Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey

Abstract Background Several studies showed that the perpetuation of consanguinity increases homozygosity and homogenizes the population's gene pool. This allows the expression of recessive deleterious mutations and increases the prevalence of genetic disorders and birth defects. Despite the rep...

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Main Authors: Noura Dahbi, Abderrazak El khair, Khadija Cheffi, Lamiaa Habibeddine, Jalal Talbi, Abderraouf Hilali, Hicham El ossmani
Format: Article
Language:English
Published: SpringerOpen 2024-03-01
Series:Egyptian Journal of Medical Human Genetics
Subjects:
Online Access:https://doi.org/10.1186/s43042-024-00490-w
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author Noura Dahbi
Abderrazak El khair
Khadija Cheffi
Lamiaa Habibeddine
Jalal Talbi
Abderraouf Hilali
Hicham El ossmani
author_facet Noura Dahbi
Abderrazak El khair
Khadija Cheffi
Lamiaa Habibeddine
Jalal Talbi
Abderraouf Hilali
Hicham El ossmani
author_sort Noura Dahbi
collection DOAJ
description Abstract Background Several studies showed that the perpetuation of consanguinity increases homozygosity and homogenizes the population's gene pool. This allows the expression of recessive deleterious mutations and increases the prevalence of genetic disorders and birth defects. Despite the reported negative health effects, consanguinity is still practiced in Morocco. This study aimed to evaluate the prevalence and socio-demographic determinants of consanguinity in the Souss region and to assess the association of this type of union with congenital disabilities and complex diseases. To meet this aim, a survey based on a cross-sectional approach was conducted between January 2019 and January 2020 among 520 randomly selected participants in the Souss region. Results The findings revealed a high prevalence of consanguinity of 28.46%, with first-cousin unions accounting for 16.15% of all marriages. According to multivariate logistic regression analysis, early age at first marriage, men’s occupation, endogamy, and parental consanguinity were predictive factors for consanguineous unions in the study population. Moreover, the results revealed a significant association between consanguinity and the incidence of physical disabilities (OR = 3.753; [95% CI 1.398–10.074]), mental retardation (OR = 5.219; [95% CI 1.545–17.631]), deafness-mutism (OR = 4.262; [95% CI 1.004–18.089]) and cardiovascular diseases (OR = 2.167; [95% CI 1.036–4.530]). However, no significant association was found between consanguinity and diabetes, cancer, asthma, epilepsy, and psychiatric disorders. Conclusion Overall, our results suggest a high practice of consanguinity in the Souss population, associated with social, economic, and cultural factors. Consanguineous unions were associated with a high incidence of mental retardation, physical disabilities, deafness-mutism, and cardiovascular diseases. In this population, where marriage between relatives is highly preferred, awareness programs are not sufficient, and genetic studies on consanguinity-related diseases are necessary to provide specific premarital screening and thus increase the efficiency of genetic counseling.
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spelling doaj.art-d250854b011e40718893b89f94302c0d2024-03-05T19:19:22ZengSpringerOpenEgyptian Journal of Medical Human Genetics2090-24412024-03-0125111210.1186/s43042-024-00490-wConsanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional surveyNoura Dahbi0Abderrazak El khair1Khadija Cheffi2Lamiaa Habibeddine3Jalal Talbi4Abderraouf Hilali5Hicham El ossmani6Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of SettatLaboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of SettatLaboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of SettatFaculty of Sciences, Mohammed V Agdal UniversityNational Laboratory of Scientific and Technical Police, General Directorate of National SecurityLaboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of SettatLaboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of SettatAbstract Background Several studies showed that the perpetuation of consanguinity increases homozygosity and homogenizes the population's gene pool. This allows the expression of recessive deleterious mutations and increases the prevalence of genetic disorders and birth defects. Despite the reported negative health effects, consanguinity is still practiced in Morocco. This study aimed to evaluate the prevalence and socio-demographic determinants of consanguinity in the Souss region and to assess the association of this type of union with congenital disabilities and complex diseases. To meet this aim, a survey based on a cross-sectional approach was conducted between January 2019 and January 2020 among 520 randomly selected participants in the Souss region. Results The findings revealed a high prevalence of consanguinity of 28.46%, with first-cousin unions accounting for 16.15% of all marriages. According to multivariate logistic regression analysis, early age at first marriage, men’s occupation, endogamy, and parental consanguinity were predictive factors for consanguineous unions in the study population. Moreover, the results revealed a significant association between consanguinity and the incidence of physical disabilities (OR = 3.753; [95% CI 1.398–10.074]), mental retardation (OR = 5.219; [95% CI 1.545–17.631]), deafness-mutism (OR = 4.262; [95% CI 1.004–18.089]) and cardiovascular diseases (OR = 2.167; [95% CI 1.036–4.530]). However, no significant association was found between consanguinity and diabetes, cancer, asthma, epilepsy, and psychiatric disorders. Conclusion Overall, our results suggest a high practice of consanguinity in the Souss population, associated with social, economic, and cultural factors. Consanguineous unions were associated with a high incidence of mental retardation, physical disabilities, deafness-mutism, and cardiovascular diseases. In this population, where marriage between relatives is highly preferred, awareness programs are not sufficient, and genetic studies on consanguinity-related diseases are necessary to provide specific premarital screening and thus increase the efficiency of genetic counseling.https://doi.org/10.1186/s43042-024-00490-wSoussGenetic counselingConsanguinityMoroccoEndogamyCongenital disabilities
spellingShingle Noura Dahbi
Abderrazak El khair
Khadija Cheffi
Lamiaa Habibeddine
Jalal Talbi
Abderraouf Hilali
Hicham El ossmani
Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
Egyptian Journal of Medical Human Genetics
Souss
Genetic counseling
Consanguinity
Morocco
Endogamy
Congenital disabilities
title Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
title_full Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
title_fullStr Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
title_full_unstemmed Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
title_short Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey
title_sort consanguinity complex diseases and congenital disabilities in the souss population southern morocco a cross sectional survey
topic Souss
Genetic counseling
Consanguinity
Morocco
Endogamy
Congenital disabilities
url https://doi.org/10.1186/s43042-024-00490-w
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