

25

750

Girls

Local

2009– 2010

Randomly

Vahabi et al., 2013*

Aran va Bidgol

Isfahan

717

1

0.14

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

624

2

0.3

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Damghan

Semnan

11

11.3

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

287

15

5.2

1510

Girls

Local

2012– 2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

678

9

1.3

4712

Both

Local

2012– 2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

5

4.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

49

5

10.2

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Bonab

East Azerbaijan

608

14

2.3

3757

Girls

Local

2013– 2014

Overall

Kabiri et al., 2015*

Savojbolagh

Alborz

2762

47

1.7

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

53

4

7.5

16

300

Both

Local

2009– 2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

3.3

10

750

Both

Local

2008– 2009

Randomly

Kassiri, Gatifi, 2016*

Kalaleh

Golestan

190

9

4.7

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Paveh

Kermanshah

101

11

10.9

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Sirik

Hormozgan

49

33.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

50

50.0

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017 *

Meshginshahr

Ardabil

  

663

  

68

  

3.5

20

1950

Both

Local

2015– 2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

351

68

19.4

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

69

15

21.7

4

402

Girls

Local

2015– 2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

4697

773

16.5

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

345

52

15.1

75

1725

Girls

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

210

27

12.9

1200

Both

Local

2015– 2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

245

30

1.9

1595

Both

Local

2017– 2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

243

55

22.6

1466

Girls

Local

2017– 2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

475

95

20.0

3062

Girls

Local

2017– 2018

Randomly

Mohammadi et al., 2019*

Karun

Khuzestan

125

38

30.4

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Semnan

Semnan

243

8

3.3

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

115

18

15.7

3890

Both

Local

2018– 2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

991

251

25.3

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

1521

64

4.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

500

25

5.0

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

61

1

1.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

77

16

20.8

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

8

3

37.5

457

Both

Local

2018– 2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

44

7

15.9

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

8 years

Yasuj

Kohgiluyeh and Boyer-Ahmad

1234

1111

2345

6

212

218

0.49

19.1

9.3

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Iranshahr

Sistan and Baluchestan

 

156

  

40

  

25.6

 

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

391

4.5

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

242

72

29.7

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Kerman

Kerman

223

4

1.8

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Hamadan

Hamadan

75

8

10.7

12

847

Both

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

701

67

9.6

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

216

49

22.7

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

17.4

Both

Local

Randomly

Soleimani-Ahmadi, 2007*

Sanandaj

Kurdistan

115

4

3.5

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Kerman

Kerman

7965

103

1.3

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Bahar

Hamadan

180

2

1.1

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Khajeh

East Azerbaijan

113

5

4.4

20

500

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010*

Urmia

West Azerbaijan

421

17

4.0

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Qom

Qom

15.3

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

140

9

6.4

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Robat Karim

Tehran

10000

19

19.4

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Qom

Qom

18

10.0

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Ravansar

Kermanshah

63

11

17.5

6

385

Girls

Local

Overall

Sayyadi et al., 2013*

Paveh

Kermanshah

117

13

11.1

25

750

Girls

Local

2009–2010

Randomly

Vahabi et al., 2013*

Aran va Bidgol

Isfahan

658

4

0.58

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

206

3

1.5

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Damghan

Semnan

15

15.5

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

264

9

3.4

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

705

12

1.7

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

3

2.9

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

75

7

9.3

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Bonab

East Azerbaijan

612

17

2.8

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Savojbolagh

Alborz

2744

50

1.8

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

49

1

2.0

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

0.7

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016*

Kalaleh

Golestan

190

9

4.7

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Paveh

Kermanshah

87

14

16.1

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Sirik

Hormozgan

63

32.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

52

57.7

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017*

Meshginshahr

Ardabil

  

390

  

40

  

2.1

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

320

40

12.5

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

77

15

19.5

4

402

Girls

Local

2015-2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

6143

798

13.0

280

28410

Both

Local

Feb-Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

347

36

10.4

75

1725

Girls

Local

Mar 2015-Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

222

33

14.9

1200

Both

Local

2015-2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

240

24

1.5

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

233

32

13.7

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

512

53

10.4

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019*

Karun

Khuzestan

123

47

38.2

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Semnan

Semnan

243

8

3.3

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

159

23

14.5

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

992

290

29.2

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

1521

64

4.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

409

13

3.2

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

65

3

4.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

78

13

16.7

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

44

15

34.1

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

61

7

11.5

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

9 years

Yasuj

Kohgiluyeh and Boyer-Ahmad

1207

1067

2274

17

259

276

1.4

24.3

12.1

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Iranshahr

Sistan and Baluchestan

169

40

23.7

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

308

3.3

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

198

65

32.8

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Kerman

Kerman

213

14

6.6

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Hamadan

Hamadan

90

15

16.7

12

847

Both

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

833

79

9.5

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

212

55

25.9

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

19.0

Both

Local

Randomly

Soleimani-Ahmadi, 2007*

Sanandaj

Kurdistan

99

7

7.1

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Kerman

Kerman

9904

80

0.81

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Bahar

Hamadan

180

2

1.1

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Khajeh

East Azerbaijan

105

3

2.9

20

500

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010*

Urmia

West Azerbaijan

368

8

2.2

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Qom

Qom

18.3

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

187

5

2.7

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Robat Karim

Tehran

10000

22

22.5

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Qom

Qom

22

12.2

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Aran va Bidgol

Isfahan

710

6

0.85

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

517

2

0.4

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Damghan

Semnan

19

19.6

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

239

13

5.4

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

702

11

1.6

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

3

2.9

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

90

13

14.4

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Bonab

East Azerbaijan

621

24

3.9

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Savojbolagh

Alborz

2701

52

1.9

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

63

5

7.9

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

3.4

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016*

Kalaleh

Golestan

184

11

6.0

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Paveh

Kermanshah

92

18

19.6

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Sirik

Hormozgan

59

31.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

43

81.4

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017*

Meshginshahr

Ardabil

390

  

40

  

2.1

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

320

40

12.5

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

82

11

13.4

4

402

Girls

Local

2015-2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

7011

526

7.5

280

28410

Both

Local

Feb-Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

343

42

12.2

75

1725

Girls

Local

Mar 2015-Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

189

28

14.8

1200

Both

Local

2015-2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

246

19

1.2

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

265

48

18.1

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

526

84

16.0

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019*

Karun

Khuzestan

123

30

24.4

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Semnan

Semnan

259

17

6.6

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

332

35

10.5

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

992

244

24.6

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

1521

64

4.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

459

10

2.2

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

66

7

10.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

91

17

18.7

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

111

22

19.8

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

66

6

9.1

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

10 years

Yasuj

Kohgiluyeh and Boyer-Ahmad

1384

1296

2680

20

306

326

1.4

23.6

12.2

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Iranshahr

Sistan and Baluchestan

184

56

30.4

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

351

7.4

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

263

42

15.9

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Kerman

Kerman

224

2

0.89

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Hamadan

Hamadan

89

14

15.7

12

  

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

932

83

8.9

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

209

75

35.9

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

24.8

Both

Local

Randomly

Soleimani-Ahmadi, 2007*

Sanandaj

Kurdistan

104

8

7.7

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Kerman

Kerman

8972

45

0.5

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Bahar

Hamadan

180

4

2.2

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Khajeh

East Azerbaijan

87

2

2.3

20

500

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010*

Urmia

West Azerbaijan

414

15

3.6

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Qom

Qom

16.8

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

144

11

7.6

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Robat Karim

Tehran

10000

21

21.4

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Qom

Qom

20

11.1

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Ravansar

Kermanshah

78

14

17.9

6

385

Girls

Local

Overall

Sayyadi et al., 2013

Paveh

Kermanshah

188

11

5.9

25

750

Girls

Local

2009–2010

Randomly

Vahabi et al., 2013*

Aran va Bidgol

Isfahan

735

3

0.41

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

318

1

0.6

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Damghan

Semnan

22

22.7

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

245

10

4.1

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

835

12

1.4

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

5

4.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

150

13

8.7

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Bonab

East Azerbaijan

636

15

2.4

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Savojbolagh

Alborz

2477

48

1.9

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

67

4

6.0

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

1.8

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016*

Kalaleh

Golestan

184

11

6.0

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Paveh

Kermanshah

100

20

20.0

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Sirik

Hormozgan

67

26.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

51

76.4

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017*

Meshginshahr

Ardabil

273

28

1.4

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

318

28

8.8

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

59

5

8.5

4

402

Girls

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

5460

499

9.1

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

344

38

11.0

75

1725

Girls

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

204

18

8.8

1200

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

250

28

1.8

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

231

51

22.1

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

526

74

14.1

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019*

Karun

Khuzestan

123

37

30.1

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Birjand

South Khorasan

417

62

14.9

19

2417

Girls

Local

2017

Randomly

Lashkari et al., 2020*

Semnan

Semnan

259

17

6.6

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

989

23

2.3

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

979

296

30.2

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

883

28

3.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

390

7

1.8

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

64

9

14.1

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

87

15

17.2

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

127

32

25.2

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

93

11

11.8

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

11 years

Yasuj

Kohgiluyeh and Boyer-Ahmad

1380

1187

2567

12

313

325

0.87

26.4

12.7

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001*

Iranshahr

Sistan and Baluchestan

131

33

25.2

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Qom

Qom

381

4.9

1650

Girls

Local

Randomly

Farzinnia et al., 2004*

Sanandaj

Kurdistan

262

30

11.5

18

1195

Girls

Local

Randomly

Davari, Yaghmaei, 2005*

Kerman

Kerman

259

13

5.0

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Hamadan

Hamadan

97

7

7.2

12

  

Local

Overall

Nazari et al., 2006*

Amlash

Gilan

1003

85

8.5

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Zabol

Sistan and Baluchestan

201

88

43.8

32

Girls

Local

2003

Randomly

Zareban et al., 2006*

Qeshm

Hormozgan

27.3

Both

Local

Randomly

Soleimani-Ahmadi, 2007*

Sanandaj

Kurdistan

103

15

14.6

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Kerman

Kerman

282

1

0.35

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008*

Bahar

Hamadan

180

1

0.56

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Khajeh

East Azerbaijan

99

1

1.0

20

500

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010*

Urmia

West Azerbaijan

376

13

3.5

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Qom

Qom

26.0

Local

2010

Randomly

Saghafipour et al., 2012*

Sanandaj

Kurdistan

201

10

5.0

27

810

Girls

Local

Randomly

Vahabi et al., 2012*

Robat Karim

Tehran

10000

12

12.2

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Qom

Qom

32

17.7

45

900

Girls

Local

2011

Overall

Noroozi et al., 2013*

Ravansar

Kermanshah

92

13

14.1

6

385

Girls

Local

Overall

Sayyadi et al., 2013*

Paveh

Kermanshah

144

14

9.7

25

750

Girls

Local

2009–2010

Randomly

Vahabi et al., 2013*

Aran va Bidgol

Isfahan

742

3

0.4

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a*

Kashan

Isfahan

486

5

1.0

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b*

Damghan

Semnan

30

30.9

2700

Girls

Local

2008

Overall

Mohammadi Azni, 2014*

Azadshahr

Golestan

229

3

1.3

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

890

19

2.1

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

7

6.7

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bayengan

Kermanshah

65

16

24.6

4

384

Both

Local

Randomly

Sayyadi et al., 2014*

Bonab

East Azerbaijan

641

20

3.1

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Savojbolagh

Alborz

2098

41

2.0

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

68

3

4.4

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Khorramshahr

Khuzestan

0.7

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016*

Kalaleh

Golestan

167

15

9.0

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Paveh

Kermanshah

105

22

21.0

5

485

Girls

Local

Overall

Sayyad et al., 2016*

Sirik

Hormozgan

55

39.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

57

71.9

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017*

Meshginshahr

Ardabil

  

108

  

11

  

0.55

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

321

13

4.0

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

53

5

9.4

4

402

Girls

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

5099

399

7.8

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

346

61

17.6

75

1725

Girls

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018*

Sabzevar

Razavi Khorasan

188

21

11.2

1200

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

246

14

0.87

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

254

57

22.4

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

443

47

10.6

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019

Karun

Khuzestan

131

26

19.8

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Birjand

South Khorasan

1549

197

12.7

19

2417

Girls

Local

2017

Randomly

Lashkari et al., 2020*

Khorramabad

Lorestan

1127

24

2.1

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

977

202

20.7

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

883

28

3.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

337

5

1.5

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

65

4

6.2

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

94

16

17.0

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

59

12

20.3

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

91

7

7.7

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

12 years

Iranshahr

Sistan and Baluchestan

61

27

44.3

12

918

Girls

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Kerman

Kerman

86

5

5.8

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005*

Amlash

Gilan

21

2

9.5

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Sanandaj

Kurdistan

66

11

16.7

600

Girls

Local

2005

Randomly

Yaghmaei et al., 2007*

Urmia

West Azerbaijan

826

29

3.5

35

2040

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012*

Robat Karim

Tehran

10000

1

1.0

10000

Girls

Local

2008–2009

Randomly

Afshari et al., 2013*

Ravansar

Kermanshah

77

8

10.4

6

385

Girls

Local

Overall

Sayyadi et al., 2013*

Paveh

Kermanshah

176

8

4.5

25

750

Girls

Local

2009–2010

Randomly

Vahabi et al., 2013*

Azadshahr

Golestan

246

5

2.0

1510

Girls

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a*

Sari

Mazandaran

902

15

1.7

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Abadan

Khuzestan

104

4

3.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014*

Bonab

East Azerbaijan

639

16

2.5

3757

Girls

Local

2013–2014

Overall

Kabiri et al., 2015*

Kalaleh

Golestan

167

15

9.0

4

3757

Girls

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Sirik

Hormozgan

45

36.0

358

Girls

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017*

Bashagard

Hormozgan

47

68.1

300

Girls

Local

Randomly

Soleimani-Ahmadi et al., 2017*

Meshginshahr

Ardabil

126

13

0.66

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018*

Meshginshahr

Ardabil

320

11

3.4

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Meybod

Yazd

62

8

12.9

4

402

Girls

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018*

Sabzevar

Razavi Khorasan

187

19

10.2

1200

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018*

Badrud

Isfahan

237

10

0.62

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019*

Tonekabon

Mazandaran

240

49

20.4

1466

Girls

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Mashhad

Razavi Khorasan

580

64

11.0

3062

Girls

Local

2017–2018

Randomly

Mohammadi et al., 2019*

Birjand

South Khorasan

451

70

15.5

19

2417

Girls

Local

2017

Randomly

Lashkari et al., 2020*

Semnan

Semnan

265

15

5.7

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020*

Khorramabad

Lorestan

1168

25

2.1

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Tabriz

East Azerbaijan

883

28

3.2

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Gilan-e Gharb

Kermanshah

420

4

1.0

2515

Both

Local

2018

Overall

Zahirnia et al., 2021*

Paveh

Kermanshah

40

2

5.0

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

72

12

16.7

499

Girls

Local

2020

Overall

Hajiloie et al., 2022*

Marivan

Kurdistan

108

25

23.1

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

45

3

6.7

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Notes. E – examined, I – infested. * Cited in Nasirian, Ahmadi, 2024.

