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近亲结婚的健康意识与后果:一项基于社区的研究。

Health awareness and consequences of consanguineous marriages: a community-based study.

作者信息

Joseph Nitin, Pavan K Keshava, Ganapathi Keerthan, Apoorva P, Sharma Parul, Jhamb Jai Aditya

机构信息

Kasturba Medical College, Manipal University, Mangalore, India

Kasturba Medical College, Manipal University, Mangalore, India.

出版信息

J Prim Care Community Health. 2015 Apr;6(2):121-7. doi: 10.1177/2150131914557496. Epub 2014 Nov 11.

DOI:10.1177/2150131914557496
PMID:25389221
Abstract

OBJECTIVES

This community-based study was done to assess the awareness of people regarding the ill effects of consanguinity and to observe its association with various sociodemographic variables and complications among children.

METHODS

Houses were chosen by systematic random sampling method and any married person in each household was interviewed.

RESULTS

Only 35 (18.7%) out of 187 participants were aware of health hazards associated with consanguineous marriages. The prevalence of consanguineous marriages was found to be 23 (12.3%). History of consanguineous marriage was seen significantly more among illiterates (P = .05) and respondents with parental history of consanguinity (P < .001). The mean age at marriage was found to be significantly lower among women married consanguineously (P = .05). Congenital anomalies (P = .02) and low birth weight (P = .05) was seen significantly more among children with parental history of consanguinity.

CONCLUSION

Large-scale awareness campaigns are needed to address the ill effects of this seemingly innocuous cultural practice.

摘要

目的

开展这项基于社区的研究,以评估人们对近亲结婚不良影响的认识,并观察其与各种社会人口统计学变量以及儿童并发症之间的关联。

方法

采用系统随机抽样方法选择房屋,并对每户中的任何已婚人士进行访谈。

结果

187名参与者中只有35人(18.7%)知晓近亲结婚相关的健康危害。近亲结婚的患病率为23人(12.3%)。文盲中近亲结婚史更为显著(P = 0.05),父母有近亲结婚史的受访者中近亲结婚史更为显著(P < 0.001)。近亲结婚的女性结婚平均年龄显著更低(P = 0.05)。父母有近亲结婚史的儿童中,先天性异常(P = 0.02)和低出生体重(P = 0.05)更为显著。

结论

需要开展大规模宣传活动,以应对这种看似无害的文化习俗的不良影响。

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