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Bu çalışmada, Kütahya ilinde akraba evliliği sıklığı ve bu evliliklerin konjenital malformasyonlar, kendiliğinden düşük ve ölü doğum ile ilişkisi araştırıldı. Araştırmaya Kütahya ilinde akraba evliliği yapan 300 kadın alınmıştır. Çalışma bulguları, kadınların tanıtıcı özelliklerinin ve araştırmanın bağımsız değişkenlerinin sorgulandığı soru formu ile araştırmacı tarafından yüz yüze görüşme tekniği kullanarak Haziran-Eylül 2017 tarihleri arasında toplanmıştır. Kadınların akraba evliliğini seçme nedenleri arasında %71,3 ailelerin karar vermesi (görücü usulü) ilk sıradadır. Araştırmaya alınan kadınların %62’sinin ilköğretim mezunu olduğu belirlenmiştir. Kütahya ilinde akraba evlilikleri içinde en sık olarak yarım yeğen evliliği %77,4 oranında belirlendi. Katılımcı kadınların %14,3’ü doğmadan önce çocuklarında doğumsal anomali olduğunu bilerek doğumlarını gerçekleştirdikleri belirlenmiştir. Kendi kan gruplarını ve eşlerinin kan gruplarını bilen katılımcı kadınların %4,3’ün de kan uyuşmazlığı tespit edilmiştir. Akraba evliliği yapmış ailelerde mental retardasyon ve psikiyatrik bozukluk, doğumsal defekt, yapısal anomali ve metabolik hastalıklar tespit edilmiştir. Araştırmaya katılan kadınların %63’ünün düşük, %64,7’sinin ölü doğum yapmış olduğu saptanmıştır. Sağlık çalışanlarının akraba evliliği yapmış olan kadınların genetik danışmanlık hakkında bilgilendirmeleri ve yönlendirmeleri, akraba evliliğinin riskleri ve zararları konusunda halkın medya iletişim araçları ile aydınlatılması, kadınların akraba evliliği ile ilgili düşüncelerini inceleyen araştırmaların tekrar edilmesi önerilebilir.
In this study, the frequency of parental marriages in the province of Kütahya and the relationship of these marriages with congenital malformations, self-low and dead births were studied. The study included 300 women who married their relatives in the province of Kütahya. The findings of the study were collected between June and September 2017 by the researcher using the face-to-face interview technique and the question form in which the indicative characteristics of women and the independent variables of the study were questioned. Among the reasons why women choose parental marriages, 71.3 percent of families are in the first place (visual). According to the study, 62% of the women surveyed were primary school graduates. In the province of Kütahya, the half-uncle marriage was the most frequently identified by 77.4%. 14.3 percent of the women who participated in the study found that they had an abnormality in their children before they were born. 4.3 percent of women who know their own blood groups and their spouses’ blood groups were diagnosed with blood disorders. In relatives married families, mental retardation and psychiatric disorders, birth defects, structural anomalies and metabolic diseases have been detected. The study found that 63% of women who participated in the study had a low and 64.7% had a dead childbirth. Health workers may be advised to inform and guide women who have made family marriage about genetic counseling, to light the public on the risks and damages of family marriage through media communication, to repeat the research that examines women’s opinions about family marriage.
In these study, the research has been done on the frequercy of consanguineous marriage and the relationships of these marriages with congenital malformations, spontaneous birth falls and child death in the province of Kütahya. In the study, 300 women who were married with consanguineous fashion were in cluded. The study results were collected by face to face interview technique by researcher between June- September 2017 by using survey form having introductory characteristiques of these women and questining independent survey variables. The arranged marriage by families among the selection of consanguineous marriage by women is the number one reason by 71.3% . It is determined that 62% of women joined these study had only primary school degree with no further education. It was found that half-cousine marriage with 77.4% was the most frequent consanguineous marriage in the province of Kütahya. It is discovered that 14.3% of women joined to our study carried at the birth even knowing before birth that their infort had congenital anomalies. The blood incompalitibility was delected in 4.3% women who knew their own and their husband’s blood group. Mental retardation, psyhiatric anomality, congenital defect, anatomical anomaly and metabolic disorders were detected in families who made consanguineous marriage 63% of them had brith falls and 64.7 % of them had child death dwing birth. We suggest that health service officers should inform and direct women had consanguineous marriage about genetic counseling, information of these families about the risks and harms of consanguines marriage by communication media tolls and repeat of researches investigating the thoughts of women about consanguineous marriage.
Alan : Fen Bilimleri ve Matematik; Mühendislik
Dergi Türü : Ulusal
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