 

Table 3. Pediculus capitis infestation in the community, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

Males

Females

Both

Males

Females

Both

Males

Females

Both

Target

Gender

Location

Date

Selection

Kerman

Kerman

1680

18.7

39.8

31.6

Afghan immigrants

Both

Local

Oct–Nom 1998

Overall

Rahnama, Kamyabi, 2001*

Across

Iran

5591

7615

13206

3

755

758

0.05

9.9

5.7

Secondary schools

Both

Across

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Ahvaz

Khuzestan

1074

69

6.4

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Birjand

South Khorasan

938

57

6.1

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Zanjan

Zanjan

481

24

5.0

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Yasuj

Kohgiluyeh and Boyer-Ahmad

45

1

2.2

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Ardabil

Ardabil

506

36

7.1

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Shahrekord

Chaharmahal and Bakhtiari

1298

69

5.3

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Khorramabad

Lorestan

662

31

4.7

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Shiraz

Fars

774

33

4.3

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Arak

Markazi

551

14

2.5

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Kerman

Kerman

701

37

5.3

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Bushehr

Bushehr

858

61

7.1

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Bandar Abbas

Hormozgan

597

63

10.6

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Bojnurd

North Khorasan

239

15

6.3

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Isfahan

Isfahan

590

29

4.9

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Yazd

Yazd

888

35

3.9

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Ilam

Ilam

407

27

6.6

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Sari

Mazandaran

503

23

4.6

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Tabriz

East Azerbaijan

511

14

2.7

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Zahedan

Sistan and Baluchestan

804

89

11.1

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Semnan

Semnan

526

17

3.2

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Tehran

Tehran

253

14

5.5

Secondary schools

Both

Local

Jul–Sep 2005

Overall

Mozafari Kermani et al., 2008*

Across

Iran

866

12471

13337

6.0

6.3

6.2

Student community

Both

Across

2005

Overall

Amirkhani et al., 2011*

Bahar

Hamadan

9346

8376

17722

23

1194

1217

0.25

14.3

6.9

Student community

Both

Local

Oct–Dec 2011

Overall

Moradi et al., 2012*

Mashhad

Razavi Khorasan

55997

34

367

401

8.5

91.5

0.72

Student community

Both

Local

Mar 2006–Feb 2010

Overall

Ramezani Awal Riabi, Atarodi, 2012*

Hamadan

Hamadan

6350

4491

10841

7

107

114

0.11

2.4

1.1

Secondary schools

Both

Local

Oct–Dec 2010

Randomly

Omidi et al., 2013*

Ahvaz

Khuzestan

140

951

1091

12.8

87.2

Health centers

Both

Local

2006–2009

Overall

Kassiri et al., 2015*

Hamadan

Hamadan

384

20

5.2

Central prison

Males

Local

Oct–Mar 2013

Randomly

Nazari et al., 2015*

Asadabad

Hamadan

8726

7712

16438

110

718

828

1.3

9.3

5.0

Student community

Both

Local

Oct 2015–Jun 2016

Overall

Nazari et al., 2016b*

Zahedan

Sistan and Baluchestan

200

300

500

2.0

6.7

4.8

High schools

Both

Local

2013–2015

Randomly

Raeisi et al., 2016*

Mashhad

Razavi Khorasan

405

3362

3767

10.8

89.2

Community

Both

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Ahvaz

Khuzestan

36

405

441

8.2

8.1

Health centers

Both

Local

2008

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

41

562

603

6.8

11.1

Health centers

Both

Local

2009

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

78

704

782

10.0

14.4

Health centers

Both

Local

2010

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

45

803

848

5.3

15.6

Health centers

Both

Local

2011

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

81

1187

1268

6.4

23.3

Health centers

Both

Local

2012

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

23

1481

1504

1.5

27.6

Health centers

Both

Local

2013

Overall

Kassiri, Mardani Kateki, 2018*

Ahvaz

Khuzestan

304

5142

5446

5.6

16.7

Health centers

Both

Local

2008–2013

Overall

Kassiri, Mardani Kateki, 2018*

Bojnurd

North Khorasan

365

472

867

7

21

28

1.8

4.4

3.2

Kormanj tribes

Both

Local

2016

Randomly

Firoozfar et al., 2019*

Tabriz

East Azerbaijan

 

226

  

46

  

20.4

 

Adolescents

Both

Local

Sep–Oct 2017

Randomly

Babazadeh et al., 2020*

Sari

Mazandaran

2590039

17981

6.9

Community

Both

Local

2012

Overall

Habibi et al., 2020*

Sari

Mazandaran

2617250

20014

7.6

Community

Both

Local

2013

Overall

Habibi et al., 2020*

Sari

Mazandaran

2644192

23859

9.0

Community

Both

Local

2014

Overall

Habibi et al., 2020*

Sari

Mazandaran

2678183

42988

16.1

Community

Both

Local

2015

Overall

Habibi et al., 2020*

Sari

Mazandaran

2720672

37783

13.9

Community

Both

Local

2016

Overall

Habibi et al., 2020*

Sari

Mazandaran

2527365

38997

15.4

Community

Both

Local

2017

Overall

Habibi et al., 2020*

Sari

Mazandaran

2483370

37297

15.0

Community

Both

Local

2018

Overall

Habibi et al., 2020*

Sari

Mazandaran

2505194

24568

9.8

Community

Both

Local

2019

Overall

Habibi et al., 2020*

Sari

Mazandaran

 

 

Both

Local

2020

Overall

Habibi et al., 2020*

Sari

Mazandaran

20766265

243487

11.7

Community

Both

Local

2012–2020

Overall

Habibi et al., 2020*

Ahvaz

Khuzestan

31765

54635

86400

19

543

562

0.06

0.99

0.65

Student community

Both

Local

2008

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

20351

43267

63618

21

730

751

0.1

1.7

1.2

Student community

Both

Local

2009

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

30316

44785

75101

3

660

663

0.01

1.5

0.88

Student community

Both

Local

2010

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

34720

43826

78546

33

460

493

0.1

1.0

0.63

Student community

Both

Local

2011

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

24876

65563

90439

47

1553

1600

0.19

2.4

1.8

Student community

Both

Local

2012

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

17368

49321

66689

37

1624

1661

0.21

3.3

2.5

Student community

Both

Local

2013

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

159234

303197

462431

160

5570

5730

0.1

1.8

1.2

Student community

Both

Local

2008–2013

Overall

Kassiri et al., 2020a*

Shiraz

Fars

59

2.3

Health centers

Both

Local

2011

Overall

Rezaee et al., 2020*

Shiraz

Fars

42

1.6

Health centers

Both

Local

2012

Overall

Rezaee et al., 2020*

Shiraz

Fars

88

3.5

Health centers

Both

Local

2013

Overall

Rezaee et al., 2020*

Shiraz

Fars

247

9.7

Health centers

Both

Local

2014

Overall

Rezaee et al., 2020*

Shiraz

Fars

364

14.3

Health centers

Both

Local

2015

Overall

Rezaee et al., 2020*

Shiraz

Fars

388

15.2

Health centers

Both

Local

2016

Overall

Rezaee et al., 2020*

Shiraz

Fars

409

16.1

Health centers

Both

Local

2017

Overall

Rezaee et al., 2020*

Shiraz

Fars

950

37.3

Health centers

Both

Local

2018

Overall

Rezaee et al., 2020*

Shiraz

Fars

28836

37574

66410

152

2395

2547

0.53

6.4

3.8

Health centers

Both

Local

2011–2018

Overall

Rezaee et al., 2020*

Notes. E ‒ examined, I ‒ infested. *Cited in Nasirian, Ahmadi, 2024.

 

Table 4. Pediculus capitis infestation in the age groups of the community, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

Males

Females

Both

Males

Females

Both

Males

Females

Both

Target

Gender

Age (years)

