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PubMed2000

Trends in the frequencies of consanguineous marriages in the Israeli Arab community.

To assess the trends in the frequency of consanguineous marriages in the Israeli Arab population in the last 40 years, we conducted a two-part study. For the first part, we re-analyzed data from a nationwide study carried out in 1992, and for the second part, we undertook a new survey in 1998 in four locations: Taibe, Tira, Kalansuwa and Kafr Bara. Data regarding the frequency of consanguineous marriage in these four locations for the years 1961-1985 was extracted from the original survey, and for the years 1986-1998, from new questionnaires. The frequency of consanguineous marriage was highest in the period 1961 1965 (50.6%), but by the period 1981-1985 it had decreased to 40.6%. Over the whole time span of the 1992 study, a significant decrease was observed between the periods 1961-1975 and 1976-1985 (p < 0.0001). In the four-location study, there was a significant decrease in the frequency of consanguineous marriage from 52.9%, in the period 1961-1970 to 32.8% in the period 1991-1998 (p = 0.0006). We conclude that the custom of consanguineous marriage in the studied population is still extremely high, and preventive measures should be taken to decrease its frequency and associated complications.

Arabs↗

PubMedDate not supplied

Consanguinity in a population sample of Israeli Muslim Arabs, Christian Arabs and Druze.

BACKGROUND: In Israel lives a heterogeneous population; most of the inhabitants are Jews, and about a fifth of the population is made up of other religions, mainly Muslim Arabs including Bedouins, Christian Arabs and Druze. PRIMARY OBJECTIVE: A national survey was performed on consanguineous marriages in Israeli Arabs and Druze in order to identify population groups that are at highest risk for autosomal recessive and for multifactorial disorders. RESEARCH DESIGN: During 1990-1992, women were interviewed after delivery in maternity wards all over Israel. Data on consanguinity between the couples, their parents, and other demographic information were received from 1303 Muslim Arabs including 278 Bedouins, from 107 Christian Arabs and 115 Druze. MAIN RESULTS: The results showed high consanguinity rates in Muslim Arabs (42%), Christian Arabs (22%) and in Druze (47%). Rates of first cousin and closer matings in Muslim Arabs and Druze were stable over time in contrast with a significant decrease in the rates of distant consanguineous matings. Muslim Arab husbands (not Bedouins) who were sons of first cousins were more frequently (31%) married to a cousin than were other husbands (22%), and in Bedouins these rates were 53% and 33%, respectively. The rate of first cousin matings was predominantly associated with the level of education. The rate was highest in those Bedouins (37%) and Druze (37%) with low educational level, and lowest in highly educated Christian Arabs (14%) and non-Bedouin Muslim Arabs (10%). The association with education has implications for developing strategies for reducing consanguinity rates.

Arabs↗

PubMedDate not supplied

Consanguinity, intracommunity and intercommunity marriages in a population sample of Israeli Jews.

BACKGROUND: Changes in the marriage patterns of Israeli Jews have been associated with the mass immigration of Jews from many countries over a relatively short period of time. AIM: This study seeks to document consanguineous, intracommunity and intercommunity marriage patterns, and to observe the changes that have occurred over time, and in relation to the level of education and religiousness. SUBJECT AND METHODS: During 1990-1992, 4388 Jewish women were interviewed after delivery in maternity wards throughout Israel. Demographic information was received, with special emphasis on country of origin, community and consanguinity of the couples and their parents. RESULTS: The consanguinity rate among the couples was 2.3%, including 0.8% first cousin marriages, with the highest consanguinity rate among Eastern Jews (7.1%). The rate of intracommunity marriages was 64% (25% Ashkenazim, 22% Sephardim and 17% Eastern Jews). The rate of intercommunity marriages was lowest among Ashkenazim. It rose with the level of education and inversely to the degree of religiousness. CONCLUSION: Over the past decades there has been a decline in consanguineous and intracommunity marriage rates and an increase in intercommunity marriages. Immigrant and ultraorthodox women tended to marry within the community as opposed to Israeli-born women and those with higher educational level who tended to intermarry with other communities as well.

Consanguinity↗

PubMed2006

Consanguinity and eye diseases with a potential genetic etiology. Data from a prevalence study in Andhra Pradesh, India.

