{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:26:20Z","timestamp":1780532780672,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Head lice remain a frequent concern in schools, with social stigma and misconceptions often influencing parental attitudes more than medical realities. Understanding these psychosocial dimensions is essential for designing effective school health strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional online survey was conducted among 227 parents of preschool and primary school children across 13 regions in Greece. A structured 20\u2010item questionnaire was used. Exploratory factor analysis identified underlying attitudinal factors, while correlations and latent profile analysis explored distinct psychosocial profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six attitudinal factors emerged: Peer Stigma, Cultural Prejudice, School\u2010Related Concerns, Internalized Shame, Hygiene Beliefs, and Institutional Factors. Stigma\u2010related factors were strongly intercorrelated. Demographic associations were weak, and infestation frequency showed only marginal links to attitudes. Latent profile analysis identified four distinct psychosocial profiles of the parents. Implications for School Health Policy, Practice, and Equity: Findings emphasize the need for stigma reduction, parental education, and improved school\u2013family communication. Tailored interventions can reduce inequities by supporting vulnerable parent groups with culturally sensitive strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Head lice are perceived by many parents as a social rather than medical issue. Addressing stigma is crucial for effective and equitable school health practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70146","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:38:55Z","timestamp":1775720335000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stigma, Perceptions, and Parental Responses to Children's Head Lice Infestation in Greece"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5237-2015","authenticated-orcid":false,"given":"Michalis","family":"Linardakis","sequence":"first","affiliation":[{"name":"Department of Preschool Education University of Crete  Rethimnon Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8031-7926","authenticated-orcid":false,"given":"Helen","family":"Vretudaki","sequence":"additional","affiliation":[{"name":"Department of Preschool Education University of Crete  Rethimnon Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2228-8231","authenticated-orcid":false,"given":"Stela\u2010Marina","family":"Kostaki","sequence":"additional","affiliation":[{"name":"Department of Preschool Education University of Crete  Rethimnon Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2564-5203","authenticated-orcid":false,"given":"Elias","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"Laboratory of Parasitology and Parasitic Diseases School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201019712\u20102"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.2003.01927.x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00436\u2010020\u201007038\u2010y"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ced.15054"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12144819"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00436\u2010015\u20104670\u20101"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.15096"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.5152\/tpd.2012.20"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12423"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405070230050701"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20104632.2011.05300.x"},{"issue":"5","key":"e_1_2_13_13_1","first-page":"387","article-title":"The Importance of Socio\u2010Economic Status and Individual Characteristics on the Prevalence of Head Lice in Schoolchildren","volume":"15","author":"Willems S.","year":"2005","journal-title":"European Journal of Dermatology"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101470.2009.01016.x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(04)15738\u20103"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(99)09458\u20101"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0074\u201002762002000200007"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1409.080368"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101470.2010.01317.x"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00436\u2010012\u20102966\u2010y"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096\u2010012\u20101575\u20100"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.phrp.2015.10.011"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20104632.2010.04775.x"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.29252\/jech.6.1.3"},{"issue":"1","key":"e_1_2_13_25_1","first-page":"134","article-title":"The Effect of Educational Program on the Prevention of Pediculosis in Primary School Fifth Grade Students: An Application of the Health Belief Model","volume":"2","author":"Dehghani Tafti A.","year":"2018","journal-title":"Social Behavior Research & Health"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_1714_23"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9010066"},{"issue":"4","key":"e_1_2_13_28_1","first-page":"409","article-title":"International Guidelines for Effective Control of Head Louse Infestations","volume":"6","author":"Mumcuoglu K. 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