Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts

Abstract We tested the causality between education and smoking using the natural experiment of discordant twin pairs allowing to optimally control for background genetic and childhood social factors. Data from 18 cohorts including 10,527 monozygotic (MZ) and same-sex dizygotic (DZ) twin pairs discor...

Full description

Bibliographic Details
Main Authors: Karri Silventoinen, Maarit Piirtola, Aline Jelenkovic, Reijo Sund, Adam D. Tarnoki, David L. Tarnoki, Emanuela Medda, Lorenza Nisticò, Virgilia Toccaceli, Chika Honda, Fujio Inui, Rie Tomizawa, Mikio Watanabe, Norio Sakai, Margaret Gatz, David A. Butler, Jooyeon Lee, Soo Ji Lee, Joohon Sung, Carol E. Franz, William S. Kremen, Michael J. Lyons, Catherine A. Derom, Robert F. Vlietinck, Ruth J. F. Loos, Per Tynelius, Finn Rasmussen, Nicholas G. Martin, Sarah E. Medland, Grant W. Montgomery, Ingunn Brandt, Thomas S. Nilsen, Jennifer R. Harris, Jessica Tyler, John L. Hopper, Patrik K. E. Magnusson, Nancy L. Pedersen, Anna K. Dahl Aslan, Juan R. Ordoñana, Juan F. Sánchez-Romera, Lucia Colodro-Conde, Esther Rebato, Dongfeng Zhang, Zengchang Pang, Qihua Tan, Judy L. Silberg, Hermine H. Maes, Dorret I. Boomsma, Thorkild I. A. Sørensen, Tellervo Korhonen, Jaakko Kaprio
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-17536-x
_version_ 1818492061580525568
author Karri Silventoinen
Maarit Piirtola
Aline Jelenkovic
Reijo Sund
Adam D. Tarnoki
David L. Tarnoki
Emanuela Medda
Lorenza Nisticò
Virgilia Toccaceli
Chika Honda
Fujio Inui
Rie Tomizawa
Mikio Watanabe
Norio Sakai
Margaret Gatz
David A. Butler
Jooyeon Lee
Soo Ji Lee
Joohon Sung
Carol E. Franz
William S. Kremen
Michael J. Lyons
Catherine A. Derom
Robert F. Vlietinck
Ruth J. F. Loos
Per Tynelius
Finn Rasmussen
Nicholas G. Martin
Sarah E. Medland
Grant W. Montgomery
Ingunn Brandt
Thomas S. Nilsen
Jennifer R. Harris
Jessica Tyler
John L. Hopper
Patrik K. E. Magnusson
Nancy L. Pedersen
Anna K. Dahl Aslan
Juan R. Ordoñana
Juan F. Sánchez-Romera
Lucia Colodro-Conde
Esther Rebato
Dongfeng Zhang
Zengchang Pang
Qihua Tan
Judy L. Silberg
Hermine H. Maes
Dorret I. Boomsma
Thorkild I. A. Sørensen
Tellervo Korhonen
Jaakko Kaprio
author_facet Karri Silventoinen
Maarit Piirtola
Aline Jelenkovic
Reijo Sund
Adam D. Tarnoki
David L. Tarnoki
Emanuela Medda
Lorenza Nisticò
Virgilia Toccaceli
Chika Honda
Fujio Inui
Rie Tomizawa
Mikio Watanabe
Norio Sakai
Margaret Gatz
David A. Butler
Jooyeon Lee
Soo Ji Lee
Joohon Sung
Carol E. Franz
William S. Kremen
Michael J. Lyons
Catherine A. Derom
Robert F. Vlietinck
Ruth J. F. Loos
Per Tynelius
Finn Rasmussen
Nicholas G. Martin
Sarah E. Medland
Grant W. Montgomery
Ingunn Brandt
Thomas S. Nilsen
Jennifer R. Harris
Jessica Tyler
John L. Hopper
Patrik K. E. Magnusson
Nancy L. Pedersen
Anna K. Dahl Aslan
Juan R. Ordoñana
Juan F. Sánchez-Romera
Lucia Colodro-Conde
Esther Rebato
Dongfeng Zhang
Zengchang Pang
Qihua Tan
Judy L. Silberg
Hermine H. Maes
Dorret I. Boomsma
Thorkild I. A. Sørensen
Tellervo Korhonen
Jaakko Kaprio
author_sort Karri Silventoinen
collection DOAJ
description Abstract We tested the causality between education and smoking using the natural experiment of discordant twin pairs allowing to optimally control for background genetic and childhood social factors. Data from 18 cohorts including 10,527 monozygotic (MZ) and same-sex dizygotic (DZ) twin pairs discordant for education and smoking were analyzed by linear fixed effects regression models. Within twin pairs, education levels were lower among the currently smoking than among the never smoking co-twins and this education difference was larger within DZ than MZ pairs. Similarly, education levels were higher among former smoking than among currently smoking co-twins, and this difference was larger within DZ pairs. Our results support the hypothesis of a causal effect of education on both current smoking status and smoking cessation. However, the even greater intra-pair differences within DZ pairs, who share only 50% of their segregating genes, provide evidence that shared genetic factors also contribute to these associations.