Location

Date

Selection

Sirjan

Kerman

22

2

9.1

Afghani children

Both

< 5

Local

2010–2011

Overall

Yousefi et al., 2012*

Khorramabad

Lorestan

10.5

Health centers

Females

< 6

Local

2007

Overall

Kasiri, Amani, 2010*

Across

Iran

351

4389

4740

2.5

2.2

2.2

Kindergarten

Both

< 6

Across

2005

Overall

Amirkhani et al., 2011*

Ahvaz

Khuzestan

1091

70

6.4

Health centers

Both

< 6

Local

2006–2009

Overall

Kassiri et al., 2015*

Mashhad

Razavi Khorasan

575

15.5

Community

Both

< 6

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Shiraz

Fars

8

120

128

0.25

3.8

4.1

Community

Both

< 6

Local

2012–2015

Overall

Soltani, Keshavarzi, 2018

Shiraz

Fars

4602

120

2.6

Health centers

Both

< 6

Local

2011–2018

Overall

Rezaee et al., 2020*

Ahvaz

Khuzestan

375

6.9

Health centers

Both

1–2

Local

2008–2013

Overall

Kassiri, Mardani Kateki, 2018*

Sirjan

Kerman

39

7

17.9

Afghani children

Both

5–8

Local

2010–2011

Overall

Yousefi et al., 2012*

Khorramabad

Lorestan

62.1

Health centers

Females

6–10

Local

2007

Overall

Kasiri, Amani, 2010*

Ahvaz

Khuzestan

1091

504

46.2

Health centers

Both

6–10

Local

2006–2009

Overall

Kassiri et al., 2015*

Ahvaz

Khuzestan

2242

41.2

Health centers

Both

6–10

Local

2008–2013

Overall

Kassiri, Mardani Kateki, 2018*

Shiraz

Fars

1787

56.9

Community

Females

6–10

Local

2012–2015

Overall

Soltani, Keshavarzi, 2018*

Shiraz

Fars

34594

1935

5.6

Health centers

Both

6–10

Local

2011–2018

Overall

Rezaee et al., 2020*

Mashhad

Razavi Khorasan

1810

48.7

Community

Both

7–12

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Sirjan

Kerman

22

2

9.1

Afghanian children

Both

9–12

Local

2010–2011

Overall

Yousefi et al., 2012*

Sirjan

Kerman

12

5

41.7

Afghanian children

Both

> 13

Local

2010–2011

Overall

Yousefi et al., 2012*

Iranshahr

Sistan and Baluchestan

3

8

37.5

Primary schools

Females

13

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003*

Robat Karim

Tehran

10000

1

1.0

Primary schools

Females

13

Local

2008–2009

Randomly

Afshari et al., 2013*

Khorramabad

Lorestan

24.2

Health centers

Females

11–17

Local

2007

Overall

Kasiri, Amani, 2010*

Across

Iran

3765

59372

63137

26.3

29.8

29.6

Student community

Both

11–17

Across

2005

Overall

Amirkhani et al., 2011*

Ahvaz

Khuzestan

1091

356

32.6

Health centers

Females

11–17

Local

2006–2009

Overall

Kassiri et al., 2015*

Ahvaz

Khuzestan

1802

33.0

Health centers

Females

11–17

Local

2008–2013

Overall

Kassiri, Mardani Kateki, 2018*

Shiraz

Fars

147

753

900

4.7

24.0

28.7

Community

Females

11–17

Local

2012–2015

Overall

Soltani, Keshavarzi, 2018*

Shiraz

Fars

24863

281

1.1

Health centers

Females

11–17

Local

2011–2018

Overall

Rezaee et al., 2020*

Mashhad

Razavi Khorasan

502

13.5

Community

Both

12–18

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Khorramabad

Lorestan

3.2

Health centers

Females

> 17

Local

2007

Overall

Kasiri, Amani, 2010*

Across

Iran

866

12471

13337

6.0

6.3

6.2

Student community

Both

> 17

Across

2005

Overall

Amirkhani et al., 2011*

Shiraz

Fars

62

261

323

2.0

8.3

10.3

Community

Both

> 17

Local

2012–2015

Overall

Soltani, Keshavarzi, 2018*

Shiraz

Fars

2351

211

9.0

Health centers

Both

> 17

Local

2011–2018

Overall

Rezaee et al., 2020*

Ahvaz

Khuzestan

1091

1611

14.8

Health centers

Both

≥ 18

Local

2006–2009

Overall

Kassiri et al., 2015*

Ahvaz

Khuzestan

1027

18.9

Health centers

Both

≥ 18

Local

2008–2013

Overall

Kassiri, Mardani Kateki, 2018*

Karaj

Alborz

2.0

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Ardabil

Ardabil

0.81

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Tabriz

East Azerbaijan

1.1

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Urmia

West Azerbaijan

3.3

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Bushehr

Bushehr

2.2

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Shahrekord

Chaharmahal and Bakhtiari

0.21

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Shiraz

Fars

0.34

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Rasht

Gilan

1.8

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Gorgan

Golestan

9.8

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Hamadan

Hamadan

0.54

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Bandar Abbas

Hormozgan

6.4

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Ilam

Ilam

0.03

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Isfahan

Isfahan

0.04

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Kerman

Kerman

2.5

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Kermanshah

Kermanshah

0.47

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Bojnurd

North Khorasan

1.9

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Mashhad

Razavi Khorasan

1.8

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Birjand

South Khorasan

0.92

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Ahvaz

Khuzestan

2.1

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Yasuj

Kohgiluyeh and Boyer-Ahmad

0.43

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Sanandaj

Kurdistan

1.5

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Khorramabad

Lorestan

0.05

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Arak

Markazi

3.6

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Sari

Mazandaran

2.4

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Qazvin

Qazvin

1.0

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Qom

Qom

3.5

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Semnan

Semnan

1.7

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Zahedan

Sistan and Baluchestan

1.1

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Tehran

Tehran

1.2

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Yazd

Yazd

0.41

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Zanjan

Zanjan

0.92

Student community

Both

6–18

Local

2014–2015

Overall

Ziaoddini et al., 2019*

Karaj

Alborz

1.9

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Ardabil

Ardabil

11.3

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Tabriz

East Azerbaijan

1.7

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Urmia

West Azerbaijan

1.4

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Bushehr

Bushehr

2.4

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Shahrekord

Chaharmahal and Bakhtiari

0.35

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Shiraz

Fars

0.7

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Rasht

Gilan

2.3

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Gorgan

Golestan

5.1

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Hamadan

Hamadan

0.23

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Bandar Abbas

Hormozgan

4.0

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Ilam

Ilam

0.69

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Isfahan

Isfahan

1.9

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Kerman

Kerman

3.0

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Kermanshah

Kermanshah

0.62

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Bojnurd

North Khorasan

2.3

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Mashhad

Razavi Khorasan

3.5

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Birjand

South Khorasan

0.63

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Ahvaz

Khuzestan

3.1

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Yasuj

Kohgiluyeh and Boyer-Ahmad

7.8

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Sanandaj

Kurdistan

1.5

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Khorramabad

Lorestan

1.7

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Arak

Markazi

1.5

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Sari

Mazandaran

3.3

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Qazvin

Qazvin

1.9

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Qom

Qom

2.4

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Semnan

Semnan

2.9

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Zahedan

Sistan and Baluchestan

7.0

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Tehran

Tehran

2.6

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Yazd

Yazd

0.36

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Zanjan

Zanjan

1.9

Student community

Both

6–18

Local

2015–2016

Overall

Ziaoddini et al., 2019*

Karaj

Alborz

2.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ardabil

Ardabil

10.6

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Tabriz

East Azerbaijan

4.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Urmia

West Azerbaijan

9.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bushehr

Bushehr

2.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Shahrekord

Chaharmahal and Bakhtiari

0.24

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Shiraz

Fars

0.85

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Rasht

Gilan

2.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Gorgan

Golestan

5.6

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Hamadan

Hamadan

2.5

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bandar Abbas

Hormozgan

4.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ilam

Ilam

0.55

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Isfahan

Isfahan

0.86

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Kerman

Kerman

1.4

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Kermanshah

Kermanshah

1.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bojnurd

North Khorasan

3.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Mashhad

Razavi Khorasan

4.0

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Birjand

South Khorasan

0.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ahvaz

Khuzestan

5.2

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Yasuj

Kohgiluyeh and Boyer-Ahmad

2.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Sanandaj

Kurdistan

0.22

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Khorramabad

Lorestan

1.5

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Arak

Markazi

0.84

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Sari

Mazandaran

1.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Qazvin

Qazvin

1.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Qom

Qom

2.2

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Semnan

Semnan

2.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Zahedan

Sistan and Baluchestan

4.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Tehran

Tehran

1.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Yazd

Yazd

2.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Zanjan

Zanjan

0.61

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Karaj

Alborz

2.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ardabil

Ardabil

6.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Tabriz

East Azerbaijan

6.7

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Urmia

West Azerbaijan

2.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bushehr

Bushehr

2.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Shahrekord

Chaharmahal and Bakhtiari

0.59

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Shiraz

Fars

1.5

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Rasht

Gilan

2.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Gorgan

Golestan

5.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Hamadan

Hamadan

2.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bandar Abbas

Hormozgan

4.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ilam

Ilam

1.0

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Isfahan

Isfahan

0.95

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Kerman

Kerman

1.2

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Kermanshah

Kermanshah

1.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Bojnurd

North Khorasan

5.4

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Mashhad

Razavi Khorasan

5.2

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Birjand

South Khorasan

2.6

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Ahvaz

Khuzestan

7.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Yasuj

Kohgiluyeh and Boyer-Ahmad

2.0

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Sanandaj

Kurdistan

0.24

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Khorramabad

Lorestan

1.1

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Arak

Markazi

1.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Sari

Mazandaran

2.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Qazvin

Qazvin

3.3

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Qom

Qom

2.4

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Semnan

Semnan

5.2

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Zahedan

Sistan and Baluchestan

2.6

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Tehran

Tehran

7.8

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Yazd

Yazd

1.9

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Zanjan

Zanjan

0.58

Student community

Both

6–18

Local

2016–2017

Overall

Ziaoddini et al., 2019*

Hamadan

Hamadan

130

7

5.4

Central prison

Males

21–29

Local

Oct–Mar 2013

Randomly

Nazari et al., 2015*

Mashhad

Razavi Khorasan

305

8.2

Community

Both

18–30

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Hamadan

Hamadan

135

8

5.9

Central prison

Males

30–39

Local

Oct–Mar 2013

Randomly

Nazari et al., 2015*

Mashhad

Razavi Khorasan

518

13.9

Community

Both

30–60

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Hamadan

Hamadan

116

5

4.3

Central prison

Males

≥ 40

Local

Oct–Mar 2013

Randomly

Nazari et al., 2015*

Mashhad

Razavi Khorasan

9

0.2

Community

Both

> 60

Local

Oct–Dec 2017

Overall

Jarahi et al., 2017*

Notes. E ‒ examined, I ‒ infested. *Cited in Nasirian, Ahmadi, 2024.

 

Table 5. The impact of family size on P. capitis infestation levels in primary school students, based on a literature search

Counties

Provinces

FS (IN)

Sampling

References

E

I

I (%)

Schools

Students

Gender

Location

Date

Selection

≥ 7

≥ 7

≥ 7

Ilam

Ilam

149

149

149

412

412

3

3

3

22

22

22.6

22.6

22.6

62.6

62.6

6

658

Both

Local

Mar 97–Apr 98

Randomly

Gholamiparizad, Abedzadah, 2001**

Kerman

Kerman

690

690

480

480

30

18

18

23

23

4

2.6

2.6

4.8

4.8

13.3

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Amlash

Gilan

379

1425

967

610

820

12

52

82

78

167

3.2

3.6

8.5

12.8

20.4

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Kerman

Kerman

15913

15913

20602

20602

4071

109

109

469

469

143

0.68

0.68

2.3

2.3

3.5

198

40586

Both

Local

Mar–Jun 2006

Overall

MotovaliEmami et al., 2008**

Ravansar

Kermanshah

218

218

122

122

45

31

31

17

17

13

14.2

14.2

13.9

13.9

28.9

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Azadshahr

Golestan

226

260

192

265

285

1

25

18

4

5

0.44

9.6

9.4

1.5

1.8

1510

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

1017

2543

881

169

34

20

38

15

3

1

2.0

1.5

1.7

1.8

2.9

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Bayengan

Kermanshah

221

221

129

129

34

29

29

17

17

8

13.1

13.1

13.2

13.2

23.5

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Galugah

Mazandaran

62

143

65

30

30

4

9

2

2

2

6.5

6.3

3.1

6.7

6.7

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

3.0

6.7

9.4

10.0

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

189

180

126

126

126

9

9

15

15

15

4.8

5.0

11.9

11.9

11.9

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Asadabad

Hamadan

553

47

47

10

4

4

1.8

8.5

8.5

16

600

Both

Local

2013–2014

Randomly

Nazari et al., 2016a**

Sirik

Hormozgan

25

176

176

91

66

56.0

50.0

50.0

57.1

71.2

358

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017

**

Meshginshahr

Ardabil

1266

1266

545

545

139

56

56

111

111

33

2.9

2.9

5.7

5.7

1.7

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018

**

Meshginshahr

Ardabil

1266

1266

545

545

139

56

56

111

111

33

4.4

4.4

20.4

20.4

23.7

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018

**

Meybod

Yazd

251

251

151

151

151

35

35

24

24

24

13.9

13.9

15.9

15.9

15.9

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018

**

Andimeshk, Dezful and Shush

Khuzestan

4102

9110

7043

8155

8155

331

966

723

975

975

8.1

10.6

10.3

12.0

12.0

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018

**

Qom

Qom

201

505

741

278

278

24

63

93

49

49

11.9

12.5

12.6

17.6

17.6

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018

**

Badrud

Isfahan

307

469

819

20

39

66

1.3

2.4

4.1

1595

Both

Local

2017–2018

Overall

Dehghani et al., 2019

**

Tonekabon

Rasht

381

823

191

34

24

56

158

59

9

8

14.7

19.2

30.9

26.5

33.3

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019

**

Mashhad

Razavi Khorasan

349

1306

852

324

206

63

174

101

46

27

18.1

13.3

11.9

14.2

13.1

3062

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019

**

Karun

Khuzestan

80

257

222

101

91

26

67

54

41

29

32.5

26.1

24.3

40.6

31.9

751

Both

Local

2017

Randomly

Kassiri et al., 2020b

**

Semnan

Semnan

557

557

148

62

62

32

32

5

3

3

5.7

5.7

3.4

4.8

4.8

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020

**

Ahvaz

Khuzestan

653

2148

1839

773

422

139

509

501

247

126

21.3

23.7

27.2

32.0

29.9

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021

**

Tabriz

East Azerbaijan

1464

1350

182

43

69

17

2.9

5.1

9.3

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021

**

Gilan-e Gharb

Kermanshah

599

1341

472

103

103

4

16

26

18

18

0.67

1.2

5.5

17.5

17.5

2515

Both

Local

2018

Overall

Zahirnia et al., 2021

**

Paveh

Kermanshah

94

163

90

11

3

6

11

7

2

0

6.4

6.7

7.8

18.2

0

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Marivan

Kurdistan

367

78

5

82

25

0

22.3

32.1

0

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Notes. E ‒ examined, FS ‒ family size, I ‒ infested, IN ‒ individuals. **Cited in Nasirian, 2023b.

 

Table 6. The impact of father’s and mother’s education and bathing and hair washing frequency on P. capitis infestation level in primary school students, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

IL

PS

SS

UE

IL

PS

SS

UE

IL

PS

SE

UE

Schools

Students

Gender

Location

Date

Selection

Fatherʼs education level

Kashan

Isfahan

279

279

1707

11

11

6

3.9

3.9

0.35

8

1986

Males

Local

1997

Randomly

Dehghani et al., 1999**

Sari

Mazandaran

65

56

77

17

30.2

26.0

17.9

7.9

58

10991

Both

Local

1997–1998

Randomly

Motevalli Haghi et al., 1999**

Ilam

Ilam

247

206

182

23

24

9

3

0

10.1

4.6

1.6

0

6

658

Both

Local

Mar 97–Apr 98

Randomly

Gholamiparizad, Abedzadah, 2001**

Sanandaj

Kurdistan

394

460

162

179

117

94

17

7

29.6

20.4

10.4

3.9

18

1195

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

105

324

540

165

12

14

16

0

11.4

4.3

3.0

0

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Rasht

Gilan

423

680

1352

294

35

36

52

6

8.3

5.3

3.8

2.0

2893

Both

Local

2002–2003

Randomly

Pourbaba et al., 2005**

Amlash

Gilan

991

2353

851

851

254

119

13

13

25.6

5.1

1.5

1.5

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sanandaj

Kurdistan

84

194

243

59

9

14

18

3

10.7

7.2

7.4

5.1

600

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

10949

20915

7901

254

275

180

2.3

1.3

2.3

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008**

Bahar

Hamadan

482

282

136

10

2

0

2.1

0.71

0

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Ahvaz

Khuzestan

90

168

412

140

20

17

43

9

22.2

10.1

10.4

6.4

810

Females

Local

Apr–Jun 2006

Randomly

Rafie et al., 2009**

Bahar

Hamadan

653

492

72

53.7

20.2

5.9

17722

Both

Local

Oct–Dec 2011

Overall

Moradi et al., 2012**

Sanandaj

Kurdistan

110

406

294

294

7

26

5

5

6.4

6.4

1.7

1.7

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

45

128

150

62

10

23

20

8

22.2

18.0

13.3

12.9

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

97

366

287

287

16

28

16

16

16.5

7.7

5.6

5.6

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Sari

Mazandaran

136

3356

1220

1220

4

60

14

14

2.9

1.8

1.1

1.1

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Bayengan

Kermanshah

44

124

162

54

9

24

16

5

20.5

19.4

9.9

9.3

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Sarab

East Azerbaijan

25

356

187

93

12.0

7.9

3.2

0

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Bonab

East Azerbaijan

96

2686

973

973

9

87

10

10

9.4

3.2

1.0

1.0

3757

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Bojnurd

North Khorasan

76

333

699

345

9

44

47

9

11.8

13.2

6.7

2.6

75

1475

Both

Local

Jan–Mar 2013

Randomly

Rajabzade et al., 2015**

Savojbolagh

Alborz

238

238

238

175

45

18

73.5

19.0

7.5

12782

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Kalaleh

Golestan

94

234

119

94

9

10

9

7

9.6

4.3

7.6

7.4

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

62

153

189

81

18

31

30

6

29.0

20.3

15.9

7.4

5

485

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

59

128

121

82.4

58.7

21.0

358

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017**

Meshginshahr

Ardabil

869

733

348

146

42

12

7.5

2.1

0.62

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

869

733

348

146

42

12

16.8

5.7

3.4

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

99

99

210

93

24

24

28

7

24.2

24.2

13.3

7.5

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Qom

Qom

172

906

647

44

140

45

25.6

15.5

7.0

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Tonekabon

Mazandaran

15

253

435

761

33.3

35.2

19.8

14.6

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

287

1871

744

160

48

273

79

17

16.7

14.6

10.6

10.6

2645

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

131

334

186

88

39

118

41

18

29.8

35.3

22.0

20.5

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Birjand

South Khorasan

107

486

1114

685

23

72

170

62

21.5

14.8

15.3

9.1

19

2417

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

69

63

245

390

11

5

12

12

15.9

7.9

4.9

3.1

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

233

1282

1238

14

68

40

6.0

5.3

3.2

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

2356

1577

1311

480

769

336

254

143

32.6

21.3

19.4

29.8

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

42

1857

1133

2

74

54

4.8

4.0

4.8

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan-e Gharb

Kermanshah

193

410

1169

743

20

17

23

5

10.4

4.1

2.0

0.67

2515

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

4

29

216

112

1

2

17

6

25.0

6.9

7.9

5.4

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

88

301

110

23

53

13

26.1

17.6

11.8

499

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

47

121

214

72

17

28

50

12

36.2

23.1

23.4

16.7

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

10

87

387

16

1

8

31

1

10.0

9.2

8.0

6.3

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Gotvand

Khuzestan

4

83

125

92

1.3

27.3

41.1

30.3

304

Females

Local

Randomly

Zahirnia et al., 2024

Motherʼs education level

Kashan

Isfahan

332

332

1654

 

12

12

5

 

3.6

3.6

0.3

 