PURPOSE: To determine the prevalence of consanguinity and its potential associations with eye diseases in Andhra Pradesh state of south India. METHODS: As part of a demographic interview schedule, prior to clinical examinations, trained investigators collected information regarding consanguinity of the parents from subjects randomly chosen for a population-based cross-sectional epidemiological study. Each subject underwent a detailed ocular examination including visual acuity measurements, anterior segment examinations with slit-lamp biomicroscopy, and posterior segment examinations. Adjusted odds ratios (OR), attributable risks (AR) and population attributable risks (PAR) were estimated. RESULTS: We obtained details regarding consanguinity of the parents from 10,290 of the 10,293 subjects who were enumerated and examined in the study. Parental consanguinity was reported by 1822 (24.7%) rural subjects and 782 (32.9%) urban subjects. Eighty (0.008%, 95% CI: 0.006, 0.010) of the 9757 subjects had an ocular disease with a potential genetic basis. We found microcornea to be significantly associated with both an uncle-niece relationship (adjusted OR: 7.32, 95% CI: 1.73, 30.97, AR = 86.34%, PAR = 42.11%) and a first-cousin relationship between the parents (adjusted OR 4.51, 95% CI: 1.05, 19.40, AR = 77.83%, PAR = 29.02%). Retinitis pigmentosa was significantly associated with a first-cousin relationship between the parents (adjusted OR: 5.31, 95% CI: 1.00, 28.25, AR = 81.17%, PAR = 33.43%). CONCLUSIONS: The high prevalence of consanguinity in this population does not appear to translate into a high prevalence of ocular malformations; however, studies with larger sample sizes are required to further explore the strength of these associations.

Adolescent↗

PubMed2005

Consanguineous marriages in Jordan: why is the rate changing with time?

The objective of this study was to explore the secular trend in consanguinity in Jordan and the subtypes of consanguineous marriages that may be undergoing a change. A total of 1032 individuals attending a diabetic clinic in Amman were interviewed. The questionnaire provided information on consanguinity status and date of marriage among three generations: the persons interviewed, their parents, parents of their spouses and their offspring. Data on consanguinity status among 5401 marriages was obtained. Generations were named generation 1 for marriages contracted before 1950, generation 2 for marriages contracted between 1950 and 1979, and generation 3 for marriages contracted after 1980. For generations 1, 2, and 3, first-cousin marriages constituted 20.2, 28.5 and 19.5% of all marriages, respectively, while the subtype of paternal parallel first-cousin marriages constituted 75.6, 60.3 and 43.3% of all first-cousin marriages, respectively. The offspring of first-cousin parents were significantly more prone to marry their relatives than the offspring of non-consanguineous parents, with rates of first-cousin marriages among offspring of first-cousin parents and non-related parents constituting 25.3 and 17.1% of all marriages, respectively. For generations 1, 2 and 3, the average coefficient of inbreeding was 0.0135, 0.02 and 0.0142, respectively. In conclusion, first-cousin marriage rate among a representative population from Amman showed a significant decline among marriages contracted after 1980 compared to marriages contracted between 1950 and 1979, but not to marriages contracted before 1950. The proportion of paternal parallel first cousins among first-cousin marriages showed a steady decline from one generation to the next.

Consanguinity↗

PubMed1989

The frequency and medical effects of consanguineous marriages in Antalya, Turkey.

We investigated 2604 marriages in Antalya, a region in the Mediterranean coast of Turkey. The 1020 urban and 1584 rural families included in the study were randomly selected and interviewed at their homes by one of the authors. The total consanguinity was 35.2%, rates being 39.6 and 28.3% for rural and urban areas, respectively. The frequency of consanguinity in different age groups did not vary whereas level of education of the women appeared to have a negative correlation. Family pressure and love were stated as the main reasons for marrying with a relative. Differences were observed between consanguineous and non-consanguineous marriages in sterility, infant death, spontaneous abortion, child death and congenital malformations, these being significantly higher in consanguineous matings. Data from similar Turkish studies are also presented and discussed.

Adult↗

PubMed1997

Effects of consanguineous marriage on reproductive outcome in an Arab community in Israel.

