Genetic and reproductive consequences of consanguineous marriage in Bangladesh

This study aimed to assess the prevalence, sociodemographic factors, reproductive consequences, and heritable disease burdens associated with consanguineous marriage (CM) in Bangladesh. A total of 7,312 families, including 3,694 CM-families, were recruited from 102 locales of 58 districts of Banglad...

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Veröffentlicht in:PloS one 2020-11, Vol.15 (11), p.e0241610-e0241610
Hauptverfasser: Anwar, Saeed, Taslem Mourosi, Jarin, Arafat, Yasir, Hosen, Mohammad Jakir
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Taslem Mourosi, Jarin
Arafat, Yasir
Hosen, Mohammad Jakir
description This study aimed to assess the prevalence, sociodemographic factors, reproductive consequences, and heritable disease burdens associated with consanguineous marriage (CM) in Bangladesh. A total of 7,312 families, including 3,694 CM-families, were recruited from 102 locales of 58 districts of Bangladesh. Using a standard questionnaire, we collected medical history and background sociodemographic data of these families. Family history was assessed by pedigree analysis. Fertility, mortality, secondary sex ratio, selection intensity, lethal equivalents were measured using standard methods. The mean prevalence of CM in our studied population was 6.64%. Gross fertility was higher among CM families, as compared to the non-CM families (p < 0.05). The rate of under-5 child (U5) mortality was significantly higher among CM families (16.6%) in comparison with the non-CM families (5.8%) (p < 0.01). We observed a persuasive rise of abortion/miscarriage and U5 mortality rates with the increasing level of inbreeding. The value of lethal equivalents per gamete found elevated for autosomal inheritances as compared to sex-linked inheritance. CM was associated with the incidence of several single-gene and multifactorial diseases, and congenital malformations, including bronchial asthma, hearing defect, heart diseases, sickle cell anemia (p < 0.05). The general attitude and perception toward CM were rather indifferent, and very few people were concerned about its genetic burden. This study highlights the harmful consequences of CM on reproductive behavior and the incidence of hereditary conditions. It essences the need for genetic counseling from premarital to postnatal levels in Bangladesh.
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A total of 7,312 families, including 3,694 CM-families, were recruited from 102 locales of 58 districts of Bangladesh. Using a standard questionnaire, we collected medical history and background sociodemographic data of these families. Family history was assessed by pedigree analysis. Fertility, mortality, secondary sex ratio, selection intensity, lethal equivalents were measured using standard methods. The mean prevalence of CM in our studied population was 6.64%. Gross fertility was higher among CM families, as compared to the non-CM families (p &lt; 0.05). The rate of under-5 child (U5) mortality was significantly higher among CM families (16.6%) in comparison with the non-CM families (5.8%) (p &lt; 0.01). We observed a persuasive rise of abortion/miscarriage and U5 mortality rates with the increasing level of inbreeding. The value of lethal equivalents per gamete found elevated for autosomal inheritances as compared to sex-linked inheritance. CM was associated with the incidence of several single-gene and multifactorial diseases, and congenital malformations, including bronchial asthma, hearing defect, heart diseases, sickle cell anemia (p &lt; 0.05). The general attitude and perception toward CM were rather indifferent, and very few people were concerned about its genetic burden. This study highlights the harmful consequences of CM on reproductive behavior and the incidence of hereditary conditions. It essences the need for genetic counseling from premarital to postnatal levels in Bangladesh.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33253173</pmid><doi>10.1371/journal.pone.0241610</doi><tpages>e0241610</tpages><orcidid>https://orcid.org/0000-0001-6444-0214</orcidid><orcidid>https://orcid.org/0000-0003-3688-5923</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Anemia
Asthma
Bangladesh
Biology and Life Sciences
Biotechnology
Cardiovascular diseases
Child
Congenital Abnormalities - epidemiology
Congenital Abnormalities - genetics
Congenital defects
Congenital diseases
Consanguinity
Coronary artery disease
Couples
Equivalence
Female
Fertility
Genetic aspects
Genetic counseling
Genetic Diseases, Inborn - epidemiology
Genetic Diseases, Inborn - genetics
Genetic disorders
Genetic engineering
Genetic research
Genetic screening
Genetics
Health aspects
Heart diseases
Humans
Inbreeding
Life sciences
Male
Marriage
Marriage customs
Medicine and Health Sciences
Mortality
Mortality - trends
Multifactorial Inheritance
Pedigree
People and Places
Population
Population - genetics
Population studies
Questionnaires
Reproductive behavior
Reproductive Behavior - statistics & numerical data
Risk factors
Selection, Genetic
Sex
Sex linkage
Sex ratio
Sickle cell disease
Social Sciences
Variance analysis
title Genetic and reproductive consequences of consanguineous marriage in Bangladesh
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