8

1986

Males

Local

1997

Randomly

Dehghani et al., 1999**

Sari

Mazandaran

82

43

71

19

38.1

20.0

16.5

8.8

58

10991

Both

Local

1997–1998

Randomly

Motevalli Haghi et al., 1999**

Ilam

Ilam

336

213

101

8

26

8

2

0

7.8

3.8

2.0

0

6

658

Both

Local

Mar 97–Apr 98

Randomly

Gholamiparizad, Abedzadah, 2001**

Sanandaj

Kurdistan

653

352

87

103

183

47

4

1

28.0

13.0

5.0

0.9

18

1195

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

126

345

573

106

9

23

9

0

7.1

6.7

1.6

0

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Rasht

Gilan

882

829

1004

140

70

23

33

3

7.9

2.8

3.3

2.1

2893

Both

Local

2002–2003

Randomly

Pourbaba et al., 2005**

Amlash

Gilan

1562

2102

558

558

300

85

3

3

19.2

4.0

0.54

0.54

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sanandaj

Kurdistan

146

203

85

121

19

14

4

8

13.0

6.9

4.7

6.6

600

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

21159

15041

4129

493

218

8

2.3

1.4

0.19

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali-Emami et al., 2008**

Bahar

Hamadan

741

146

13

11

1

0

1.5

0.68

0

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Ahvaz

Khuzestan

156

227

331

86

34

25

22

8

21.8

11.0

6.6

9.3

810

Females

Local

Apr–Jun 2006

Randomly

Rafie et al., 2009**

Bahar

Hamadan

747

453

17

61.4

37.2

1.4

17722

Both

Local

Oct–Dec 2011

Overall

Moradi et al., 2012**

Sanandaj

Kurdistan

185

446

179

179

14

22

2

2

7.6

4.9

1.1

1.1

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

94

143

44

104

35

14

3

7

37.2

9.8

6.8

6.7

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

167

417

166

166

23

31

6

6

13.8

7.4

3.6

3.6

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

388

1690

528

983

5

10

0

2

1.3

0.6

0

0.2

19

3589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Sari

Mazandaran

237

3390

1085

1085

5

54

19

19

2.1

1.6

1.8

1.8

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Bayengan

Kermanshah

84

153

125

22

20

24

9

1

23.8

15.7

7.2

4.5

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Sarab

East Azerbaijan

55

364

180

62

21.8

6.0

1.7

0

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Bonab

East Azerbaijan

108

2774

875

875

16

78

12

12

14.8

2.8

1.4

1.4

3757

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Bojnurd

North Khorasan

168

398

614

295

29

43

35

7

17.3

10.8

5.7

2.4

75

1475

Both

Local

Jan–Mar 2013

Randomly

Rajabzade et al., 2015**

Savojbolagh

Alborz

238

238

238

190

35

13

79.8

14.7

5.5

12782

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Khorramshahr

Khuzestan

3.1

2.0

1.7

1.3

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

169

239

85

48

14

12

3

6

8.3

5.0

3.5

12.5

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

102

191

157

35

31

35

15

4

30.4

18.3

9.6

11.4

5

485

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

57

171

99

31

73.7

64.9

40.4

25.8

358

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei-Dehkordi et al., 2017**

Meshginshahr

Ardabil

855

792

303

162

28

10

8.3

1.4

0.52

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Yazd

Yazd

237

169

237

11

5

1

4.6

3.0

0.4

30

650

Both

Local

Oct–Mar 2013

Randomly

Ebrahimzadeh Ardakani, Fayazi Bargin, 2018**

Meshginshahr

Ardabil

855

792

303

162

28

10

18.9

3.5

3.3

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

113

113

206

83

29

29

22

8

25.7

25.7

10.7

9.6

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Qom

Qom

210

1027

488

51

149

29

24.3

14.5

5.9

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Tonekabon

Mazandaran

26

231

395

814

17

69

73

133

65.4

29.9

18.5

16.3

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

299

1863

734

130

62

282

54

19

20.7

15.1

7.4

14.6

2645

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

185

383

141

35

55

121

36

3

29.7

31.6

25.5

8.6

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Birjand

South Khorasan

124

699

748

574

27

112

135

53

21.8

16.0

18.0

9.2

19

2417

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

74

76

306

311

9

7

13

11

12.2

9.2

4.2

3.5

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

229

1440

1337

13

81

36

5.7

5.6

2.7

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

2860

1632

645

620

850

354

89

212

29.7

21.7

13.8

34.2

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

56

1855

1121

2

83

45

3.6

4.5

4.0

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan-e Gharb

Kermanshah

113

473

1372

557

22

17

23

2

19.5

3.6

1.7

0.36

2515

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

5

57

234

65

1

4

20

1

20.0

7.0

8.5

1.5

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

97

242

160

29

51

9

29.9

21.1

5.6

499

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

88

171

156

40

23

36

42

7

26.1

21.1

26.9

17.5

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

60

168

150

0

16

13

12

0

26.7

7.7

8.0

0

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Gotvand

Khuzestan

8

110

129

57

2.6

36.2

42.4

18.8

304

Females

Local

Randomly

Zahirnia et al., 2024

Bathing frequency

E

I

I (%)

 

OTW

OW

TW

≥ 3

OTW

OW

TW

≥ 3

OTW

OW

TW

≥ 3

Kashan

Isfahan

1119

1119

867

867

15

15

2

2

1.3

1.3

0.23

0.23

8

1986

Males

Local

1997

Randomly

Dehghani et al., 1999**

Amlash

Gilan

254

2810

1180

54

291

47

21.3

10.4

4.0

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sarab

East Azerbaijan

398

254

9

7.3

2.8

11.1

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Meybod

Yazd

193

141

49

27

21

10

14.0

14.9

20.4

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

16340

10841

1229

1983

910

102

12.1

8.4

8.3

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

512

1136

77

103

119

7

20.1

10.5

9.1

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Tonekabon

Mazandaran

 

389

427

650

 

94

82

116

 

24.2

19.0

17.8

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Tabriz

East Azerbaijan

1311

1059

662

57

47

26

4.3

4.4

3.9

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Hair washing frequency

E

   

I

   

I (%)

    

OTW

OW

TW

≥ 3

OTW

OW

TW

≥ 3

OTW

OW

TW

≥ 3

Bahar

Hamadan

543

543

357

7

7

5

1.3

1.3

1.4

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

150

297

13

11

8.7

3.7

20

500

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Sanandaj

Kurdistan

278

365

167

14

18

6

5.0

4.9

3.6

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

122

183

80

25

30

6

20.5

16.4

7.5

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

254

345

151

27

24

9

10.6

7.0

6.0

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Bayengan

Kermanshah

118

182

84

25

22

7

21.2

12.1

8.3

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Savojbolagh

Alborz

3707

6902

2137

133

86

19

3.6

1.3

0.87

12782

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

92

208

208

9

8

8

9.8

3.8

3.8

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

43.5

0.7

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Paveh

Kermanshah

175

215

95

41

31

13

23.4

14.4

13.7

5

485

Females

Local

Overall

Sayyad et al., 2016**

Bashagard

Hormozgan

211

78

11

72.9

56.4

27.2

300

Females

Local

Randomly

Soleimani-Ahmadi et al., 2017**

Notes. E ‒ examined, I ‒ infested, IL ‒ illiterate, PS ‒ primary schools, SS ‒ secondary schools, UE ‒ university education, OTW ‒ once two weeks, OW ‒ once a week, TW ‒ twice a week. **Cited in Nasirian, 2023b.

 

Table 7. Pediculus capitis infestation in private and public among rural and urban areas, and the impact of the existence of bathing facilities in student residences (BFE) and health instructor involvement in student schools (HII), history of infestation (HI), and sharing equipment (SE) on P. capitis infestation level in primary school students, based on a literature search

Counties

Provinces

E

I

I (%)

E

I

I (%)

Sampling

References

Private

Public

Private

Public

Private

Public

R

U

R

U

R

U

Schools

Students

Gender

Location

Date

Selection

Sari

Mazandaran

3183

7808

118

97

3.7

1.2

58

10991

Both

Local

1997–1998

Randomly

Motevalli Haghi et al., 1999*

Rasht

Gilan

1446

1447

83

46

5.7

3.2

2893

Both

Local

2002–2003

Randomly

Pourbaba et al., 2005*

Amlash

Gilan

138

4106

1

391

0.72

9.5

2413

1837

368

30

15.3

1.6

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006*

Kerman

Kerman

3915

36671

182

539

4.6

1.5

198

40586

Both

Local

Mar–Jun 2006

Overall

MotovaliEmami et al., 2008*

Shiraz

Fars

67219

46609

487

74

0.72

0.16

113828

Both

Local

Oct–Dec 2005

Overall

Davarpanah et al., 2009*

Shiraz

Fars

85361

50657

395

107

0.46

0.21

136018

Both

Local

Jan–Mar 2005

Overall

Davarpanah et al., 2009*

Shiraz

Fars

58728

39636

142

53

0.24

0.13

98364

Both

Local

Apr–Jun 2006

Overall

Davarpanah et al., 2009*

Bahar

Hamadan

600

300

10

2

1.7

0.67

18

900

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009*

Across

Iran

14320

198947

213267

62.0

38.0

213450

Both

Across

2005

Overall

Amirkhani et al., 2011*

Bahar

Hamadan

9238

8484

472

722

5.1

8.5

17722

Both

Local

Oct–Dec 2011

Overall

Moradi et al., 2012*

Mashhad

Razavi Khorasan

141

219

36.4

63.6

55997

Both

Local

Mar 2006–Feb 2010

Overall

Ramezani Awal Riabi, Atarodi, 2012*

Shiraz

Fars

41144

31216

98

69

0.24

0.22

72360

Both

Local

Oct–Dec 2005

Overall

Davarpanah et al., 2013*

Shiraz

Fars

52663

37973

151

97

0.29

0.26

90636

Both

Local

Jan–Mar 2005

Overall

Davarpanah et al., 2013*

Shiraz

Fars

43020

23626

72

5

0.17

0.02

66646

Both

Local

Apr–Jun 2006

Overall

Davarpanah et al., 2013*

Hamadan

Hamadan

2005

8836

1

113

0.05

1.3

10841

Both

Local

Oct–Dec 2010

Randomly

Omidi et al., 2013*

Paveh

Kermanshah

400

187

30

13

7.5

7.0

25

750

F

Local

2009–2010

Randomly

Vahabi et al., 2013*

Damghan

Semnan

33

64

34.0

66.0

2700

F

Local

2008

Overall

Mohammadi Azni, 2014*

Sari

Mazandaran

1221

3491

21

57

1.7

1.6

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b*

Pakdasht

Tehran

5756

47976

198

480

3.4

1.0

53732

Both

Local

Oct–Dec 2013

Overall

Davari et al., 2015*

Sarab

East Azerbaijan

0

5.9

40

624

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015*

Savojbolagh

Alborz

4933

7849

106

132

2.2

1.7

12782

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016*

Galugah

Mazandaran

145

155

5

12

3.4

7.7

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016*

Kalaleh

Golestan

301

240

23

12

7.6

5.0

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016*

Sirik

Hormozgan

175

183

62.3

50.3

358

F

Local

Nov 2015– Feb 2016

Randomly

SaneiDehkordi et al., 2017*

Meshginshahr

Ardabil

300

600

78

122

4.0

6.3

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018

Meshginshahr

Ardabil

761

1189

78

122

10.2

10.3

20

1950

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018*

Andimeshk, Dezful and Shush

Khuzestan

11721

14150

1459

931

12.4

6.6

280

25871

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018*

Qom

Qom

225

1500

23

206

10.2

13.7

75

1725

F

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018*

Tonekabon

Mazandaran

691

775

175

117

25.1

15.1

1466

F

Local

2017–2018

Randomly

Heidarpour et al., 2019*

Karun

Khuzestan

255

596

55

144

21.6

24.2

851

F

Local

2017–2018

Randomly

Ghofleh Maramazi et al., 2019*

Ahvaz

Khuzestan

21098

67102

152

410

0.72

0.61

41392

Both

Local

2008

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

9387

542312

201

550

2.1

0.1

30762

Both

Local

2009

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

15423

59498

73

590

0.47

0.99

35721

Both

Local

2010

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

17872

60674

413

80

2.3

0.13

40726

Both

Local

2011

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

24072

66367

480

1120

2.0

1.7

63133

Both

Local

2012

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

2560

64117

77

1584

3.0

2.5

41174

Both

Local

2013

Overall

Kassiri et al., 2020a*

Ahvaz

Khuzestan

90412

372019

1396

4334

1.5

1.2

252908

Both

Local

2008–2013

Overall

Kassiri et al., 2020a*

Karun

Khuzestan

78

673

23

194

29.5

28.8

438

313

136

81

31.1

25.9

751

Both

Local

2017

Randomly

Kassiri et al., 2020b*

Birjand

South Khorasan

63

2354

8

321

12.7

13.6

693

1724

149

180

21.5

10.4

19

2417

F

Local

2017

Randomly

Lashkari et al., 2020*

Khorramabad

Lorestan

547

3343

4

144

0.73

4.3

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

894

4757

165

1334

18.5

28.0

640

5290

236

1326

36.9

25.1

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021*

Tabriz

East Azerbaijan

1805

1227

100

30

5.5

2.4

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021*

Counties

Provinces

E

I

I (%)

E

I

I (%)

Sampling

References

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Schools

Students

Gender

Location

Date

Selection

BFE

HII

Ilam

Ilam

36

622

19

541

3.4

96.6

6

658

Both

Local

Mar 97–Apr 98

Randomly

Gholamiparizad, Abedzadah, 2001**

Kerman

Kerman

1106

94

31

14

2.8

14.9

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Amlash

Gilan

1712

2532

12

380

0.7

15.0

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Kerman

Kerman

7169

33417

101

620

1.4

1.9

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali– Emami et al., 2008**

Sanandaj

Kurdistan

749

61

34

4

4.5

6.6

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

207

178

30

31

14.5

17.4

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

89

661

6

56

6.7

8.5

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

3583

6

16

1

0.45

16.7

19

3 589

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Azadshahr

Golestan

887

623

26

29

2.9

4.7

1510

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

4678

34

77

1

1.6

2.9

2508

2204

30

48

1.2

2.2

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Bojnurd

North Khorasan

1444

30

107

6

7.4

20.0

1291

184

91

23

7.0

12.5

75

1475

Both

Local

Jan–Mar 2013

Randomly

Rajabzade et al., 2015**

Khorramshahr

Khuzestan

1.9

8.3

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

360

181

23

12

6.4

6.6

240

301

12

65

5.0

21.6

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Asadabad

Hamadan

511

89

9

5

1.8

5.6

16

600

Both

Local

2013–2014

Randomly

Nazari et al., 2016a**

Paveh

Kermanshah

225

260

36

49

16.0

18.8

5

485

Females

Local

Overall

Sayyad et al., 2016**

Jahrom

Fars

464

71

46

3

7.1

4.2

717

Both

Local

2016–2017

Randomly

Majidi et al., 2017**

Bashagard

Hormozgan

186

114

60.7

78.1

300

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

858

1033

88

106

4.5

5.4

936

1014

96

104

4.9

5.4

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meybod

Yazd

107

295

11

48

10.3

16.3

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

19720

8690

1224

1771

6.2

20.4

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Sabzevar

Razavi Khorasan

733

467

88

58

12.0

12.4

1200

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Tonekabon

Mazandaran

873

593

131

161

15.0

27.2

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

1104

1958

138

279

12.5

14.2

2645

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

658

93

170

47

25.8

50.5

155

596

30

187

19.4

31.4

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Semnan

Semnan

145

622

6

34

4.1

5.5

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

3836

54

144

7

3.8

13.0

3536

354

116

32

3.3

9.0

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

5793

137

1508

54

26.0

39.4

3477

2735

742

820

21.3

30.0

5930

Females

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Varzaqan

East Azerbaijan

385

15

35

6

9.1

40.0

      