first_indexed 2024-12-10T17:38:32Z
format Article
id doaj.art-a04289e4c6684fb58b460af114fe9ff4
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-12-10T17:38:32Z
publishDate 2022-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-a04289e4c6684fb58b460af114fe9ff42022-12-22T01:39:26ZengNature PortfolioScientific Reports2045-23222022-07-011211910.1038/s41598-022-17536-xSmoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohortsKarri Silventoinen0Maarit Piirtola1Aline Jelenkovic2Reijo Sund3Adam D. Tarnoki4David L. Tarnoki5Emanuela Medda6Lorenza Nisticò7Virgilia Toccaceli8Chika Honda9Fujio Inui10Rie Tomizawa11Mikio Watanabe12Norio Sakai13Margaret Gatz14David A. Butler15Jooyeon Lee16Soo Ji Lee17Joohon Sung18Carol E. Franz19William S. Kremen20Michael J. Lyons21Catherine A. Derom22Robert F. Vlietinck23Ruth J. F. Loos24Per Tynelius25Finn Rasmussen26Nicholas G. Martin27Sarah E. Medland28Grant W. Montgomery29Ingunn Brandt30Thomas S. Nilsen31Jennifer R. Harris32Jessica Tyler33John L. Hopper34Patrik K. E. Magnusson35Nancy L. Pedersen36Anna K. Dahl Aslan37Juan R. Ordoñana38Juan F. Sánchez-Romera39Lucia Colodro-Conde40Esther Rebato41Dongfeng Zhang42Zengchang Pang43Qihua Tan44Judy L. Silberg45Hermine H. Maes46Dorret I. Boomsma47Thorkild I. A. Sørensen48Tellervo Korhonen49Jaakko Kaprio50Department of Social Research, Faculty of Social Sciences, University of HelsinkiUKK Institute – Centre for Health Promotion ResearchDepartment of Physiology, Faculty of Medicine and Nursing, University of the Basque CountryDepartment of Social Research, Faculty of Social Sciences, University of HelsinkiMedical Imaging Centre, Semmelweis UniversityMedical Imaging Centre, Semmelweis UniversityIstituto Superiore di Sanità - Centre for Behavioural Sciences and Mental HealthIstituto Superiore di Sanità - Centre for Behavioural Sciences and Mental HealthIstituto Superiore di Sanità - Centre for Behavioural Sciences and Mental HealthCenter for Twin Research, Osaka University Graduate School of MedicineCenter for Twin Research, Osaka University Graduate School of MedicineCenter for Twin Research, Osaka University Graduate School of MedicineCenter for Twin Research, Osaka University Graduate School of MedicineCenter for Twin Research, Osaka University Graduate School of MedicineCenter for Economic and Social Research, University of Southern CaliforniaThe National Academies of Sciences, Engineering, and MedicineDepartment of Epidemiology, School of Public Health, Seoul National UniversityDepartment of Epidemiology, School of Public Health, Seoul National UniversityDepartment of Epidemiology, School of Public Health, Seoul National UniversityDepartment of Psychiatry, University of CaliforniaDepartment of Psychiatry, University of CaliforniaDepartment of Psychological and Brain Sciences, Boston UniversityCentre of Human Genetics, University Hospitals LeuvenCentre of Human Genetics, University Hospitals LeuvenThe Charles Bronfman Institute for Personalized Medicine, The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount SinaiDepartment of Global Public Health, Karolinska InstitutetDepartment of Global Public Health, Karolinska InstitutetGenetic Epidemiology Department, QIMR Berghofer Medical Research InstituteGenetic Epidemiology Department, QIMR Berghofer Medical Research InstituteInstitute for Molecular Bioscience, The University of QueenslandDivision of Health Data and Digitalization, Norwegian Institute of Public HealthDivision of Health Data and Digitalization, Norwegian Institute of Public HealthCenter for Fertility and Health, The Norwegian Institute of Public HealthCentre for Epidemiology and Biostatistics, Twins Research Australia, The University of MelbourneDepartment of Epidemiology, School of Public Health, Seoul National UniversityDepartment of Medical Epidemiology and Biostatistics, Karolinska InstitutetDepartment of Medical Epidemiology and Biostatistics, Karolinska InstitutetDepartment of Medical Epidemiology and Biostatistics, Karolinska InstitutetDepartment of Human Anatomy and Psychobiology, University of MurciaDepartment of Human Anatomy and Psychobiology, University of MurciaGenetic Epidemiology Department, QIMR Berghofer Medical Research InstituteDepartment of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country UPV/EHUDepartment of Public Health, Qingdao University Medical CollegeDepartment of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and PreventionEpidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern DenmarkDepartment of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth UniversityDepartment of Human and Molecular Genetics, Psychiatry and Massey Cancer Center, Virginia Commonwealth UniversityNetherlands Twin Register, Department of Biological Psychology, Vrije Universiteit, AmsterdamFaculty of Health and Medical Sciences, Novo Nordisk Foundation Centre for Basic Metabolic Research, University of CopenhagenInstitute for Molecular Medicine Finland FIMM, University of HelsinkiInstitute for Molecular Medicine Finland FIMM, University of HelsinkiAbstract We tested the causality between education and smoking using the natural experiment of discordant twin pairs allowing to optimally control for background genetic and childhood social factors. Data from 18 cohorts including 10,527 monozygotic (MZ) and same-sex dizygotic (DZ) twin pairs discordant for education and smoking were analyzed by linear fixed effects regression models. Within twin pairs, education levels were lower among the currently smoking than among the never smoking co-twins and this education difference was larger within DZ than MZ pairs. Similarly, education levels were higher among former smoking than among currently smoking co-twins, and this difference was larger within DZ pairs. Our results support the hypothesis of a causal effect of education on both current smoking status and smoking cessation. However, the even greater intra-pair differences within DZ pairs, who share only 50% of their segregating genes, provide evidence that shared genetic factors also contribute to these associations.https://doi.org/10.1038/s41598-022-17536-x
