Women of polygamous marriages in primary health care centers

Clinical implications for working with polygamous families are discussed following a report of research among a sample of 126 Bedouin-Arab women from polygamous marriages who were being seen in primary health care centers. Of these, 94 were senior wives who were followed by another wife in the marriage, and 32 were junior wives, the most recent wife joining the marriage. Data revealed that senior wives reported lower self-esteem as compared to junior wives. Findings also showed that senior wives reported poorer relationships with their husbands compared to their junior counterparts. Often when a husband married a second wife, the marriage could be based on love, rather than parental arrangement, an exchange, or consanguinity as in the first. These factors also contribute to the senior wife's low self-esteem and marital dissatisfaction.