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

 

HI

SE

 

Kashan

Isfahan

140

1846

14

3

7.1

0.16

8

1986

Males

Local

1997

Randomly

Dehghani et al., 1999**

Hamadan

Hamadan

44

308

28

27

38.9

8.1

243

109

46

9

15.9

7.6

12

847

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

2227

294

182

210

8.2

71.4

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Kerman

Kerman

8513

32073

424

297

5.0

0.93

198

40586

Both

Local

Mar–Jun 2006

Overall

Motovali– Emami et al., 2008**

Sanandaj

Kurdistan

259

551

19

19

7.3

3.4

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

122

263

28

33

23.0

12.5

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

254

496

29

31

11.4

6.3

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Maneh–Semelghan

North Khorasan

25

225

12

9

48.0

4.0

250

Both

Local

2013

Randomly

Hosseini et al., 2014**

Azadshahr

Golestan

637

873

39

16

6.1

1.8

1510

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

3220

1492

35

43

1.1

2.9

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Bayengan

Kermanshah

133

251

37

17

27.8

6.8

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Sarab

East Azerbaijan

308

353

8.2

3.4

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Bonab

East Azerbaijan

896

2861

76

30

8.5

1.0

3757

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Khorramshahr

Khuzestan

10.3

0.47

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

103

438

27

8

26.2

1.8

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Asadabad

Hamadan

142

458

5

9

3.5

2.0

16

600

Both

Local

2013–2014

Randomly

Nazari et al., 2016a**

Paveh

Kermanshah

166

319

38

47

22.9

14.7

5

485

Females

Local

Overall

Sayyad et al., 2016**

Jahrom

Fars

49

668

31

18

63.3

2.7

234

483

19

30

8.1

6.2

717

Both

Local

2016–2017

Randomly

Majidi et al., 2017**

Bashagard

Hormozgan

170

130

71.1

60.0

300

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

1121

829

115

85

5.9

4.4

20

1950

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

1814

26596

711

2284

39.2

8.6

9119

19291

1359

1636

14.9

8.5

280

28410

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

212

1513

88

141

41.5

9.3

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Bojnurd

North Khorasan

29

810

10

18

25.6

2.2

745

94

23

5

30.0

5.1

867

Both

Local

2016

Randomly

Firoozfar et al., 2019**

Tonekabon

Mazandaran

474

992

203

89

42.8

9.0

225

1241

85

207

37.2

16.7

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Karun

Khuzestan

250

601

82

117

32.8

19.5

851

Females

Local

2017–2018

Randomly

Ghofleh Maramazi et al., 2019**

Karun

Khuzestan

255

496

120

97

47.1

19.6

253

498

131

86

51.8

17.3

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Birjand

South Khorasan

422

1995

144

185

34.1

9.3

365

2052

70

259

19.2

12.6

19

2417

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

443

324

26

14

5.9

4.3

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

607

3283

46

102

7.6

3.1

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

1392

4538

785

777

56.4

17.1

1413

4517

805

757

57.0

16.8

5930

Females

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Varzaqan

East Azerbaijan

29

371

12

29

41.4

7.8

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Notes. E ‒ examined, BFE ‒ bathing facility existence in student residences, F ‒ females; HI, history of infestation, HII ‒ health instructor involvement in student schools, I ‒ infested, M ‒ males, R ‒ rural, SE ‒ sharing equipment, U ‒ urban areas. *Cited in Nasirian, Ahmadi, 2024. **Cited in Nasirian, 2023b.

 

Table 8. The impact of age and education, family income, and hair length and style on P. capitis infestation level in primary school students, based on a literature search

Counties

Provinces

E

I

I (%)

Sampling

References

Age (education level)

Boys

Girls

Both

Boys

Girls

Both

Boys

Girls

Both

Schools

Students

Gender

Location

Date

Selection

6 years (first grade)

Iranshahr

Sistan and Baluchestan

35

3

8.6

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Kerman

Kerman

7412

298

4.0

198

7412

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Urmia

West Azerbaijan

47

4

8.5

35

47

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Sirik

Hormozgan

5

20.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Karun

Khuzestan

126

39

31.0

126

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Ahvaz

Khuzestan

999

279

27.9

999

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

628

38

6.1

33

628

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

7 years (first grade)

Yasuj

Kohgiluyeh and Boyer–Ahmad

1233

1148

2381

5

176

181

0.41

15.3

7.6

64

2381

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001**

Iranshahr

Sistan and Baluchestan

151

42

27.8

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Qom

Qom

319

1.9

Females

Local

Randomly

Farzinnia et al., 2004**

Sanandaj

Kurdistan

230

26

11.3

18

230

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

195

7

3.6

50

195

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Hamadan

Hamadan

56

11

19.6

12

56

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

754

76

10.1

95

754

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Zabol

Sistan and Baluchestan

228

46

20.2

32

Females

Local

2003

Randomly

Zareban et al., 2006**

Qeshm

Hormozgan

11.6

Both

Local

Randomly

Soleimani–Ahmadi, 2007**

Sanandaj

Kurdistan

113

1

0.88

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

6051

194

3.2

198

6051

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Bahar

Hamadan

180

3

1.7

18

180

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

96

13

13.5

20

96

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Urmia

West Azerbaijan

423

20

4.7

35

423

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Qom

Qom

23.6

Females

Local

2010

Randomly

Saghafipour et al., 2012**

Sanandaj

Kurdistan

148

4

2.7

27

Females

Local

Randomly

Vahabi et al., 2012**

Robat Karim

Tehran

10000

22

22.5

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Qom

Qom

28

15.5

45

Females

Local

2011

Overall

Noroozi et al., 2013**

Ravansar

Kermanshah

75

15

20.0

6

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

125

14

11.2

25

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

717

1

0.14

19

717

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Kashan

Isfahan

624

2

0.3

23

624

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b**

Damghan

Semnan

11

11.3

Females

Local

2008

Overall

Mohammadi Azni, 2014**

Azadshahr

Golestan

287

15

5.2

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

678

9

1.3

678

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

5

4.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bayengan

Kermanshah

49

5

10.2

4

49

Both

Local

Randomly

Sayyadi et al., 2014**

Bonab

East Azerbaijan

608

14

2.3

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Savojbolagh

Alborz

2762

47

1.7

2762

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

53

4

7.5

16

53

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

3.3

10

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

190

9

4.7

4

190

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

101

11

10.9

5

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

49

33.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

50

50.0

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

663

  

68

  

3.5

20

663

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

351

68

19.4

20

351

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

69

15

21.7

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

4697

773

16.5

280

4697

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

345

52

15.1

75

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Sabzevar

Razavi Khorasan

210

27

12.9

210

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

245

30

1.9

245

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

243

55

22.6

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

475

95

20.0

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

125

38

30.4

125

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Semnan

Semnan

243

8

3.3

8

243

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

115

18

15.7

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

991

251

25.3

991

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

1521

64

4.2

33

1521

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

500

25

5.0

500

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

61

1

1.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

77

16

20.8

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

8

3

37.5

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

44

7

15.9

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

8 years (second grade)

Yasuj

Kohgiluyeh and Boyer–Ahmad

1234

1111

2345

6

212

218

0.49

19.1

9.3

64

2345

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001**

Iranshahr

Sistan and Baluchestan

156

40

25.6

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Qom

Qom

391

4.5

Females

Local

Randomly

Farzinnia et al., 2004**

Sanandaj

Kurdistan

242

72

29.7

18

242

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

223

4

1.8

50

223

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Hamadan

Hamadan

75

8

10.7

12

75

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

701

67

9.6

95

701

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Zabol

Sistan and Baluchestan

216

49

22.7

32

Females

Local

2003

Randomly

Zareban et al., 2006**

Qeshm

Hormozgan

17.4

Both

Local

Randomly

Soleimani–Ahmadi, 2007**

Sanandaj

Kurdistan

115

4

3.5

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

7965

103

1.3

198

7965

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Bahar

Hamadan

180

2

1.1

18

180

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

113

5

4.4

20

113

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Urmia

West Azerbaijan

421

17

4.0

35

421

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Qom

Qom

15.3

Females

Local

2010

Randomly

Saghafipour et al., 2012**

Sanandaj

Kurdistan

140

9

6.4

27

Females

Local

Randomly

Vahabi et al., 2012**

Robat Karim

Tehran

10000

19

19.4

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Qom

Qom

18

10.0

45

Females

Local

2011

Overall

Noroozi et al., 2013**

Ravansar

Kermanshah

63

11

17.5

6

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

117

13

11.1

25

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

658

4

0.58

19

658

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Kashan

Isfahan

206

3

1.5

23

206

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b**

Damghan

Semnan

15

15.5

Females

Local

2008

Overall

Mohammadi Azni, 2014**

Azadshahr

Golestan

264

9

3.4

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

705

12

1.7

705

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

3

2.9

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bayengan

Kermanshah

75

7

9.3

4

75

Both

Local

Randomly

Sayyadi et al., 2014**

Bonab

East Azerbaijan

612

17

2.8

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Savojbolagh

Alborz

2744

50

1.8

2744

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

49

1

2.0

16

49

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

0.7

10

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

190

9

4.7

4

190

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

87

14

16.1

5

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

63

32.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

52

57.7

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

390

40

2.1

20

390

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

320

40

12.5

20

320

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

77

15

19.5

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

6143

798

13.0

280

6143

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

347

36

10.4

75

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Sabzevar

Razavi Khorasan

222

33

14.9

222

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

240

24

1.5

240

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

233

32

13.7

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

512

53

10.4

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

123

47

38.2

123

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Semnan

Semnan

243

8

3.3

8

243

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

159

23

14.5

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

992

290

29.2

992

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

1521

64

4.2

33

1521

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

409

13

3.2

409

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

65

3

4.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

78

13

16.7

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

44

15

34.1

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

61

7

11.5

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

9 years (third grade)

Yasuj

Kohgiluyeh and Boyer–Ahmad

1207

1067

2274

17

259

276

1.4

24.3

12.1

64

2274

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001**

Iranshahr

Sistan and Baluchestan

169

40

23.7

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Qom

Qom

308

3.3

Females

Local

Randomly

Farzinnia et al., 2004**

Sanandaj

Kurdistan

198

65

32.8

18

198

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

213

14

6.6

50

213

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Hamadan

Hamadan

90

15

16.7

12

90

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

833

79

9.5

95

833

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Zabol

Sistan and Baluchestan

212

55

25.9

32

Females

Local

2003

Randomly

Zareban et al., 2006**

Qeshm

Hormozgan

19.0

Both

Local

Randomly

Soleimani–Ahmadi, 2007**

Sanandaj

Kurdistan

99

7

7.1

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

9904

80

0.81

198

9904

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Bahar

Hamadan

180

2

1.1

18

180

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

105

3

2.9

20

105

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Urmia

West Azerbaijan

368

8

2.2

35

368

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Qom

Qom

18.3

Females

Local

2010

Randomly

Saghafipour et al., 2012**

Sanandaj

Kurdistan

187

5

2.7

27

Females

Local

Randomly

Vahabi et al., 2012**

Robat Karim

Tehran

10000

22

22.5

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Qom

Qom

22

12.2

45

Females

Local

2011

Overall

Noroozi et al., 2013**

Aran va Bidgol

Isfahan

710

6

0.85

19

710

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Kashan

Isfahan

517

2

0.4

23

517

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b**

Damghan

Semnan

19

19.6

Females

Local

2008

Overall

Mohammadi Azni, 2014**

Azadshahr

Golestan

239

13

5.4

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

702

11

1.6

702

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

3

2.9

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bayengan

Kermanshah

90

13

14.4

4

90

Both

Local

Randomly

Sayyadi et al., 2014**

Bonab

East Azerbaijan

621

24

3.9

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Savojbolagh

Alborz

2701

52

1.9

2701

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

63

5

7.9

16

63

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

3.4

10

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

184

11

6.0

4

184

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

92

18

19.6

5

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

59

31.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

43

81.4

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

390

  

40

  

2.1

20

390

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

320

40

12.5

20

320

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

82

11

13.4

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

7011

526

7.5

280

7011

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

343

42

12.2

75

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Sabzevar

Razavi Khorasan

189

28

14.8

189

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

246

19

1.2

246

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

265

48

18.1

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

526

84

16.0

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

123

30

24.4

123

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Semnan

Semnan

259

17

6.6

8

259

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

332

35

10.5

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

992

244

24.6

992

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

1521

64

4.2

33

1521

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

459

10

2.2

459

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

66

7

10.6

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

91

17

18.7

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

111

22

19.8

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

66

6

9.1

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

10 years (fourth grade)

Yasuj

Kohgiluyeh and Boyer–Ahmad

1384

1296

2680

20

306

326

1.4

23.6

12.2

64

2680

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001**

Iranshahr

Sistan and Baluchestan

184

56

30.4

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Qom

Qom

351

7.4

Females

Local

Randomly

Farzinnia et al., 2004**

Sanandaj

Kurdistan

263

42

15.9

18

263

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

224

2

0.89

50

224

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Hamadan

Hamadan

89

14

15.7

12

89

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

932

83

8.9

95

932

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Zabol

Sistan and Baluchestan

209

75

35.9

32

Females

Local

2003

Randomly

Zareban et al., 2006**

Qeshm

Hormozgan

24.8

Both

Local

Randomly

Soleimani–Ahmadi, 2007**

Sanandaj

Kurdistan

104

8

7.7

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

8972

45

0.5

198

8972

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Bahar

Hamadan

180

4

2.2

18

180

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

87

2

2.3

20

87

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Urmia

West Azerbaijan

414

15

3.6

35

414

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Qom

Qom

16.8

Females

Local

2010

Randomly

Saghafipour et al., 2012**

Sanandaj

Kurdistan

144

11

7.6

27

Females

Local

Randomly

Vahabi et al., 2012**

Robat Karim

Tehran

10000

21

21.4

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Qom

Qom

20

11.1

45

Females

Local

2011

Overall

Noroozi et al., 2013**

Ravansar

Kermanshah

78

14

17.9

6

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

188

11

5.9

25

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

735

3

0.41

19

735

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Kashan

Isfahan

318

1

0.6

23

318

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b**

Damghan

Semnan

22

22.7

Females

Local

2008

Overall

Mohammadi Azni, 2014**

Azadshahr

Golestan

245

10

4.1

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

835

12

1.4

835

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

5

4.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bayengan

Kermanshah

150

13

8.7

4

150

Both

Local

Randomly

Sayyadi et al., 2014**

Bonab

East Azerbaijan

636

15

2.4

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Savojbolagh

Alborz

2477

48

1.9

2477

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

67

4

6.0

16

67

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

1.8

10

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

184

11

6.0

4

184

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

100

20

20.0

5

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

67

26.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

51

76.4

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

273

28

1.4

20

273

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

318

28

8.8

20

318

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

59

5

8.5

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

5460

499

9.1

280

5460

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

344

38

11.0

75

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Sabzevar

Razavi Khorasan

204

18

8.8

204

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

250

28

1.8

250

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

231

51

22.1

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

526

74

14.1

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

123

37

30.1

123

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Birjand

South Khorasan

417

62

14.9

19

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

259

17

6.6

8

259

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

989

23

2.3

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

979

296

30.2

979

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

883

28

3.2

33

883

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

390

7

1.8

390

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

64

9

14.1

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

87

15

17.2

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

127

32

25.2

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

93

11

11.8

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri and Jafari, 2022

11 years (fifth grade)

