Parents Knowledge and Attitude regarding Consanguineous Marriage and its impact on child health: A study of district Gujranwala, Punjab, Pakistan.


  • Dr. Rizwana, Sumera Tul Hasan, Saima Safdar, Afzaal Afzal


Socio-cultural and historical disparity, Negative perceptions, Patronage behaviour, Adaptive, Congenital, Detrimental effects,


            There are considerable socio-cultural and historical disparity among parent’s attitude and actions regarding consanguineous marriages. Until mid of the nineteen cousin marriage was strongly encouraged all over the world especially in Asian and European countries. With the passage of time the attitude and action of parents regarding cousin marriage has become changed and gradually more negative perceptions, about offspring health and development and genetic defects emerged (Meghan et al., 2020). Patronage behaviour towards consanguineous marriages was adaptive under certain circumstances. Traditionally this concept is accepted and promoted across population in al socio-economic classis to prevent the sharing of family wealth and property. In most of the developing countries especially in Islamic region usually millions of people practice cousin’s marriages due to the solidarity of families, easy selection of partners, availability of suitable spouses for both gender, wish to enhance family backing, less marital expenditures, strong binding among couple & their children among family and above all better management of marital relation (Chisholm et al., 2015; Shenk et al., 2016). Beside of this long list of benefits of cousin marriages, it determinately impacted on the health of offspring’s and increased the disorders and congenital. Other alliance disadvantages and complexities in terms of child health are observed from the time to conceiving, at child birth and after the birth. There is also a substantial association between consanguinity and amplified risk of child morbidity, mortality and life time disability linked to autosomal retreating heritage. Due to its magnitude, consanguineous marriage is a large scale public health issue in this country and accurate information on detrimental health effects and knowledge, attitude and actions of parents are vital for public health planning drives. The detrimental effects of consanguinity and knowledge as well as attitude of parents towards consanguinity in Pakistan are scarce, whereas inbreeding rate is high. Moreover, substantial socio-economic development has occurred in the general populations of the country. The consanguinity is an important issue as in Pakistan where arranged marriages are common. The parents are the decision makers in the case of having cousin marriages. They decide their marriages as per their own choices, convenience and socio-financial preferences.