Intrafamilial marriage is favoured by the Arab community in Israel, almost all of whom live in villages populated by a few (< 20) founding families. A previous study in Taibe, a large Arab village located 30 km from Tel Aviv, showed a significantly high malformation rate among infants of consanguineous parents. The present study examines the reproductive consequences of parental consanguinity in 610 families from the same village, selected retrospectively through infants routinely seen in the local well baby clinic. All mothers were interviewed with regard to previous pregnancy outcomes, including abortions, stillbirths, and neonatal or infant deaths, as well as the degree of consanguinity. In addition, we analysed the anthropometric measurements of the probands. The incidence of infant deaths was significantly higher in the inbred group (p < 0.001). No significant increase in fetal loss between the inbred and outbred groups was observed. There were no differences in anthropometric features, except for a lower birth weight in the consanguineous group (p < 0.035). This study, combined with our previous studies of the same population, indicates a prominent public health problem associated with consanguineous marriage in the Arab community and a need for specific genetic counselling.

Arabs↗

PubMed2002

Consanguinity and hearing impairment in developing countries: a custom to be discouraged.

Consanguineous marriage is a tradition which is commonly practised among Asian, African, and Latin American communities whether they are living in their own countries or settled in Europe or the USA. These communities, in addition to their custom of interrelated marriage, have large families and are a rapidly growing population. The siblings of consanguineous marriages have a significantly higher incidence of autosomal recessive diseases including hearing impairment. Two epidemiological surveys were carried out 10 years apart. There were 6,421 subjects from Riyadh City and 9,540 from all other parts of the Kingdom of Saudi Arabia. A random sample was examined otologically and a questionnaire was filled in that included age, sex, family relation, number of siblings, etc. ENT examination and audiological assessment were performed. Consanguinity was found among 22 per cent as first cousins and 23 per cent as second cousins in the first survey. In the second survey 19 per cent were first cousins and 28 per cent second cousins. The rate of consanguinity was 45 per cent in the first survey and 47 per cent in the second. The prevalence of hereditary sensorineural hearing loss (SNHL) was 66.07 per cent and 36.6 per cent in the first and second survey respectively. The incidence of hereditary hearing impairment is very high in developing countries compared to developed countries. Prevention is essential to reduce the incidence of genetic hearing loss. Consanguinity should be discouraged through health education of the public about the adverse effect of interrelated marriage. Genetic counselling, premarital and antenatal screening are to be applied whenever possible, at least for those at risk of developing genetic diseases including hearing impairment.

Child↗

PubMed2002

Evolution of consanguinity in a French alpine valley: the Vallouise in the Brianfon region (17th-19th Centuries).

The present study considers the evolution of consanguinity in the Vallouise, a high glacial valley in the French Alps. The genealogical method was used to estimate consanguinity in this Alpine population from the 17th to the 19th centuries. This method was then compared with three other methods used to measure consanguinity. The results indicate that while consanguinity increased through time (marriage dispensations and genealogies), the structural consanguinity (isonymy) was very stable throughout the entire period.

Consanguinity↗

PubMed2005

Social structure and consanguinity in a French mountain Population (1550-1849).

Sociocultural factors play a crucial role in the variation of consanguinity in a population. The choice of specific matrimonial strategies can favor the closure or opening of the group to the outside, whereas differential fertility affects the gene flow from one generation to another. In the present study we analyzed the role of socioprofessional groups in the maintenance of endogamy and consanguinity in a French Alpine valley: Vallouise in the Briançon area. In mountain environments, where the reproductive space is limited and quickly saturated, the autochthonous families adopt diversified matrimonial strategies. These marriage practices tend to prevent fragmentation of agricultural property. We analyzed the matrimonial behavior in the two main social groups of this population (décideurs and farmers) from 1550 to 1849. To better understand the behavior of the two social groups, we considered the two components of consanguinity, close and distant. Our study showed that the two groups had similar behavior regarding consanguinity. The way to prevent fragmentation of the patrimony was to choose a consanguineous spouse. This type of strategy inevitably leads to a high percentage of endogamy, which in this region of the Alps exceeded 90% through many centuries.

Anthropology, Cultural↗

PubMed2002

Consanguinity and spousal concordance in Kuwait.