Yasuj

Kohgiluyeh and Boyer–Ahmad

1380

1187

2567

12

313

325

0.87

26.4

12.7

64

2567

Both

Local

Nov–Dec 1999

Overall

Shahraki et al., 2001**

Iranshahr

Sistan and Baluchestan

131

33

25.2

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Qom

Qom

381

4.9

Females

Local

Randomly

Farzinnia et al., 2004**

Sanandaj

Kurdistan

262

30

11.5

18

262

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Kerman

Kerman

259

13

5.0

50

259

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Hamadan

Hamadan

97

7

7.2

12

97

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

1003

85

8.5

95

1003

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Zabol

Sistan and Baluchestan

201

88

43.8

32

Females

Local

2003

Randomly

Zareban et al., 2006**

Qeshm

Hormozgan

27.3

Both

Local

Randomly

Soleimani–Ahmadi, 2007**

Sanandaj

Kurdistan

103

15

14.6

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Kerman

Kerman

282

1

0.35

198

282

Both

Local

Mar–Jun 2006

Overall

Motovali–Emami et al., 2008**

Bahar

Hamadan

180

1

0.56

18

180

Both

Local

Feb–Jun 2008

Randomly

Moradi et al., 2009**

Khajeh

East Azerbaijan

99

1

1.0

20

99

Both

Local

2008–2009

Randomly

Shayeghi et al., 2010**

Urmia

West Azerbaijan

376

13

3.5

35

376

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Qom

Qom

26.0

Females

Local

2010

Randomly

Saghafipour et al., 2012**

Sanandaj

Kurdistan

201

10

5.0

27

Females

Local

Randomly

Vahabi et al., 2012**

Robat Karim

Tehran

10000

12

12.2

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Qom

Qom

32

17.7

45

Females

Local

2011

Overall

Noroozi et al., 2013**

Ravansar

Kermanshah

92

13

14.1

6

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

144

14

9.7

25

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Aran va Bidgol

Isfahan

742

3

0.4

19

742

Both

Local

Oct–Dec 2008

Randomly

Doroodgar et al., 2014a**

Kashan

Isfahan

486

5

1.0

23

486

Both

Local

Nov 2012–May 2013

Randomly

Doroodgar et al., 2014b**

Damghan

Semnan

30

30.9

Females

Local

2008

Overall

Mohammadi Azni, 2014**

Azadshahr

Golestan

229

3

1.3

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

890

19

2.1

890

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

7

6.7

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bayengan

Kermanshah

65

16

24.6

4

65

Both

Local

Randomly

Sayyadi et al., 2014**

Bonab

East Azerbaijan

641

20

3.1

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Savojbolagh

Alborz

2098

41

2.0

2098

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

68

3

4.4

16

68

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

0.7

10

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Kalaleh

Golestan

167

15

9.0

4

167

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

105

22

21.0

5

Females

Local

Overall

Sayyad et al., 2016**

Sirik

Hormozgan

55

39.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

57

71.9

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

108

  

11

  

0.55

20

108

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

321

13

4.0

20

321

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

53

5

9.4

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Andimeshk, Dezful and Shush

Khuzestan

5099

399

7.8

280

5099

Both

Local

Feb–Jun 2016

Randomly

Nejati et al., 2018**

Qom

Qom

346

61

17.6

75

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Sabzevar

Razavi Khorasan

188

21

11.2

188

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

246

14

0.87

246

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

254

57

22.4

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

443

47

10.6

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Karun

Khuzestan

131

26

19.8

131

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Birjand

South Khorasan

1549

197

12.7

19

Females

Local

2017

Randomly

Lashkari et al., 2020**

Khorramabad

Lorestan

1127

24

2.1

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

977

202

20.7

977

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

883

28

3.2

33

883

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

337

5

1.5

337

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

65

4

6.2

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

94

16

17.0

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

59

12

20.3

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

91

7

7.7

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

12 years (sixth grade)

Iranshahr

Sistan and Baluchestan

61

27

44.3

12

Females

Local

Nov 2002–May 2003

Randomly

Alempour Salemi et al., 2003**

Kerman

Kerman

86

5

5.8

50

86

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Amlash

Gilan

21

2

9.5

95

21

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sanandaj

Kurdistan

66

11

16.7

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Urmia

West Azerbaijan

826

29

3.5

35

826

Both

Local

Oct–Dec 2010

Randomly

Hazrati Tappeh et al., 2012**

Robat Karim

Tehran

10000

1

1.0

Females

Local

2008–2009

Randomly

Afshari et al., 2013**

Ravansar

Kermanshah

77

8

10.4

6

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

176

8

4.5

25

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Azadshahr

Golestan

246

5

2.0

Females

Local

2012–2013

Overall

Motevalli Haghi et al., 2014a**

Sari

Mazandaran

902

15

1.7

902

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Abadan

Khuzestan

104

4

3.8

26

104

Both

Local

2012

Randomly

Salehi et al., 2014**

Bonab

East Azerbaijan

639

16

2.5

Females

Local

2013–2014

Overall

Kabiri et al., 2015**

Kalaleh

Golestan

167

15

9.0

4

167

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Sirik

Hormozgan

45

36.0

Females

Local

Nov 2015– Feb 2016

Randomly

Sanei–Dehkordi et al., 2017**

Bashagard

Hormozgan

47

68.1

Females

Local

Randomly

Soleimani–Ahmadi et al., 2017**

Meshginshahr

Ardabil

126

13

0.66

20

126

Both

Local

2015–2016

Randomly

Abbasgholizadeh et al., 2018**

Meshginshahr

Ardabil

320

11

3.4

20

320

Both

Local

Oct 2015–Jun 2016

Randomly

Moradiasl et al., 2018**

Meybod

Yazd

62

8

12.9

4

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Sabzevar

Razavi Khorasan

187

19

10.2

187

Both

Local

2015–2016

Randomly

Tarkhasi et al., 2018**

Badrud

Isfahan

237

10

0.62

237

Both

Local

2017–2018

Overall

Dehghani et al., 2019**

Tonekabon

Mazandaran

240

49

20.4

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Mashhad

Razavi Khorasan

580

64

11.0

Females

Local

2017–2018

Randomly

Mohammadi et al., 2019**

Birjand

South Khorasan

451

70

15.5

19

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

265

15

5.7

8

265

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Khorramabad

Lorestan

1168

25

2.1

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Tabriz

East Azerbaijan

883

28

3.2

33

883

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Gilan–e Gharb

Kermanshah

420

4

1.0

420

Both

Local

2018

Overall

Zahirnia et al., 2021**

Paveh

Kermanshah

40

2

5.0

11

361

Both

Local

Oct–Dec 2018

Overall

Bekri, Shaghaghi, 2022

Gahavand

Hamadan

72

12

16.7

Females

Local

2020

Overall

Hajiloie et al., 2022**

Marivan

Kurdistan

108

25

23.1

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

45

3

6.7

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Family income

E

I

I (%)

       

P

M

R

P

M

R

P

M

R

       

Sanandaj

Kurdistan

97

324

774

38

95

102

39.2

29.3

13.2

18

1195

Both

Local

Randomly

Davari, Yaghmaei, 2005**

Sarab

East Azerbaijan

108

505

48

13.0

4.6

0

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Meybod

Yazd

63

210

129

11

26

22

17.5

12.4

17.1

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Qom

Qom

908

334

483

160

50

19

17.6

15.0

3.9

75

1725

Females

Local

Mar 2015–Mar 2017

Randomly

Saghafipour et al., 2018**

Birjand

South Khorasan

284

268

588

53

34

46

18.7

12.7

7.8

19

2417

Females

Local

2017

Randomly

Lashkari et al., 2020**

Semnan

Semnan

133

524

110

14

23

3

10.5

4.4

2.7

8

767

Both

Local

Mar 2018–May 2018

Randomly

Shirzadi et al., 2020**

Marivan

Kurdistan

174

195

81

40

52

15

23.0

26.7

18.5

457

Both

Local

2018–2019

Randomly

Rad et al., 2022

Varzaqan

East Azerbaijan

49

282

59

16

23

2

32.7

8.2

3.4

26

400

Both

Local

Dec 2019–Jan 2020

Randomly

Sepehri, Jafari, 2022

Hair length

E

I

I (%)

       

S

M

L

S

M

L

S

M

L

       

Kerman

Kerman

738

462

9

36

1.2

7.8

50

1200

Both

Local

Apr–Jun 2003

Randomly

Kamiabi, Nakhaei, 2005**

Amlash

Gilan

2657

1085

502

157

159

76

5.9

14.7

15.1

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sanandaj

Kurdistan

230

222

148

11

20

15

4.8

9.0

10.1

600

Females

Local

2005

Randomly

Yaghmaei et al., 2007**

Sanandaj

Kurdistan

291

314

205

16

15

7

5.5

4.8

3.4

27

810

Females

Local

Randomly

Vahabi et al., 2012**

Ravansar

Kermanshah

162

124

99

18

18

25

11.1

14.5

25.3

6

385

Females

Local

Overall

Sayyadi et al., 2013**

Paveh

Kermanshah

273

292

185

20

29

11

7.3

9.9

5.9

25

750

Females

Local

2009–2010

Randomly

Vahabi et al., 2013**

Bayengan

Kermanshah

140

150

94

19

23

12

13.6

15.3

12.8

4

384

Both

Local

Randomly

Sayyadi et al., 2014**

Sarab

East Azerbaijan

310

256

95

2.3

5.5

16.8

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Savojbolagh

Alborz

1406

3068

8308

23

75

140

1.6

2.4

1.7

12782

Both

Local

Sep–Dec 2013

Overall

Bahrami et al., 2016**

Galugah

Mazandaran

108

192

5

12

4.6

6.3

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Kalaleh

Golestan

325

140

68

5

13

16

1.5

9.3

23.5

4

541

Both

Local

Oct–Dec 2015

Randomly

Maleky et al., 2016**

Paveh

Kermanshah

175

180

130

25

38

22

14.3

21.1

16.9

5

485

Females

Local

Overall

Sayyad et al., 2016**

Jahrom

Fars

307

282

128

22

20

7

7.2

7.1

5.5

717

Both

Local

2016–2017

Randomly

Majidi et al., 2017**

Meybod

Yazd

133

168

101

30

15

14

22.6

8.9

13.9

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Bojnurd

North Khorasan

334

277

227

14

8

7

4.0

2.8

2.6

867

Both

Local

2016

Randomly

Firoozfar et al., 2019**

Tonekabon

Mazandaran

343

645

478

83

123

86

24.2

19.1

18.0

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Karun

Khuzestan

444

307

88

129

19.8

42.0

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Khorramabad

Lorestan

723

2178

989

23

70

55

3.2

3.2

5.6

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

3516

2414

710

852

20.2

35.3

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Gilan–e Gharb

Kermanshah

1213

708

594

8

17

39

0.66

2.4

6.6

2515

Both

Local

2018

Overall

Zahirnia et al., 2021**

Hairstyle

E

I

I (%)

       

St

C

W

St

C

W

St

C

W

       

Hamadan

Hamadan

290

62

33

22

10.2

26.2

12

847

Both

Local

Overall

Nazari et al., 2006**

Amlash

Gilan

3621

623

294

98

8.1

15.7

95

4244

Both

Local

2003–2004

Overall

Rafinejad et al., 2006**

Sari

Mazandaran

3695

1017

56

22

1.5

2.2

4712

Both

Local

2012–2013

Randomly

Motevalli Haghi et al., 2014b**

Sarab

East Azerbaijan

438

160

63

5.9

6.2

1.6

40

661

Both

Local

Aug 2013–Mar 2014

Randomly

Dehghanzadeh et al., 2015**

Galugah

Mazandaran

258

42

13

4

5.0

9.5

16

300

Both

Local

2009–2010

Randomly

Kassiri, Esteghali, 2016**

Khorramshahr

Khuzestan

1.0

2.6

10

750

Both

Local

2008–2009

Randomly

Kassiri, Gatifi, 2016**

Asadabad

Hamadan

527

73

10

4

1.9

5.5

16

600

Both

Local

2013–2014

Randomly

Nazari et al., 2016a**

Jahrom

Fars

649

68

38

11

5.9

16.2

717

Both

Local

2016–2017

Randomly

Majidi et al., 2017**

Meybod

Yazd

328

63

11

49

9

1

14.9

14.3

9.1

4

402

Females

Local

2015–2016

Randomly

Morovati Sharif Abadi et al., 2018**

Bojnurd

North Khorasan

374

176

288

8

7

14

2.1

3.3

4.6

867

Both

Local

2016

Randomly

Firoozfar et al., 2019**

Tonekabon

Mazandaran

1105

361

209

83

18.9

 

22.9

1466

Females

Local

2017–2018

Randomly

Heidarpour et al., 2019**

Karun

Khuzestan

637

114

174

43

27.3

37.7

751

Both

Local

2017

Randomly

Kassiri et al., 2020b**

Khorramabad

Lorestan

3169

720

122

26

3.8

3.6

3890

Both

Local

2018–2019

Randomly

Galehdar et al., 2021

Ahvaz

Khuzestan

4783

1147

1147

415

24.0

36.2

5930

Both

Local

Jan 2016–Jun 2017

Randomly

Kassiri, Mehraghaei, 2021**

Tabriz

East Azerbaijan

2495

537

117

13

4.7

2.4

33

3032

Both

Local

Jan–Mar 2018

Randomly

Norouzi et al., 2021**

Notes. C ‒ curly, E ‒ examined, I ‒ infested, L ‒ long (> shoulder level), M ‒ medium, M ‒ medium (> 3 cm to shoulder level), P ‒ poor, R ‒ rich, S ‒ short (< 3 cm), St ‒ straight, W ‒ wavy. **Cited in Nasirian, 2023b.

