Marriage of cousins: Congenital diseases and people's perceptions in Pakistan, a public health challenge

Zaman, Muhammad

doi:10.1057/jphp.2010.18

Cited by 5 publications

(10 citation statements)

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“…In joint family setup, CU are preferred because of the compatibility between subfamilies, i.e., similar tradition, education and economic levels, and among cousins living in the same environment. 2,7 Consanguinity helps them to settle minor domestic conflicts and social and economic problems. 14 Further, the rate of CU was significantly higher in subjects who had younger age at marriage.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6] Consanguinity is a deeply rooted social and cultural trend in Pakistan. 7 The major cause for an advantage of consanguineous unions (CU) is socio-cultural instead of economic benefits. A review of the literature on this subject revealed that despite certain generalizations the factors underlying consanguinity vary in different populations of Pakistan.…”

Section: Introductionmentioning

confidence: 99%

“…A review of the literature on this subject revealed that despite certain generalizations the factors underlying consanguinity vary in different populations of Pakistan. 2,[7][8][9] The world population has been divided into four broad categories based on the prevalence of CU, i.e., <1%, 1-10%, 10-50%, and unknown. 5 Pakistan falls into the third category where an overall high prevalence of consanguinity has been reported.…”

Section: Introductionmentioning

confidence: 99%

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Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan

2021

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Objectives: This study was aimed to illustrate the determents of consanguinity and inbreeding coefficient-F (ICF) in the population of Okara district of Pakistan and to elucidate the impact of consanguinity on fertility and birth outcome. Methods: Through a cross-sectional sampling design, 1,521 married women were recruited from Okara district during 2016-2017. Data on demographic variables, marital union types, subject’s fertility, and reproductive outcome, were gathered in face-to-face interviews. Descriptive statistics and multivariable logistic regression were employed. Results: The prevalence of consanguineous unions (CU) was calculated to be 61% yielding ICF=0.0356. Multivariable regression analyses revealed that six variables including younger age at marriage, joint family structure, caste-system of spouse, exchange marriage, matrimonial distance, and parental consanguinity, were significant predictors of consanguinity. The women having CU had significantly higher mean fertility, mean live-births and mean live-born sons compared with subjects having non-consanguineous unions (NCU). However, there were no significant differences in the average mortalities, i.e., prenatal, postnatal and <5 years, between the mothers with CU and NCU. Conclusion: The prevalence of consanguineous unions (CU) in Okara district is quite high like other inbred populations of Pakistan. The striking findings of this study are the higher mean fertility and mean live-births in women with CU. The likely reasons underlying this phenomenon have been discussed. doi: https://doi.org/10.12669/pjms.37.3.2263 How to cite this:Nawaz A, Zaman M, Malik S. Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.2263 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan

2021

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“…This might be difficult in Benin. Zaman (2010) pointed out, in reference to Pakistan, that prevention of genetic diseases is difficult in a society in which marriage of cousins is a principal means of reinforcing the social fabric and in which "notions of luck and destiny trump understanding of genetics." The result is a vicious circle-in Pakistan and likely in Benin-in which those people most at risk of a genetic disease are least able to prevent it or treat it appropriately.…”

Section: Discussionmentioning

confidence: 99%

Misconceptions about sickle cell disease (SCD) among lay people in Benin

Zounon

Anani

Latoundji

et al. 2012

Preventive Medicine

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“…A man's strong ties with his sisters and daughters are forces that can counter patriarchal authority and reduce marital abuse of the wife. However, Niaz (2004), Zaman (2008), and Zaman (2010) stress the sociopsychological and genetics problems of exchanged women in Pakistan as a result of the marriage system. Nevertheless, exchange marriage is perceived as ensuring welfare for the women and promoting social cohesion and alliance creation (Zaman, 2011a).…”

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confidence: 99%

Exchange Marriages in a Community of Pakistan

Zaman

2013

The Family Journal

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The structuralist and social exchange theorists relate the system of the exchange marriage mainly to socioeconomic interests, the formation of political and social alliances, as well as to the creation of a kinship network. However, they negate the inherited problems of the system of the exchange. This article discloses positive and negative aspects of the exchange and the cycle of social exchange. This study focuses on the notion of adequate social exchange. The study reveals tensions between individual and collective perspectives, as well as the conditions under which it-gradually and slightly-is being transformed on the basis of the notion of the adequate social exchange.

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Marriage of cousins: Congenital diseases and people's perceptions in Pakistan, a public health challenge

Cited by 5 publications

References 5 publications

Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan

Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan

Misconceptions about sickle cell disease (SCD) among lay people in Benin

Exchange Marriages in a Community of Pakistan

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