Timing of first alcohol use and alcohol dependence: evidence of common genetic influences
Article first published online: 3 AUG 2009
© 2009 The Authors. Journal compilation © 2009 Society for the Study of Addiction
Volume 104, Issue 9, pages 1512–1518, September 2009
How to Cite
Sartor, C. E., Lynskey, M. T., Bucholz, K. K., Madden, P. A. F., Martin, N. G. and Heath, A. C. (2009), Timing of first alcohol use and alcohol dependence: evidence of common genetic influences. Addiction, 104: 1512–1518. doi: 10.1111/j.1360-0443.2009.02648.x
- Issue published online: 3 AUG 2009
- Article first published online: 3 AUG 2009
- Submitted 3 December 2008; initial review completed 9 February 2009; final version accepted 6 April 2009
- Alcohol dependence;
- initiation of alcohol use;
Aims To estimate the magnitude of genetic and environmental influences on timing of first alcohol use and alcohol dependence (AD) and to quantify the overlap in these influences across the two alcohol-related outcomes.
Participants The sample consisted of 5382 twins (2691 complete pairs), aged 24–36 years, from the Australian Twin Registry.
Measurements History of alcohol use and DSM-IV alcohol dependence were assessed by structured telephone interview.
Findings In both sexes, the relationship between age at first alcohol use and risk for AD followed a linear trend, such that the highest rates of AD were observed in individuals who began drinking at an earlier than average age (14 years or younger). Heritability estimates for timing of first alcohol use and AD were 36% and 53%, respectively. Shared environmental factors accounted for 15% of variance in initiation. There was no evidence of shared environmental influences on AD. The genetic correlation between timing of first alcohol use and AD was 0.59.
Conclusions Findings highlight the substantial role of genetics in the development of AD and the early manifestation of that genetic risk in the timing of alcohol use initiation which, unlike AD, is also influenced to a modest degree by shared environmental factors. The considerable overlap in heritable influences—and the virtual absence of overlap in individual-specific environmental influences—on initiation of alcohol use and AD indicates that the association between age at first drink and AD is attributable in large part to common genetic sources of variance.