 

Summary of the study approach

Based on a literature search, the data and variables about P. capitis infestation in students of preschools and primary schools (extracted from 106 articles) are summarized in Table 1. The data and variables about P. capitis infestation in the age groups of primary school students (extracted from 55 articles) are summarized in Table 2. The data and variables about P. capitis infestation in the community (extracted from 17 articles) are summarized in Table 3. The data and variables about P. capitis infestation in the age groups of the community (extracted from 12 articles) are summarized in Table 4. The data and variables about the impact of family size on P. capitis infestation level in students of primary schools (extracted from 28 articles) are summarized in Table 5. The data and variables about the impact of father’s and mother’s education, and bathing and hair washing frequency on P. capitis infestation level of primary school students (extracted from 49 articles) are summarized in Table 6.

The data and variables about P. capitis infestation in private and public in rural and urban areas, the impact of the existence of bathing facilities in student residences and health instructor involvement in student schools, history of infestation, and sharing equipment on P. capitis infestation level in students of primary schools (extracted from 55 articles) are summarized in Table 7. The data and variables for the impact of age and education, family income, and hair length and style on P. capitis infestation level of primary school students (extracted from 59 articles) are summarized in Table 8. Overall, a total of 155 articles were used, of which 126 were used in data extraction, and 29 were used for discussion, interpretation, and body text.

Statistical analysis

The location of provinces (Fig. 1a), the meridians 50°E, 55°E, and 60°E, and the tropics 30°N and 35°N (Fig. 1d), and the geographic (Fig. 1b, 1c) and climatic regions of Iran were taken into account for any statistical analysis. The climatic regions of Iran include moderate and humid climatic region (the southern shores of the Caspian Sea), cold climatic region (the Western mountains), semidesert and temperate climatic region, hot and dry climatic region (the central plateau), and hot and humid climatic region (the south coast). The median and interquartile range (IQR) were reported from descriptive statistics. The Kruskal-Wallis test was used to compare infestation rates (Table 9). The trends were designed based on the means of infestation each year (Figs 1–4). The trends of P. capitis infestation in the provinces (Fig. 2), the geographic and climatic regions (Fig. 3), seasons, and the meridians 50°E, 55°E and 60°E and the tropics 30°N and 35°N (Fig. 4) of Iran were designed. The distribution and stratification of the P. capitis infestation in Iran were provided based on the regression coefficient (Fig. 5). Interaction modeling with multivariable Poisson regression was conducted for the interaction time trends of the categorical variables with enough observations (Table 10). All the analyses were performed by R programming version 4.3.2 (R Foundation for Statistical Computing, Austria). The trends were shown on the geographical map of Iran using ArcMap 10.8.2 (Esri Inc., US).

 

Table 9. Descriptive statistics and Kruskal-Wallis test comparison of factor impact on P. capitis infestation level, based on a literature search

Variables

Median (IQR)

P-values

Pc-values

Variables

Median (IQR)

P-values

Pc-values

Variables

Median (IQR)

P-values

Pc-values

Population

   

Private and public schools

   

Ardabil

4.5 (2.1–10.3)

  

Preschools

5.1 (2.2–7.9)

< 0.001

< 0.05

Private

6.5 (0.73–14.2)

0.462

> 0.05

Bushehr

2.9 (2.4–12.0)

  

Primary schools

8.4 (3.2–17.4)

  

Public

8.3 (5.5–17.2)

  

Chaharmahal and Bakhtiari

0.35 (0.24– 0.59)

  

Community

5.5 (1.8–10.0)

  

Rural and urban areas

   

East Azerbaijan

4.2 (2.8–7.8)

  

Community age groups

2.6 (1.4–6.0)

  

Rural

3.6 (1.6–14.6)

0.329

> 0.05

Fars

4.2 (0.72–7.4)

  

Student age groups

   

Urban

1.7 (0.75–10.4)

  

Gilan

8.5 (3.8–10.1)

  

6 years

8.6 (7.3–24.0)

0.880

> 0.05

Student education levels

   

Golestan

5.4 (4.1–9.0)

  

7 years

11.1 (3.3–19.7)

  

First grade

10.9 (3.6–20.0)

0.894

> 0.05

Hamadan

5.6 (1.7–16.7)

  

8 years

9.8 (3.1–16.3)

  

Second grade

9.8 (3.1–16.3)

  

Hormozgan

33.3 (20.9–59.4)

  

9 years

10.0 (3.0–18.6)

  

Third grade

10.0 (3.0–18.6)

  

Ilam

5.6 (0.97–32.4)

  

10 years

8.8 (2.4–17.2)

  

Fourth grade

8.8 (2.4–17.2)

  

Isfahan

0.75 (0.41–1.5)

  

11 years

8.8 (2.9–18.2)

  

Fifth grade

8.8 (2.9–18.2)

  

Kerman

2.9 (1.3– 0.68)

  

12 years

5.8 (2.9–14.2)

  

Sixth grade

5.8 (2.9–14.2)

  

Kermanshah

10.4 (5.7–16.1)

  

Community targets

   

Community age groups

   

Khuzestan

11.0 (3.0–25.8)

  

Community

10.1 (4. 5–20.0)

< 0.001

< 0.05

6-18 years

2.4 (1.2–5.2)

0.004

> 0.05

Kohgiluyeh and Boyer-Ahmad

9.3 (1.4–17.2)

  

Health centers

10.0 (5.6–17.8)

  

19-29 years

7.3 (5.9–9.3)

  

Kurdistan

8.4 (4.8–22.0)

  

Secondary schools

5.0 (3.0–6.4)

  

30-60 years

9.9 (7.9–11.9)

  

Lorestan

3.8 (2.2–10.5)

  

Student community

1.9 (0.92–3.4)

  

> 60 years

2.3 (1.2–3.2)

  

Markazi

1.8 (1.5–2.5)

  

Gender

   

Family income level

   

Mazandaran

6.5 (2.0– 17.8)

  

Boys

1.8 (0.53–5.4)

< 0.001

< 0.05

Poor

18.2 (16.4–25.4)

0.024

> 0.05

North Khorasan

5.3 (3.0–11.6)

  

Girls

12.4 (5.9–20.0)

  

Medium

12.6 (7.3–17.9)

  

Qazvin

1.9 (1.7–2.3)

  

Both (boys and girls)

1.8 (0.53–5.4)

  

Rich

5.9 (3.2–14.2)

  

Qom

12.2 (7.5–17.4)

  

Fatherʼs education levels

   

Motherʼs education levels

   

Razavi Khorasan

13.1 (10.6–15.5)

  

Population

   

Private and public schools

   

Ardabil

   

Illiterate

18.6 (10.3–26.5)

< 0.001

< 0.05

Illiterate

20.4 (9.3–26.6)

< 0.001

< 0.05

Semnan

5.9 (4.1 – 15.5)

  

Primary schools

9.2 (5.1–20.4)

  

Primary schools

8.0 (4.0–18.5)

  

Sistan and Baluchestan

25.2 (9.2–30.4)

  

Secondary schools

7.5 (2.8–15.5)

  

Secondary schools

4.7 (1.7–10.15)

  

South Khorasan

13.6 (9.3–15.8)

  

University or higher

5.4 (1.9–7.7)

  

University or higher

3.3 (0.72–8.7)

  

Tehran

5.5 (1.5–20.4)

  

Bathing frequency

   

Hair washing frequency

   

West Azerbaijan

3.6 (3.5–5.5)

  

Once two weeks

11.3 (1.3–21.3)

0.380

> 0.05

Once two weeks

5.0 (1.3–8.7)

0.380

> 0.05

Yazd

13.4 (9.0–16.7)

  

once a week

11.3 (5.8–17.0)

  

once a week

10.6 (3.7–23.4)

  

Zanjan

1.9 (0.77–6.9)

  

twice a week

6.4 (3.4–12.7)

  

twice a week

4.9 (1.3–14.4)

  

Years

   

≥ 3

10.1 (6.1–19.0)

  

≥ 3

6.8 (3.7–11.0)

  

1999

3.7 (0.95–8.6)

< 0.001

< 0.05

BFE

   

History of infestation

   

2000

5.1 (5.1–5.1)

  

Yes

4.5 (2.4–8.3)

0.034

> 0.05

Yes

41.4 (34.1–47.1)

0.003

> 0.05

2001

12.0 (1.6–22.0)

  

No

14.9 (6.0–39.7)

  

No

8.6 (4.0–9.3)

  

2002

14.1 (9.2–19.2)

  

HII

   

Sharing equipment

   

2003

26.3 (25.2–30.4)

  

Yes

6.5 (3.9–13.0)

0.023

> 0.05

Yes

13.2 (7.4–27.4)

0.002

> 0.05

2004

4.5 (3.6–4.9)

  

No

13.4 (6.4–19.2)

  

No

5.7 (3.0–12.6)

  

2005

5.7 (3.1–12.3)

  

Student hair length

   

Student hair style

   

2006

10.7 (8.5–19.6)

  

Short

5.7 (3.0–13.8)

0.186

> 0.05

Straight

5.9 (3.0–12.6)

0.770

> 0.05

2007

10.9 (7.1–17.4)

  

Medium

9.0 (4.4–14.6)

  

Curly

6.2 (3.6–14.3)

  

2008

2.7 (1.3–4.9)

  

Long

11.5 (5.8–17.2)

  

Wavy

9.1 (2.6–16.2)

  

2009

1.5 (1.1–2.2)

  

Regions

   

Climatic regions

   

2010

3.7 (2.3–7.7)

  

Region 1

6.3 (2.8–15.1)

< 0.001

< 0.05

Moderate and humid climatea

6.2 (2.9–11.8)

< 0.001

< 0.05

2011

6.3 (3.5–29.7)

  

Region 2

5.5 (0.86–24.0)

  

Cold climateb

6.9 (2.7–14.2)

  

2012

5.7 (3.5–14.6)

  

Region 3

5.7 (3.2–10.7)

  

Semidesert and temperate climate

3.9 (0.74–11.5)

  

2013

11.2 (6.8 – 17.5)

  

Region 4

9.1 (2.8–18.8)

  

Hot and dry climatec

8.6 (3.3–17.9)

  

2014

2.9 (1.4–9.8)

  

Region 5

10.6 (3.8–16.0)

  

Hot and humid climate

18.5 (4.8–30.4)

  

2015

3.9 (2.4–7.9)

  

Family size

   

Seasons

   

2016

5.0 (2.0–9.5)

  

6.1 (2.7–14.1)

0.073

> 0.05

Spring

5.7 (2.7 – 11.0)

0.009

> 0.05

2017

36.0 (15.5–60.4)

  

6.7 (3.3–13.6)

  

Summer

5.5 (2.2– 10.6)

  

2018

6.8 (2.1–12.5)

  

9.9 (5.7–17.0)

  

Autumn

6.8 (2.2–15.5)

  

2019

14.6 (4.5–20.4)

  

13.9 (6.7–20.4)

  

Winter

7.8 (3.2–20.3)

  

2020

9.0 (3.3–20.3)

  

≥ 7

13.3 (4.8–23.7)

  

Provinces

   

2021

5.0 (3.2–20.7)

  
    

Alborz

1.9 (1.8–2.8)

< 0.001

< 0.05

2022

15.9 (7.7–20.8)

  

Due to the right skewness of the distribution, instead of the mean and standard deviation, the median and the interquartile range of the P. capitis infestation percentage were reported. For this reason, the Kruskal-Wallis test was used instead of an ANOVA. Since most tests are hypothesis-free, Pc-values is the criterion for declaring significance, and raw P-values is invalid. The simultaneously significant P- and Pc-values (P < 0.05) are shown in bold font. BFE ‒ bathing facility existence in student residences, HII ‒ health instructor involvement in student schools, Pc ‒ corrected P-value based on Bonferroni correction (26 simultaneous tests), IQR ‒ inter-quartile range. a The southern shores of the Caspian Sea, b the Western mountains, c the central plateau, d the South coast.

 

Figure 1. a – Map of the territory of the 31 provinces of Iran (source: https://en.wikipedia.org/wiki/Provinces_of_Iran ). b – the map of geographic regions of Iran. c – the geographic regions of Iran (source: https://en.wikipedia.org/wiki/Regions_of_Iran). d – location of the meridians 50°E, 55°E and 60°E, and the tropics 30°N and 35°N in Iran (source: https://www.mapsofworld.com/iran/) (Beck et al., 2018).

 

Figure 2. A. The trends of P. capitis infestation in the provinces of Iran: a – Ardabil, b – Bushehr, c – Fars, d – Gilan, e – Golestan, f – Hamadan, g – Hormozgan, h – Kerman, i – Kohgiluyeh and Boyer-Ahmad, j – Lorestan, k – Semnan, l – Sistan and Baluchestan, m – South Khorasan, n – Yazd, o – Razavi Khorasan.

 

Figure 2. B. The trends of P. capitis infestation in the provinces of Iran: a – Alborz, b – Chaharmahal and Bakhtiari, c – East Azerbaijan, d – Ilam, e – Isfahan, f – Kermanshah, g – Khuzestan, h – Kurdistan, i – Markazi, j – Mazandaran, k – North Khorasan, l – Qazvin, m – Qom, n – Tehran, o – West Azerbaijan, p – Zanjan.

 

Figure 3. The trends of P. capitis infestation in the geographic and climatic regions of Iran based on Fig. 1: a – the geographic region one, b – the geographic region two, c – the geographic region three, d – the geographic region four, e – the geographic region five, f – overall, g – the moderate and humid climatic region (the southern shores of the Caspian Sea), h – the cold climatic region (the western mountains), i – the semidesert and temperate climatic region, j – the hot and dry climatic region (the central plateau), k – the hot and humid climatic region (the south coast).

 

Figure 4. The trends of P. capitis infestation during seasons and in the meridians 50°E, 55°E and 60°E, and the tropics 30°N and 35°N: a – spring, b – summer, c – autumn, d – winter, e – the meridian 50°E, f – the meridian 55°E, g – the meridian 60°E, h – the tropic 30°N, i – the tropic 35°N.

