Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Prevalence, Awareness and Perspective Associated with Consanguineous Marriage in Gaziantep, Türkiye: Descriptive-Cross-Sectional Study
Türkiye, Gaziantep'te Akraba Evliliğinin Yaygınlığı, Farkındalığı ve Bakış Açısı: Tanımlayıcı-Kesitsel Çalışma
Elif ONURa , Sena SARIb , Emine Gökçe ÇETİNb , Pınar GÜNELc , Özlem SORANd,e
aSANKO University Faculty of Medicine, Department of Medical Biology, Gaziantep, Türkiye
bSANKO University Faculty of Medicine, Gaziantep, Türkiye
cSANKO University Faculty of Medicine, Department of Biostatistics, Gaziantep, Türkiye
dUPMC University of Pittsburgh Medical Center Cardiology Clinic, Pittsburgh, USA
eSANKO University Faculty of Medicine, Department of Cardiology, Gaziantep, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(4):886-92
doi: 10.5336/healthsci.2024-102488
Article Language: EN
Full Text
ABSTRACT
 Objective: Consanguineous marriage (CM) is a common practice in Türkiye. This cross-sectional study was conducted between 2020-2022 to determine the prevalence, current awareness, and perspective of CM and its relationship with socio-demographic and obstetric risk factors in Gaziantep, Türkiye. Material and Methods: A survey was developed that included a total of 35 questions and face-to-face interviews were conducted. A total of 1,007 married participants, 589 women and 418 men, aged 18-82 were included in the study. Results: The CM frequency was 30%, of which 24% were among fourth-degree relatives. Participants living in a nuclear family with low education level first marriage ages were low, perceived economic status was poor and had higher frequencies of CM (p<0.001). Spontaneous miscarriage, stillbirth, and a history of congenital abnormality were higher in CM than in those without CM (p<0.05). The primary reasons for individuals choosing CM were love (45%), family pressure (11%), traditional approaches (23%), and avoiding marrying outside the family (14%). Ninety-two percent of the participants were aware of the health hazards associated with CM including Down syndrome (50%), and congenital heart anomalies (33%). Fourteen percent of the participants found the number of centers providing genetic counseling services in our country sufficient. Conclusion: Despite the high percentage of participant awareness of the potential health defects related to CM, there continues to be a high percentage of CM; therefore, it is crucial to develop working strategies to prevent CM in Gaziantep, Türkiye.

Keywords: Awareness; consanguineous marriages; consanguinity; Gaziantep
ÖZET
 Amaç: Akraba evliliği (AE) Türkiye'de yaygın bir uygulamadır. Bu kesitsel çalışma, 2020-2022 yılları arasında Türkiye'nin Gaziantep ilinde AE'nin yaygınlığını, güncel farkındalığını ve bakış açısını ve bunların sosyodemografik ve obstetrik risk faktörleriyle ilişkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Toplam 35 sorudan oluşan bir anket geliştirilmiş ve yüz yüze görüşmeler yapılmıştır. Araştırmaya yaşları 18-82 arasında değişen 589'u kadın, 418'i erkek olmak üzere toplam 1.007 evli katılımcı dâhil edildi. Bulgular: AE sıklığı %30 olup, bunların %24'ü dördüncü derece akrabalardaydı. Eğitim düzeyi düşük, çekirdek ailede yaşayan katılımcıların ilk evlenme yaşları düşük, algılanan ekonomik durumları kötü ve AE frekansları daha yüksektir (p<0,001). Kendiliğinden düşük, ölü doğum ve doğuştan anormallik öyküsü; AE olanlarda, AE olmayanlara göre daha yüksektir (p<0,05). Bireylerin AE'yi tercih etmelerinin başlıca nedenleri arasında; sevgi (%45), aile baskısı (%11), geleneksel yaklaşım (%23) ve aile dışında evlenmekten kaçınma (%14) yer almıştır. Katılımcıların %92'si, Down sendromu (%50) ve konjenital kalp anomalileri (%33) dâhil olmak üzere AE ile ilişkili sağlık tehlikelerinin farkındadır. Katılımcıların %14'ü ülkemizde genetik danışmanlık hizmeti veren merkez sayısını yeterli bulmuştur. Sonuç: Katılımcıların AE ile ilgili olası sağlık kusurları konusundaki farkındalıklarının yüksek olmasına rağmen AE frekansı yüksek olmaya devam etmektedir. Bu nedenle, Türkiye'nin Gaziantep şehrinde AE'yi önlemeye yönelik çalışma stratejilerinin geliştirilmesi büyük önem taşımaktadır.

Anahtar Kelimeler: Farkındalık; akraba evlilikleri; akrabalık; Gaziantep
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