巴加拉科特地区农村青少年近亲婚姻知识及其对妊娠结局的影响

P. T. Nandimath, Suma N Sheelavantar, A. B. Kanjarpane
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引用次数: 0

摘要

近亲婚姻在印度南部更为普遍,主要是由于社会和文化因素。近亲结婚夫妇的子女患遗传病、先天畸形和自身隐性遗传病的可能性高于非近亲结婚夫妇的子女。由于缺乏对后果的认识,近亲婚姻在农村地区更为普遍。因此,这项研究的目的是教育青少年关于近亲婚姻及其后果,并评估他们在干预前后的知识。介入横断面研究采用自填问卷对干预前后的知识进行评估。对所选学校的学生进行了全面的统计。采用课堂授课的方式,辅以ppt演示对幼儿进行教育。测试后立即和干预两个月后进行随访测试,以评估保留的知识。共有121名学生参与了这项研究。起初,学生们对近亲婚姻及其对妊娠结局的影响一无所知。干预后知识的增加显著(P=0)。干预2个月后,对近亲婚姻对女性健康影响的认知有所增加,差异有统计学意义(P<0.05)。干预前仅有8.3%和14%的学生了解近亲婚姻与某些疾病和耳聋的关系,干预后分别增至90.9%和91.7%。观察到,关于近亲婚姻与先天性心脏病、镰状细胞性贫血、血友病和遗传疾病之间关系的知识被保留下来。学生对近亲婚姻及其对妊娠结局的影响的了解程度较低。关于近亲婚姻及其后果的结构化教学计划增加了学生的知识。
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Knowledge regarding consanguineous marriage and it effects on pregnancy outcome among the adolescents of village in Bagalakote district
Consanguineous marriages are more common in south India primarily because of social and cultural factors. Possibility of a child of consanguineous married couple, suffering from genetic diseases, congenital deformities and auto recessive disorder is more than offspring of non-consanguineous married couple. Consanguineous marriages are more prevalent in rural area because of lack of awareness about consequences. Hence the aim of the study was to educate adolescents regarding consanguineous marriage and its consequences and also to assess their knowledge before and after the intervention. Interventional cross-sectional study was conducted using self-administered questionnaires to assess the knowledge before and after the intervention. Complete enumeration of the students studying in selected schools was done. Lecture method was used with power point presentation to educate the children. Immediate post-test and after two months of intervention follow up test was conducted to assess the retained knowledge. Total 121 students participated in the study. Initially the students had no knowledge about consanguineous marriage and its effect on pregnancy outcome. Increase in knowledge was found to significant immediately after intervention (P=0). After two months of intervention significance was found with increase in the knowledge regarding effects of consanguineous marriage on women’s health (P<0.05). Before intervention only 8.3% and 14% of students knew about association between consanguineous marriage and certain disorders and deafness, after intervention it increased to 90.9%, 91.7% respectively. Retention of knowledge regarding association between consanguineous marriage and congenital heart disease, sickle cell anaemia, haemophilia and genetic disorder was observed. Knowledge regarding consanguineous marriage and its effect on pregnancy outcome was poor among the school students. Structured teaching program about consanguineous marriage and its consequences increased the student’s knowledge.
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