بررسي فراواني ازدواج فاميلي در شهر تهران و عوامل مرتبط

Frequency of consanguineous marriage in Tehran and some related factors

سابقه و هدف: ازدواج فاميلي يكي از اشكال عمده ازدواج در دنيا و به ‌ويژه در كشور ما مي‌باشد. منظور از ازدواج فاميلي، پيوند زناشويي بين زن و مردي است كه حداقل يك جد مشترك دارند. اين مطالعه با هدف تعيين فراواني ازدواج فاميلي و عوامل مرتبط با آن صورت پذيرفت. مواد و روش‌ها: مطالعه حاضر يك مطالعه مقطعي (Cross-Sectional) و داراي جنبه‌هاي توصيفي-تحليلي بود. 180 زوج داوطلب ازدواج مراجعه‌كننده به مراكز بهداشتي درماني دانشگاه‌هاي علوم پزشكي شهر تهران به‌ صورت غير تصادفي در دسترس توسط پرسش‌نامه‌اي محقق ساخته مورد بررسي قرار گرفتند. يافته‌ها: ميانگين سن ازدواج در كساني‌كه ازدواج فاميلي داشتند 4/2 ± 24/7 سال و در كساني كه ازدواج فاميلي نداشتند 4 ± 25/6 سال بود. سطح آگاهي بيش‌تر افراد در مورد عوارض ازدواج فاميلي، در حد متوسط بود. اكثريت افراد معتقد بودند كه لزوم مشاوره ژنتيك بسيار زياد است. فراواني ازدواج فاميلي در جمعيت مورد مطالعه 17/7 درصد برآورد گرديد. وقوع ازدواج فاميلي با سن، جنس و تحصيلات افراد ارتباط نداشت (0/05>P)، ولي با سابقه وقوع اين نوع ازدواج در والدين، اقوام و دوستان مرتبط بود (0/002

Introduction: Consanguineous marriage is an important type of marriage in the world including Iran. Familial marriage mean's marriage between a man and woman who has at least one common grandfather. The aim of this study was to determine the frequency of consanguineous marriage and some related factors in Tehran (2008). Material and Methods: This study was a cross-sectional with descriptive and analytic features. 180 couples who intend to marriage and come to heath care centers of Tehran's (summer 2008) medical universities were randomly assessed with an author's built questionnaire. Results: Means age of persons with consanguineous marriage and non-consanguineous marriage were 24.7 ± 4.2 years and 25.6 ± 4 years, respectively. The level of knowledge of majority of persons about the effects of consanguineous marriage was intermediate and lower. Most of people believed that genetic consult is very necessary. Frequency of consanguineous marriage was 17.7%. Incidence of familial marriage has no significant relationship with age, sex and education of persons (P>0.05), but there was significant relationship between occurrence of familial marriage and history of this type of marriage in their parent, family and friends (P<0.002). Conclusion: Although the majority of persons in this study has not a proper level of knowledge about the effects of consanguineous marriage and thus need genetic consult, but their friends were the most important reference of their information about familial marriage and it’s consequences. This reveals that communications and genetic consulters have a weak role in giving information to people