Izvorni znanstveni članak
Interplay of Socio-economic Factors, Consanguinity, Fertility, and Offspring Mortality in Monastir, Tunisia
Emna Kerkeni
; Laboratorij Genetike, Medicinski fakultet Sveučilišta u Monastiru, Tunisia
Kamel Monastiri
; Zavod za pedijatriju i neonatalogiju, Monastir, Tunisia
Besma Seket
; Zavod za pedijatriju i neonatalogiju, Monastir, Tunisia
Mohamed Neji Guediche
; Zavod za pedijatriju i neonatalogiju, Monastir, Tunisia
Hassen Ben Cheikh
; Laboratorij Genetike, Medicinski fakultet Sveučilišta u Monastiru, Tunisia
Sažetak
Aim To assess the association among social status, prevalence of consanguineous
marriages, and the effects of consanguinity on reproductive behavior
and mortality in Tunisia.
Methods The study included data on a total of 1741 live-births born from
November 1989 to October 1990 in the maternity ward of the University-
Hospital Fattouma Bourguiba of Monastir, Tunisia. After delivery,
women filled out a questionnaire on the age of the parents at marriage,
the number of pregnancies and abortions, the number of neonatal and
post-neonatal deaths, and deaths of children under 5 years. Three categories
of marriages were distinguished as follows: marriages between first
cousins, marriages between cousins of other degree, and non consanguineous
marriages.
Results Consanguineous marriages represented 432 (24.81%) of the
unions. Most consanguineous marriages were contracted between first
cousins (n = 303; 70.13%). Consanguineous couples had a lower age at
marriage and a higher fertility index than non-consanguineous couples.
The rates of spontaneous abortions and stillbirths were not correlated
with consanguinity. However, higher rates of neonatal and post-neonatal
deaths, and deaths of children younger than 5 years were observed in
consanguineous couples.
Conclusion Fertility index and mortality, especially in the first year of
life, were significantly higher in consanguineous marriages. This important
socio-economical factor needs to be considered in assessing equity
on health in specific social and cultural contexts.
Ključne riječi
Fertility; Offspring Mortality
Hrčak ID:
20952
URI
Datum izdavanja:
15.10.2007.
Posjeta: 2.533 *