A marriage between first cousins, defined as two individuals who share a set of grandparents, is a form of consanguineous union. This type of marriage exists at the intersection of law, cultural tradition, and genetic science. The acceptability and legality of such unions vary dramatically across the globe, reflecting historical practice and modern public health concerns.
The Legal Landscape
In the United States, the legal status of first-cousin marriage is far from uniform, creating a patchwork of state laws. Approximately 24 states explicitly prohibit first-cousin marriage, while 19 states allow it without specific conditions or restrictions. This division highlights the lack of a federal standard, leaving the decision to individual state legislatures.
A third category of states, including Arizona, Indiana, Maine, and Utah, permits the marriage only under specific, restrictive requirements. These requirements often address reproduction, such as mandating that couples be over a certain age (commonly 50 or 65) or that one party provide proof of infertility. Maine, for example, allows the marriage only if the couple first undergoes genetic counseling and obtains a physician’s certificate.
Legislation in other major Western nations generally takes a more permissive stance. First-cousin marriage is legal in both Canada and the United Kingdom, though the practice remains uncommon. The legal distinction across regions underscores a debate regarding whether the government should regulate marriage based on biological relatedness or respect the autonomy of adult individuals.
Understanding Consanguinity and Genetic Risk
The primary concern surrounding first-cousin marriages is the increased probability of offspring inheriting an autosomal recessive genetic disorder. Every individual carries multiple recessive gene mutations, typically masked by a functional copy from the other parent. Because first cousins share a recent common ancestor, they are more likely to carry the same recessive gene mutation, increasing the risk of passing on two non-functional copies to a child.
First cousins share approximately 12.5% of their genetic material. For the general population, the absolute risk of having a child with a serious birth defect or genetic disorder is estimated to be about 3%. For children born to first-cousin parents, this risk is approximately doubled, increasing the absolute risk to a range of 4% to 7%.
While the relative risk is doubled, the absolute risk remains low. A child of first cousins still has a 93% to 96% chance of being born without a major genetic problem. The increased risk is concentrated specifically on autosomal recessive conditions, such as cystic fibrosis or Tay-Sachs disease, and does not significantly affect the incidence of other types of birth defects.
Historical and Cultural Significance
Marriages between cousins were historically common across many societies, particularly among royal and noble families, where the goal was to consolidate power and maintain family wealth. Keeping property and assets within the immediate family was a strong economic incentive for these unions. For non-elite populations, marrying a cousin ensured that the spouse was already known to the family, providing social and economic security.
Today, while the practice has largely declined in Western countries, it remains a significant cultural norm in specific regions globally. Consanguineous marriages are still favored across large parts of the Middle East, North Africa, and South Asia. In some Arab countries, first-cousin marriages can account for 25% to 30% of all unions, and in Pakistan, the rate has been reported to be over 60% in certain areas. These marriages are often driven by traditions that value strong family ties, cultural preservation, and pragmatic considerations like reduced dowry or bride price.

