Ancestral consanguinity and mortality among three endogamous populations of Chittoor District, Andhra Pradesh, India

Whose Reality Counts?

The low caste, Dalit and Tribal social movements in India have reconfigured the fabric of Indian society in significant ways over the past decade. Likewise, the movement of these same groups into anthropology, a discipline previously dominated in India by uppercaste intellectuals, has created a dynamic force for change in the academy. At a time when India is vying with the global economic powers for supremacy, the people severely affected are low caste, Dalits and Tribal peoples, who see their lands being lost and their lifestyles in rapid transformation. Some from these same groups are also witnessing some of their daughters and sons pursuing higher studies and entering into the social sciences. The entry of these young scholars not only challenges the caste-based status quo in the academy, but it also forces these scholars to question their own position in relation to these social movements and in relation to Indian society more broadly.

THE CAUSAL RELATIONSHIP BETWEEN CONSANGUINEOUS MARRIAGES AND INFANT MORTALITY IN TURKEY

Turkey has high levels of infant mortality and consanguineous marriages. It has had a high level of infant mortality for its economic level for many years. Over recent decades, although adult mortality rates have not been very different from those of other countries with similar socioeconomic structures, its life expectancy at birth has remained low due to its high infant mortality rate. This has been called the Turkish Puzzle. According to the Turkey Family Structure and Population Issues Survey, 27% of women had a consanguineous marriage in 1968. Subsequent Turkish Demographic and Health Surveys (TDHSs) found the rate of consanguineous marriages to be stagnated at 22-24%, with a resistance to reduction. According to the TDHS-2008, 24% of women had a consanguineous marriage. Numerous studies in various countries of the world have indicated that consanguineous marriages, particularly of first-degree, have the effect of increasing infant mortality. The main aim of this study was to assess the causal impact of consanguineous, particularly first-degree consanguineous, marriages on infant mortality, controlling for individual, cultural, bio-demographic and environmental factors. Data were merged from four Turkish DHS data sets (1993, 1998, 2003 and 2008). Multivariate analysis revealed that first-degree consanguineous marriages have increased infant mortality by 45% in Turkey: 57% in urban areas and 39% in rural areas. The results indicate that there is a causal relationship between consanguineous marriages and infant mortality. This finding should be taken into account when planning policies to reduce infant mortality in Turkey, and in other countries with high rates of consanguineous marriage and infant mortality.