Association of substance use disorders with childhood trauma but not African genetic heritage in an African American cohort - PubMed (original) (raw)
Comparative Study
Association of substance use disorders with childhood trauma but not African genetic heritage in an African American cohort
Francesca Ducci et al. Am J Psychiatry. 2009 Sep.
Abstract
Objective: Genetic variation influences differential vulnerability to addiction within populations. However, it remains unclear whether differences in frequencies of vulnerability alleles contribute to disparities between populations and to what extent ancestry correlates with differential exposure to environmental risk factors, including poverty and trauma.
Method: The authors used 186 ancestry-informative markers to measure African ancestry in 407 addicts and 457 comparison subjects self-identified as African Americans. The reference group was 1,051 individuals from the Human Genome Diversity Cell Line Panel, which includes 51 diverse populations representing most worldwide genetic diversity.
Results: African Americans varied in degrees of African, European, Middle Eastern, and Central Asian genetic heritage. The overall level of African ancestry was actually smaller among cocaine, opiate, and alcohol addicts (proportion=0.76-0.78) than nonaddicted African American comparison subjects (proportion=0.81). African ancestry was associated with living in impoverished neighborhoods, a factor previously associated with risk. There was no association between African ancestry and exposure to childhood abuse or neglect, a factor that strongly predicted all types of addictions.
Conclusions: These results suggest that African genetic heritage does not increase the likelihood of genetic risk for addictions. They highlight the complex interrelation between genetic ancestry and social, economic, and environmental conditions and the strong relation of those factors to addiction. Studies of epidemiological samples characterized for genetic ancestry and social, psychological, demographic, economic, cultural, and historical factors are needed to better disentangle the effects of genetic and environmental factors underlying interpopulation differences in vulnerability to addiction and other health disparities.
Figures
FIGURE 1
Genetic Ancestry of 864 African American Patients With Substance Dependence and Comparison Subjectsa
FIGURE 2
Individual and Group Levels of Genetic Ancestry From Seven Populations for 407 African American Patients With Substance Dependence and 457 Comparison Subjects
FIGURE 3
Relation of Childhood Abuse or Neglecta to Cocaine, Opiate, and Alcohol Dependence in 310 African American Patients With Substance Use Disorders and 180 Comparison Subjects
FIGURE 4
Lack of Relationship Between African Ancestry and Scores for Childhood Abuse or Neglect in 310 African American Patients With Substance Dependence and 180 Comparison Subjects
FIGURE 5
Relation of African Ancestry to Measurements of Neighborhood Socioeconomic Statusa for 228 African American Patients With Cocaine Dependence
Comment in
- Genetic investigation of race and addiction.
Freedman R. Freedman R. Am J Psychiatry. 2009 Sep;166(9):967-8. doi: 10.1176/appi.ajp.2009.09071018. Am J Psychiatry. 2009. PMID: 19723792 No abstract available.
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Grants and funding
- Z99 AA999999/ImNIH/Intramural NIH HHS/United States
- Z01 AA000280/ImNIH/Intramural NIH HHS/United States
- Z01 AA000306/ImNIH/Intramural NIH HHS/United States
- K23 AA014606/AA/NIAAA NIH HHS/United States
- K23 AA-014606/AA/NIAAA NIH HHS/United States