Fariba HEİDARİ, Saeed DASTGİRİ, Rahman AKBARİ, Zhila KHAMNİAN, Elham KHANLARZADEH, Maryam BARADARAN, Soheila JABBARY-FAM, Shafigheh BADRAZAR, Mohammad HEİDARZADEH, Nazila TAJADDİNİ

Prevalence and Risk Factors of Consanguineous Marriage

Akraba evliliği çeşitli sağlık sorunları ve sosyal olumsuz sonuçları ile küresel bir sağlık sorunudur. Bu çalışmada akraba evliliği sıklığı ve epidemiyolojik özelliklerini belirlemeyi amaçladık. Bu vaka-kontrol çalışması İran Kuzey-Batı Tebriz kentinde evlilik öncesi danışma merkezlerinde gerçekleştirilmiştir. Katılımcı olarak 1532 kişi (766 çift) ve vaka grubu olarak 166 çift alındı. Akraba evliliğinin bir yıllık oluşma oranı 13.80% olmuştur. Diğer değişkenler için düzeltme yapıldıktan sonra hem kadın (OR = 0.90,% 95 CI = 0,86-0,94) hem erkekler (OR = 0.87,% 95 CI = 0,82-0,93) için evlenme yaşı ve bilgi düzeyi önemli ölçüde akraba evliliği ile ilgili idi. Baba mesleği, katılımcının gelir seviyesi ve ebeveynin akrabalığı erkeklerde akraba evliliğinin bağımsız göstergesi olup bu kadınlarda gösterilememiştir. Akraba evliliği sıklığı hala yüksek olup, bu yüzden tasarım ve sorunu çözmek için çok düzeyli eğitim programları dahil olmak üzere özel koruyucu müdahalelerin uygulanması gerekli görülmektedir

Anahtar Kelimeler:

Akrabalık, evlilik, belirleyiciler, sıklık

Prevalence and Risk Factors of Consanguineous Marriage

Consanguineous marriage is a global health problem with several health-related and social adverse outcomes. In this study we aimed to identify the prevalence and epidemiologic features of consanguineous marriage. This case-control study was carried out at the premarital advisory centers in Tabriz city in the North-West of Iran. The participants consisted of 1532 subjects (766 couples) with166 couples as the case group. The one year occurrence rate of consanguineous marriage was 13.80%. After adjustment for other variables, age at marriage for both women (OR=0.90, 95%CI=0.86-0.94) and men (OR=0.87, 95%CI=0.82-0.93), and level of knowledge for both women and men were significantly related to consanguineous marriage. Father\'s profession, participant's level of income, and parent\'s consanguinity were independent predictors of consanguineous marriage in men but not in women. The frequency of consanguineous mating is still high, so it seems necessary to design and implement special preventive interventions including multi-level educational programs in order to address the problem.

Keywords:

Consanguinity, marriage, determinants, prevalence,

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