Consanguineous marriage is favored in Kuwait. This research focuses on the relationship of physical and cultural traits to marriage types in Kuwait and examines concordance as a function of consanguinity and marriage duration. In a nonrandom opportunistic sample of 242 couples anthropometric and blood pressure data have been collected as well as data on acculturation, religiosity, Farsi proficiency, level of education, occupation, and attitudes regarding fertility. Significant concordances occur in cultural characteristics among couples in all three types of marriages with respect to the degree of religiosity, acculturation, language similarity, education, and occupation. Non-consanguineous spouses have the highest concordance in educational level, occupation, and degree of acculturation, but the lowest for religiosity and Farsi proficiency. Nonkin marriages seem to be based on personal preferences. In the wider potential nonkin marriage pool spouses show more concordance in stature and education indicating the positive assortative mating for those traits. Non-consanguineous spouses show a significant association for triceps and subscapular skinfold thicknesses hip and waist circumferences, and body fat distribution. Unrelated spouses exhibit more concordance for physical traits than do related spouses. There is a significant correlation between spouses in first and double cousin marriages as well as in spouses in second and less than second cousin unions for systolic and diastolic blood pressure, while non-consanguineous spouses show a significant association in diastolic blood pressure only.

Adult↗

PubMed2005

[Effects of consanguinity and social factors on mortality and fertility in Mauritania].

This study is to evaluate the consequences of consanguinity and social factors on infanto-youthful mortality and fertility in Mauritanian ethno groups. Thereafter we studied the correspondence between the methods of all the studied variables. The analysis of a sample of 2413 couples obtained according to the quota method showed that the infanto-youthful death rate in Soninkes and the Poulard ones was higher in the consanguineous groups than in the non consanguineous ones. On the other hand, in Maures. Wolofs and black Maures the difference is not significant. For all the Mauritanian ethno groups the consanguineous couples had averages of fertility significantly higher than those of non consanguineous. Analysis of the correspondences revealed two groups. The first was formed by the related ones. The second by the non-related ones. Each group formed a unit with other specific demographic characteristics.

Child↗

PubMed2005

Parental consanguinity and risk of breast cancer: a population-based case-control study.

BACKGROUND: An estimated 600 million people in the world have consanguineous parents. The effect of consanguinity on the risk of breast cancer is uncertain. The objective of this case-control study was to examine whether parental consanguinity and different levels of inbreeding affect the risk and pathology characteristics of breast cancer. MATERIAL/METHODS: Over a 36-month period, consecutive female breast cancer patients were recruited in the main cancer hospital in the United Arab Emirates. All were locally born Arabs with a tissue diagnosis of breast cancer. The controls were locally born Arabs without breast cancer matched to cases by sex, age, and residence. The coefficient of inbreeding (F) of both groups was determined from information they provided about their parents' kinship. RESULTS: The mean age of the 72 patients and 187 controls was 48.6 years (range: 25-86) and 48.5 years (range: 25-82), respectively (P = 0.46). Consanguinity rates of the patients and controls were 29.2% and 28.9% (P = 0.96) and the coefficients of inbreeding were 0.0117 and 0.0167 (P = 0.21), respectively. More closely inbred women (F > or = 0.0625) were less frequent among patients than controls, but the difference was not statistically significant (P = 0.12). The rates of pathological stage of disease, tumor histologies, and tumor grades were similar between more and less inbred patients. CONCLUSIONS: Parental consanguinity in Arabs, even when a marriage is between first cousins or double first cousins, was not associated with an altered risk of breast cancer.

Adult↗

PubMed1979

Congenital abnormalities in newborns of consanguineous and nonconsanguineous parents.

The aim of this study was to determine the types, patterns, and frequencies of congenital anomalies among newborns of both consanguineous and nonconsanguineous parents in southern Iran. From 9526 consecutive pregnancies observed, 9623 newborns resulted (9431 singleton and 95 sets of multiple gestation). There were 7261 newborns from nonconsanguineous parents and 2362 (24.5%) babies from consanguineous marriages. Of the total pregnancies, 1.54% resulted in malformed children (1.53% of singleton and 2.1% of multiple gestations). The incidence of congenital abnormalities in newborns of nonconsanguineous parents was 1.66% as compared to 4.02% for newborns of the consanguineous group. Major and multiple malformations were found to be slightly more common in the consanguinous group. Prematurity, prenatal mortality rate, and congenital abnormalities were more common in the consanguineous group. Probably the closer the familial relationship of the parents, the greater the chances of congenital abnormalities.