spellingShingle Karri Silventoinen
Maarit Piirtola
Aline Jelenkovic
Reijo Sund
Adam D. Tarnoki
David L. Tarnoki
Emanuela Medda
Lorenza Nisticò
Virgilia Toccaceli
Chika Honda
Fujio Inui
Rie Tomizawa
Mikio Watanabe
Norio Sakai
Margaret Gatz
David A. Butler
Jooyeon Lee
Soo Ji Lee
Joohon Sung
Carol E. Franz
William S. Kremen
Michael J. Lyons
Catherine A. Derom
Robert F. Vlietinck
Ruth J. F. Loos
Per Tynelius
Finn Rasmussen
Nicholas G. Martin
Sarah E. Medland
Grant W. Montgomery
Ingunn Brandt
Thomas S. Nilsen
Jennifer R. Harris
Jessica Tyler
John L. Hopper
Patrik K. E. Magnusson
Nancy L. Pedersen
Anna K. Dahl Aslan
Juan R. Ordoñana
Juan F. Sánchez-Romera
Lucia Colodro-Conde
Esther Rebato
Dongfeng Zhang
Zengchang Pang
Qihua Tan
Judy L. Silberg
Hermine H. Maes
Dorret I. Boomsma
Thorkild I. A. Sørensen
Tellervo Korhonen
Jaakko Kaprio
Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
Scientific Reports
title Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
title_full Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
title_fullStr Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
title_full_unstemmed Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
title_short Smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
title_sort smoking remains associated with education after controlling for social background and genetic factors in a study of 18 twin cohorts
url https://doi.org/10.1038/s41598-022-17536-x
work_keys_str_mv AT karrisilventoinen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT maaritpiirtola smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT alinejelenkovic smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT reijosund smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT adamdtarnoki smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT davidltarnoki smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT emanuelamedda smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT lorenzanistico smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT virgiliatoccaceli smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT chikahonda smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT fujioinui smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT rietomizawa smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT mikiowatanabe smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT noriosakai smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT margaretgatz smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT davidabutler smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT jooyeonlee smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT soojilee smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT joohonsung smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT carolefranz smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT williamskremen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT michaeljlyons smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT catherineaderom smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT robertfvlietinck smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT ruthjfloos smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT pertynelius smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT finnrasmussen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT nicholasgmartin smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT sarahemedland smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT grantwmontgomery smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT ingunnbrandt smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT thomassnilsen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT jenniferrharris smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT jessicatyler smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT johnlhopper smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT patrikkemagnusson smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT nancylpedersen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT annakdahlaslan smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT juanrordonana smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT juanfsanchezromera smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT luciacolodroconde smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT estherrebato smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT dongfengzhang smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT zengchangpang smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT qihuatan smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT judylsilberg smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT herminehmaes smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT dorretiboomsma smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT thorkildiasørensen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT tellervokorhonen smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts
AT jaakkokaprio smokingremainsassociatedwitheducationaftercontrollingforsocialbackgroundandgeneticfactorsinastudyof18twincohorts