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Cousin Marriage and Child Health: New Insights

Cousin marriage is a topic of growing concern in the UK, particularly regarding the health of children born to first cousins. In Bradford, a community where cousin marriages are common, recent studies suggest that such unions may lead to increased health risks for children.

In a lively Bradford home, three sisters are preparing for a family wedding where the bride and groom are first cousins. Ayesha, the eldest, married her cousin in 2017 and feels it was a normal choice. In contrast, Salina chose a partner outside the family, reflecting changing attitudes among younger generations. Mallika, the middle sister, is single and has decided against marrying within the family.

New data from the Born in Bradford study reveals worrying statistics. Researchers have followed over 13,000 children since birth, and more than one in six have parents who are first cousins. The study indicates that children of first cousins face greater health challenges. For example, they have an 11% chance of being diagnosed with speech and language problems compared to 7% for children of non-related parents. Additionally, these children have a higher rate of primary care visits, averaging four per year.

The genetic risks associated with cousin marriage are well-documented. Children of first cousins have a 6% chance of inheriting recessive disorders, higher than the 3% risk for the general population. However, the Bradford study suggests that the health impacts extend beyond just diagnosed disorders, raising concerns about overall child development and well-being.

While some countries like Norway and Sweden have banned cousin marriage due to health concerns, the UK has focused on genetic counseling rather than outright bans. Conservative MP Richard Holden has proposed legislation to outlaw cousin marriage, but the current government has no plans for a ban.

In Bradford, the practice of cousin marriage is declining. The proportion of new mothers married to a cousin fell from 39% to 27% over a decade, reflecting changing attitudes and increased awareness of health risks. Education plays a crucial role in this shift, with campaigns in the Pakistani community focusing on genetic risks.

However, the debate around cousin marriage is complex. Some argue that the practice can lead to social issues, including forced marriages and “honor” violence. Proponents of a ban believe it could improve public health and reduce ethnic segregation.

Critics, however, warn against imposing blanket bans, suggesting that education and genetic screening might be more effective solutions. They argue that respectful legislation can protect individuals while acknowledging cultural practices.

As discussions about cousin marriage continue, the sisters in Bradford prepare for their family wedding, reflecting the deep-rooted cultural traditions that still influence many lives. Ayesha, who is in a cousin marriage, acknowledges both the challenges and happiness that come with her choice, highlighting that every marriage, whether arranged or love-based, has its own set of difficulties.

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