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

机译:近亲结婚对以色列阿拉伯社区中生殖结果的影响。

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摘要

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.
机译:以色列的阿拉伯社区偏爱家族内婚姻,几乎所有的人都居住在由几个(少于20个)创始家庭组成的村庄中。此前在距特拉维夫30公里的一个阿拉伯大村庄Taibe进行的一项研究表明,近亲父母婴儿的畸形率非常高。本研究检查了同一个村庄的610个家庭的父母血缘的生殖后果,这是通过在当地的婴儿诊所就诊的婴儿进行回顾性选择的。对所有母亲的先前妊娠结局进行了采访,包括流产,死产,新生儿或婴儿死亡以及近亲程度。另外,我们分析了先证者的人体测量。自交组婴儿死亡的发生率明显更高(p <0.001)。自交组和近交组之间的胎儿丢失没有显着增加。人体学特征无差异,除了近亲组的出生体重较低(p <0.035)。这项研究与我们先前对相同人群的研究相结合,表明与阿拉伯社区近亲结婚相关的突出公共卫生问题以及需要特殊的遗传咨询。

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