 

Figure 5. The distribution and stratification of the P. capitis infestation in Iran based on the regression coefficient

 

Results

The trends of P. capitis infestation in provinces

The trends of P. capitis infestation in 14 provinces out of 31 provinces including Ardabil (Fig. 2Aa), Bushehr (Fig. 2Ab), Fars (Fig. 2Ac), Gilan (Fig. 2Ad), Golestan (Fig. 2Ae), Hamadan (Fig. 2Af), Hormozgan (Fig. 2Ag), Kerman (Fig. 2Ah), Kohgiluyeh and Boyer-Ahmad (Fig. 2Ai), Lorestan (Fig. 2Aj), Semnan (Fig. 2Ak), Sistan and Baluchestan (Fig. 2Al), South Khorasan (Fig. 2Am), and Yazd (Fig. 2An) have increased over the last two decades. The trend of P. capitis infestation in Razavi Khorasan province has stayed the same over the previous two decades (Fig. 2Ao). The trends of P. capitis infestation in 16 provinces including Alborz (Fig. 2Ba), Chaharmahal and Bakhtiari (Fig. 2Bb), East Azerbaijan (Fig. 2Bc), Ilam (Fig. 2Bd), Isfahan (Fig. 2Be), Kermanshah (Fig. 2Bf), Khuzestan (Fig. 2Bg), Kurdistan (Fig. 2Bh), Markazi (Fig. 2Bi), Mazandaran (Fig. 2Bj), North Khorasan (Fig. 2Bk), Qazvin (Fig. 2Bl), Qom (Fig. 2Bm), Tehran (Fig. 2Bn), West Azerbaijan (Fig. 2Bo), and Zanjan (Fig. 2Bp) have decreased over the last two decades.

The trends of P. capitis infestation in the geographic and climatic regions

The trends of P. capitis infestation in geographic regions one (Fig. 3a), two (Fig. 3b), and five (Fig. 3e) have increased over the last two decades. The trends of P. capitis infestation in geographic regions three (Fig. 3c) and four (Fig. 3d) have decreased over the previous two decades. The trends of P. capitis infestation in moderate and humid (the southern shores of the Caspian Sea) (Fig. 3g), hot and dry (the central plateau) (Fig. 3j), and hot and humid (the south coast) (Fig. 3k) climatic regions have increased over the last two decades. The trend of P. capitis infestation in semidesert and temperate climatic region has stayed the same over the previous two decades (Fig. 3i). The trend of P. capitis infestation in the cold (the western mountains) climatic region has decreased over the last two decades (Fig. 3h). The trend of P. capitis infestation overall has increased over the previous two decades (Fig. 3f).

The trends of P. capitis infestation during seasons and in the meridians and the tropics

Infestation trends of P. capitis in spring (Fig. 4a), summer (Fig. 4b), winter (Fig. 4d), and along the meridian 50°E (Fig. 4e) have decreased over the last two decades. The trends of P. capitis infestation in autumn (Fig. 4c), along the meridians 55°E (Fig. 4f) and 60°E (Fig. 4g), and the tropics 30°N (Fig. 4h) and 35°N (Fig. 4i) have increased over the last two decades.

The distribution and stratification of the P. capitis infestation

Based on the regression coefficient, the distribution and stratification of the P. capitis infestation in Iran are as follows: -ꝏ–-0.40, -0.40–-0.20, -0.20–0.00, 0.00–0.20, 0.20–0.40, and 0.40–+ꝏ (Fig. 5).

Statistical analysis of P. capitis infestation and comparison of factor impacts on P. capitis infestation level

The Kruskal-Wallis test showed a significant difference between P. capitis infestation in climatic regions, community targets, gender, population, provinces, regions, and years (Pc < 0.05). There was a significant difference between the factors of the father’s and mother’s education levels on P. capitis infestation levels (Pc < 0.05) (Table 9). Interaction modeling with Poisson regression showed a significant difference between P. capitis infestation in the primary school population and climatic regions (P < 0.05) (Table 10).

 

Table 10. Interaction modeling with Poisson regression

Interaction with time trend (years)

IRR (95% CI)

P-value

Gender

Boys

0.99809 (1.00117–0.19671)

0.104

Girls

0.99772 (1.00117–0.14399)

0.0526

Both (boys and girls)

0.99833 (1.00117–0.24171)

0.1556

Population

Primary schools

1.00013 (1.00004–17.11576)

0.0045 *

Community

1.00003 (1.00004–1.90027)

0.5208

Community age groups

0.99993 (1.00004–0.27637)

0.1985

Climatic region

Cold climate (the Western mountains)

1.00004 (1.00001–60.0994)

< 0.001*

Semidesert and temperate climate

0.9999 (1.00004–0.0015)

< 0.001*

Hot and dry climate (the central plateau)

1.00009 (1.00001–>10000)

< 0.001*

Hot and humid climate (the south coast)

1.00043 (1.00001––>10000)

< 0.001*

* Significant at the level of 0.05. The significant P-values (P < 0.05) are shown in bold font.

IRR ‒ incidence rate ratio (H0: IRR = 1), CI ‒ confidence interval.

 

Interaction modeling with Poisson regression

The interactions of time trends with gender, population, and climatic region were investigated. Accordingly, the interaction of time trends with the primary school population was statistically significant and increased by 1.00013 times the incidence of infestation. Regarding climatic regions, semidesert and temperate region showed a statistically significant interaction that decreased 0.9999 times the incidence of infestation, while the other interactions of time trends with climatic regions were increasing. Gender groups did not significantly interact with the time trend (Table 10).

Discussion

The trends of P. capitis infestation have increased in about half of the country’s provinces over the previous two decades (Fig. 2A). Although these provinces are scattered throughout all geographic regions, they are mostly in one, two, and five geographic areas (Fig. 1a, 1b and 1c). That is why the trends of P. capitis infestation in geographic regions one (Fig. 3a), two (Fig. 3b), and five (Fig. 3e) have increased. These provinces are mostly located in the climatic regions of moderate and humid (the southern shores of the Caspian Sea), hot and dry (the central plateau), and hot and humid (the south coast) (Fig. 1e). For this reason, it is predictable that the trends of P. capitis infestation in moderate and humid (the southern shores of the Caspian Sea) (Fig. 3g), hot and dry (the central plateau) (Fig. 3j), and hot and humid (the south coast) (Fig. 3k) climatic regions will increase over the last two decades. Regarding the distribution and stratification of the P. capitis infestation, they are in the range of 0.00–0.20, 0.20–0.40, and 0.40–+ꝏ in the regression coefficient (Fig. 5).

The trends of P. capitis infestation have decreased in about half of the country’s provinces over the previous two decades (Fig. 2B). Although these provinces are scattered throughout all geographic regions, they are mostly in three and four geographic regions (Fig. 1a, 1b and 1c). That is why the trends of P. capitis infestation in geographic areas three (Fig. 3c) and four (Fig. 3d) have decreased. These provinces are mostly located in the cold climatic region (the western mountains) (Fig. 1e). For this reason, it is predictable that the trend of P. capitis infestation in the cold (the Western mountains) climatic region will decrease over the last two decades (Fig. 3h). Regarding the distribution and stratification of the P. capitis infestation, they are in the range of -ꝏ–-0.40, -0.40–-0.20, and -0.20–0.00 in the regression coefficient (Fig. 5).

A critical point is that, for the first time in this study, the impact of the meridians and the tropics that pass through Iran was also evaluated on P. capitis infestation. For this reason, the effect of the meridians at 50°E, 55°E and 60°E, and the tropics at 30°N and 35°N on P. capitis infestation trends in Iran was investigated. Based on the results of the study, the trends of P. capitis infestation in the meridians 55°E (Fig. 4f) and 60°E (Fig. 4g), and the tropics 30°N (Fig. 4h) and 35°N (Fig. 4i) have increased over the last two decades. The trend of P. capitis infestation in the meridian 50°E has decreased (Fig. 4e). These results are also a reflection of the geographic and climatic regions that were described and interpreted above. The reason is that the trend of P. capitis infestation has only increased in autumn (Fig. 4c), and the trends of P. capitis infestation have decreased in spring (Fig. 4a), summer (Fig. 4b), and winter (Fig. 4d) over the last two decades. The occurrence of P. capitis infestation varies according to the year’s seasonal circulation, with a maximum in late summer and early autumn. During the summer, particularly during the summer holidays, more frequent and intensive head-to-head contact may occur than during other periods of the year. During the summer months, and particularly during the summer holidays, children have more head contacts per unit of time than during other periods of the year. Besides, travel increases the likelihood that other children are encountered, of whom one or another might be infested with head lice. The increased exposure would then build up a reservoir of infested children when school opens after the summer holidays. In addition, longevity and fecundity depend on environmental factors such as air temperature and humidity, which have important consequences on collective biology such as the propagation of lice populations and their dispersion (Bauer et al., 2009; Nasirian, 2023b).

Lice infestation is very common in a community and is relatively higher in younger age groups compared with the adult population. The highest level of P. capitis infestation has been observed among primary school students in the population (8.4%). The highest level of P. capitis infestation has been observed in 7-year-old students (11.0%) and, as a result, at the first-grade educational level (10.9%). The P. capitis infestation level among girls (12.4%) was 6.9 times higher than boys (1.8%) because they have longer and thicker hair, which provides an optimal environment for the growth and occurrence of head lice. Furthermore, girls are more likely to spend their time in nearby play areas and engage during play in more head-to-head contact. Head lice also flourish indoors, while boys tend to spend more time outdoors engaging in active informal sporting activities (Alberfkani and Mero, 2020; Nasirian and Ahmadi, 2024). The highest level of P. capitis infestation has been observed among the regions five (10.6%) and four (9.1%), respectively. The highest level of P. capitis infestation has been observed in the hot and humid climatic region (18.5%). The highest level of P. capitis infestation has been observed in winter (7.8%) and autumn (6.8%), respectively. The students in public schools (8.3%) and rural areas (3.6%) are more infested with P. capitis than those in private schools (6.5%) and urban areas (1.7%). Compared to the global average P. capitis infestation level (25%) (Nasirian and Ahmadi, 2024), the most infested provinces and years have been Hormozgan (33.3%), Sistan and Baluchestan (25.2%), and 2017 (36.0%) and 2003 (26.3%), respectively (Table 9).

Based on the intensity of P. capitis infestation, the order of the influence of the factors that affect infestation is: history of infestation (in case of existence: 41.4%), mother’s education level (illiterate: 20.4%), father’s education level (illiterate: 18.6%), family income level (poor: 18.2%), bathing facility existence in student residences (in case of absence: 14.9%), family size (if Ⅵ persons or ≥ 7: 13.9 or 13.3%), health instructor involvement in student schools (in case of absence: 13.4%), sharing equipment (in case of existence: 13.2%), bathing frequency (once two weeks or once a week: 11.3%), hair washing frequency (once a week: 10.6%), and student hairstyle (wavy: 9.1%) (Table 9). The factors such as locality, regions, climatic regions, the meridians and the tropics, and years that were measured in this study should also be added.

Poisson regression modeling is used to study the effects of risk and protective factors on the incidence rate of an outcome. In our case, interaction modeling demonstrated that primary schools have a synergistic impact on time trends. In addition, the Western mountains, the central plateau, and the southeast showed synergistic effects with time trends on the incidence of the outcome. Adherence to proper hygiene practices, such as frequent hair washing and refraining from sharing personal items, can mitigate the risk of head lice infestation. Individuals suffering from head lice must minimize close contact with others until they are fully treated to prevent transmission (Galván-Casas et al., 2024). By fostering awareness about head lice infestations and ensuring access to effective treatments, Iran can work towards diminishing the incidence of this widespread issue among school-aged children. A collaborative effort between healthcare providers, schools, and families is essential for addressing and managing head lice infestations within the community (Alshaer, 2023). Education is very important for the progress of any country and depends on the health of its community.

Conclusion

The findings provide the national baseline data to initiate steps for national pediculosis intervention programs.

Acknowledgments

We kindly acknowledge the researchers (Nasirian, 2023a, 2023b; Nasirian and Ahmadi, 2024) of the studies used in this paper. We are grateful to the publisher of the previous studies for permission to use the data. This work did not receive any technical or financial support from any institution and was done by the authors at their own expense.

Authors’ contributions. Hassan Nasirian conceptualized the study and wrote the manuscript. Seyyed Amir Yasin Ahmadi performed the statistical analysis. The authors read and approved the final manuscript.

Funding

This work did not receive any technical or financial support from any institution and was done by the authors at their own personal expense.

Data availability

The authors declare that they are satisfied with the availability of data and materials online.

Ethical treatment of animals

Not applicable.

Conflict of interest

None.

×

Авторлар туралы

Hassan Nasirian

Tehran University of Medical Sciences

Хат алмасуға жауапты Автор.
Email: hanasirian@yahoo.com

Department of Medical Entomology and Vector Control, School of Public Health, Institute for Environmental Research (IER)

Иран, Tehran, 1417613151

Seyyed Ahmadi

Iran University of Medical Sciences

Email: yasin_ahmadi73@yahoo.com

Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute

Иран, Tehran, 1449614535

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1. JATS XML
2. Figure 1. a – Map of the territory of the 31 provinces of Iran (source: https://en.wikipedia.org/wiki/Provinces_of_Iran ). b – the map of geographic regions of Iran. c – the geographic regions of Iran (source: https://en.wikipedia.org/wiki/Regions_of_Iran). d – location of the meridians 50°E, 55°E and 60°E, and the tropics 30°N and 35°N in Iran (source: https://www.mapsofworld.com/iran/) (Beck et al., 2018).

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3. Figure 2. A. The trends of P. capitis infestation in the provinces of Iran: a – Ardabil, b – Bushehr, c – Fars, d – Gilan, e – Golestan, f – Hamadan, g – Hormozgan, h – Kerman, i – Kohgiluyeh and Boyer-Ahmad, j – Lorestan, k – Semnan, l – Sistan and Baluchestan, m – South Khorasan, n – Yazd, o – Razavi Khorasan.

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4. Figure 2. B. The trends of P. capitis infestation in the provinces of Iran: a – Alborz, b – Chaharmahal and Bakhtiari, c – East Azerbaijan, d – Ilam, e – Isfahan, f – Kermanshah, g – Khuzestan, h – Kurdistan, i – Markazi, j – Mazandaran, k – North Khorasan, l – Qazvin, m – Qom, n – Tehran, o – West Azerbaijan, p – Zanjan.

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5. Figure 3. The trends of P. capitis infestation in the geographic and climatic regions of Iran based on Fig. 1: a – the geographic region one, b – the geographic region two, c – the geographic region three, d – the geographic region four, e – the geographic region five, f – overall, g – the moderate and humid climatic region (the southern shores of the Caspian Sea), h – the cold climatic region (the western mountains), i – the semidesert and temperate climatic region, j – the hot and dry climatic region (the central plateau), k – the hot and humid climatic region (the south coast).

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6. Figure 4. The trends of P. capitis infestation during seasons and in the meridians 50°E, 55°E and 60°E, and the tropics 30°N and 35°N: a – spring, b – summer, c – autumn, d – winter, e – the meridian 50°E, f – the meridian 55°E, g – the meridian 60°E, h – the tropic 30°N, i – the tropic 35°N.

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7. Figure 5. The distribution and stratification of the P. capitis infestation in Iran based on the regression coefficient

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