Abnormalities, Multiple↗

PubMed1997

The frequency of consanguinity in Konya, Turkey, and its medical effects.

This study was conducted in the town of Konya, Turkey, on 1120 randomly selected women to find out the overall rate of consanguineous marriages among couples. The frequency of consanguineous marriages was found to be 23.2%. It was found that 14.6% of this figure was first cousin marriages and the rest was 8.6%. Consanguineous marriages were higher among women born in villages compared to those born in provinces and the town center. Based on the findings, it was not too difficult to say: the higher the level of education of women, the lower the rate of consanguineous marriages. The number of children with an abnormality was high in consanguineous marriages, while the frequency of spontaneous abortion, still-birth and infant death remained the same.

Abortion, Spontaneous↗

PubMed1998

Multiple kinship in two Spanish regions: new model relating multiple and simple consanguinity.

The structure of the different categories of multiple consanguineous marriages (MCMs) and their historical variation patterns are analyzed in the Spanish dioceses of Alava (Basque Country) and Sigüenza-Guadalajara (Castile). Consanguineous marriages, up to third cousins, were taken from ecclesiastical dispensations, and the periods studied were 1831-1980 for Alava and 1861-1980 for Sigüenza-Guadalajara. Significant differences exist in the MCM rates in the two Spanish areas. In this study a model is proposed to prove that in a general population there may be dependence between MCM rates for specific relationships and the frequencies of those types of relationships in the form of simple consanguineous marriages (SCMs). The effects of avoidance and preferentiality and of underreporting are discussed to explain the deviations between observed and expected consanguineous marriage frequencies. A limit to the weight of remote consanguinity on the population inbreeding coefficient F is determined. The relationship between FT/FS and ms values from our two Spanish populations are fitted to curvilinear regressions. FT is the total population inbreeding coefficient, FS is the contribution to FT from SCMs, and ms is the relative observed frequency of SCMs in the general population.

Cohort Studies↗

PubMed1987

[Consanguineous marriage in Turkey and its effects on infant mortality].

The authors examine the effects of consanguineous marriage on infant mortality in Turkey. An attempt is made to distinguish the influence of consanguineous marriage from that of selected regional and socioeconomic factors. It is found that "the differences of the average infant mortality rates between consanguineous and non-consanguineous marriages are parallel to the development differences between the regions as well as the conditions of the house which are thought to signify the socioeconomic differences. Although the differences in averages are insignificant statistically, this trend [indicates] that consanguineous marriages [affect] infant mortality." Data are from the 1983 Turkish Fertility, Contraceptive Prevalence and Family Health Status Survey. (SUMMARY IN ENG)

Asia↗

PubMed1992

Marked parental consanguinity as a cause for increased major malformations in an Israeli Arab community.

It is common among Israeli Arabs who live in the villages to prefer consanguineous marriages, particularly among first cousins. In addition, such villages are populated by a few (less than 20) original families, and inter-family/inter-village marriages are infrequent. The purpose of this study was to examine the consequences of such "consanguinity" in Taibe, a large Arab village, 30 km from Tel Aviv. Six hundred ten families were prospectively ascertained through infants who were routinely seen in the local "Well Baby Clinics." A significant increase in the incidence of major malformations was noted in relation to the closeness of the parental relationship. For the index cases group the prevalence of individuals with major malformations were 5.8% in the product of inter-village marriages, 8.3% in the intra-village non-related matings, 15.1% in the distant consanguineous group, and up to 15.8% in the progeny of first-cousin marriages (P less than 0.001). In the siblings of these index cases, the frequency of major malformations was 4.3%, 4.5%, 10.5%, and 10.3%, respectively. Analysis of the major malformations by each body system showed the same trend. The study demonstrates a marked high rate of consanguineous marriages, whose effect leads to a marked increase in major malformations and thus a prominent public health problem in such villages. This requires a unique genetic counseling approach.

Congenital Abnormalities↗