| Abstract: | Abstract This article discusses the findings of a survey of Shiite Muslim engaged couples to assess their knowledge of the risks of congenital disease in endogamous marriage and the importance of the premarital medical examination. The engaged couples live in the Chmistar and Tarayya villages, located west of Baalbeck, in Lebanon. In-depth interviews were conducted with a group of mothers and key informants (religious leaders, general practitioners, geneticists, biologists and social workers) who are charged with providing information on the risks of marriage between first cousins. The qualitative analysis of their discourse revealed that: (i) endogamous marriage is preferred and fulfills the normative social tradition, and (ii) premarital medical examination, as practiced, seems to give the engaged couple a false sense of security. Results of this research emphasized that a health promotion program aiming at responding to a 1000-year-old tradition, such as endogamous marriage, should take into account the potential conflicts it introduces concerning the anthropological and sociological bases typical of this practice. |
