在埃及六个省份,血缘关系的相关性和生殖后果
Wafaa M Hussein1, Maha M El-Gaafary1, Ghada O Wassif1
1Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
African journal of reproductive health
|August 16, 2023
概括
血缘婚姻在埃及仍然很普遍,特别是在农村南部地区. 这种做法与自发流产和死胎的风险增加有关,突出了对女性的需求.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 血缘关系,定义为亲戚之间的婚姻,是许多社会的重要人口因素.
- 了解血缘关系的相关性和生殖后果对于公共卫生倡议至关重要.
- 之前的研究表明,血缘关系和不良妊娠结果之间存在潜在的联系.
研究的目的:
- 调查埃及血缘关系婚姻的流行情况和相关因素.
- 探索血缘关系与不良生殖结果之间的关系,特别是自发流产和死产.
主要方法:
- 来自2017年埃及6个省份8515名15-49岁的已婚妇女的家庭调查数据的分析.
- 使用几率比率 (OR) 和95%置信区间 (CI) 的统计分析来评估相关性和生殖风险.
- 进行了调整分析,以控制混变量,如居住地,教育程度,财富,结婚年龄和孩子数量.
主要成果:
- 血缘婚姻的流行率为35.9%.
- 在农村南部省份,在不到中学教育的妇女中,失业,以及在最低财富五分位数中,观察到血缘关系的几率更高.
- 在调整后,血缘关系与自发流产 (OR: 1.31,95% CI: 1.09-1.59) 和死产 (OR: 1.63,95% CI: 1.18-2.25) 的几率增加显著相关.
结论:
- 血缘关系在埃及仍然非常普遍,具有明显的人口和社会经济相关性.
- 这项研究提供了血缘关系与不良生殖结果之间的联系的证据,包括自发流产和死产.
- 促进妇女教育和就业的干预措施可能有助于减轻血缘关系的流行及其相关风险.
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