Genetics and the geography of health, behaviour and attainment

Genetics and the geography of health, behaviour and attainment

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ABSTRACT Young people’s life chances can be predicted by characteristics of their neighbourhood1. Children growing up in disadvantaged neighbourhoods exhibit worse physical and mental health


and suffer poorer educational and economic outcomes than children growing up in advantaged neighbourhoods. Increasing recognition that aspects of social inequalities tend, in fact, to be


geographical inequalities2,3,4,5 is stimulating research and focusing policy interest on the role of place in shaping health, behaviour and social outcomes. Where neighbourhood effects are


causal, neighbourhood-level interventions can be effective. Where neighbourhood effects reflect selection of families with different characteristics into different neighbourhoods,


interventions should instead target families or individuals directly. To test how selection may affect different neighbourhood-linked problems, we linked neighbourhood data with genetic,


health and social outcome data for >7,000 European-descent UK and US young people in the E-Risk and Add Health studies. We tested selection/concentration of genetic risks for obesity,


schizophrenia, teen pregnancy and poor educational outcomes in high-risk neighbourhoods, including genetic analysis of neighbourhood mobility. Findings argue against genetic


selection/concentration as an explanation for neighbourhood gradients in obesity and mental health problems. By contrast, modest genetic selection/concentration was evident for teen


pregnancy and poor educational outcomes, suggesting that neighbourhood effects for these outcomes should be interpreted with care. Access through your institution Buy or subscribe This is a


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ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS THE GENETIC AND ENVIRONMENTAL COMPOSITION


OF SOCIOECONOMIC STATUS IN NORWAY Article Open access 14 May 2025 GENE–ENVIRONMENT CORRELATIONS ACROSS GEOGRAPHIC REGIONS AFFECT GENOME-WIDE ASSOCIATION STUDIES Article Open access 22


August 2022 PHEWAS-BASED CLUSTERING OF MENDELIAN RANDOMISATION INSTRUMENTS REVEALS DISTINCT MECHANISM-SPECIFIC CAUSAL EFFECTS BETWEEN OBESITY AND EDUCATIONAL ATTAINMENT Article Open access


15 February 2024 DATA AVAILABILITY The E-Risk data set reported in the current article is not publicly available owing to a lack of informed consent and ethical approval, but is available on


request by qualified scientists. Requests require a concept paper describing the purpose of data access, ethical approval at the applicant’s institution and provision for secure data


access. We offer secure access on the Duke University and King’s College London campuses. All data analysis scripts and results files are available for review. The Add Health data can be


accessed through the Add Health study. Details are available through the Carolina Population Center as described here: https://www.cpc.unc.edu/projects/addhealth/documentation. Genotype data


are available through dbGaP. CODE AVAILABILITY All data analysis scripts and results files are available for review. REFERENCES * Woods, L. M. et al. Geographical variation in life


expectancy at birth in England and Wales is largely explained by deprivation. _J. Epidemiol. Community Health_ 59, 115–120 (2005). Article  Google Scholar  * Chetty, R. et al. The


association between income and life expectancy in the United States, 2001–2014. _JAMA_ 315, 1750–1766 (2016). Article  CAS  Google Scholar  * Luo, Z.-C. et al. Disparities in birth outcomes


by neighborhood income: temporal trends in rural and urban areas, British Columbia. _Epidemiology_ 15, 679–686 (2004). Article  Google Scholar  * Sampson, R. J. Urban sustainability in an


age of enduring inequalities: advancing theory and ecometrics for the 21st-century city. _Proc. Natl Acad. Sci. USA_ 114, 8957–8962 (2017). Article  CAS  Google Scholar  * Newton, J. N. et


al. Changes in health in England, with analysis by English regions and areas of deprivation, 1990–2013: a systematic analysis for the global burden of disease study 2013. _Lancet_ 386,


2257–2274 (2015). Article  Google Scholar  * Sampson, R. J., Morenoff, J. D. & Gannon-Rowley, T. Assessing ‘neighborhood effects’: social processes and new directions in research. _Annu.


Rev. Sociol._ 28, 443–478 (2002). Article  Google Scholar  * Oakes, J. M. The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology. _Soc. Sci.


Med._ 58, 1929–1952 (2004). Article  Google Scholar  * White, J. S. et al. Long-term effects of neighbourhood deprivation on diabetes risk: quasi-experimental evidence from a refugee


dispersal policy in Sweden. _Lancet Diabetes Endocrinol._ 4, 517–524 (2016). Article  Google Scholar  * Ludwig, J. et al. Long-term neighborhood effects on low-income families: evidence from


moving to opportunity. _Am. Econ. Rev._ 103, 226–231 (2013). Article  Google Scholar  * Chetty, R. & Hendren, N. _The Impacts of Neighborhoods on Intergenerational Mobility II:


County-Level Estimates_ https://doi.org/10.3386/w23002 (National Bureau of Economic Research, 2016). * Chetty, R., Hendren, N. & Katz, L. F. The effects of exposure to better


neighborhoods on children: new evidence from the moving to opportunity experiment. _Am. Econ. Rev._ 106, 855–902 (2016). Article  Google Scholar  * Arcaya, M. C. et al. Role of health in


predicting moves to poor neighborhoods among Hurricane Katrina survivors. _Proc. Natl Acad. Sci. USA_ 111, 16246–16253 (2014). Article  CAS  Google Scholar  * Oakes, J. M., Andrade, K. E.,


Biyoow, I. M. & Cowan, L. T. Twenty years of neighborhood effect research: an assessment. _Curr. Epidemiol. Rep._ 2, 80–87 (2015). Article  Google Scholar  * Buka, S. L., Brennan, R. T.,


Rich-Edwards, J. W., Raudenbush, S. W. & Earls, F. Neighborhood support and the birth weight of urban infants. _Am. J. Epidemiol._ 157, 1–8 (2003). Article  Google Scholar  * Locke, A.


E. et al. Genetic studies of body mass index yield new insights for obesity biology. _Nature_ 518, 197–206 (2015). Article  CAS  Google Scholar  * Schizophrenia Working Group of the


Psychiatric Genomics Consortium Biological insights from 108 schizophrenia-associated genetic loci. _Nature_ 51, 421–427 (2014). * Barban, N. et al. Genome-wide analysis identifies 12 loci


influencing human reproductive behavior. _Nat. Genet._ 48, 1462–1472 (2016). Article  CAS  Google Scholar  * Lee, J. J. et al. Gene discovery and polygenic prediction from a genome-wide


association study of educational attainment in 1.1 million individuals. _Nat. Genet._ 50, 1112–1121 (2018). Article  CAS  Google Scholar  * Odgers, C. L., Caspi, A., Bates, C. J., Sampson,


R. J. & Moffitt, T. E. Systematic social observation of children’s neighborhoods using Google Street View: a reliable and cost-effective method. _J. Child Psychol. Psychiatry_ 53,


1009–1017 (2012). Article  Google Scholar  * Dudbridge, F. Power and predictive accuracy of polygenic risk scores. _PLoS Genet._ 9, e1003348 (2013). Article  CAS  Google Scholar  * Belsky,


D. W. et al. Polygenic risk, rapid childhood growth, and the development of obesity: evidence from a 4-decade longitudinal study. _Arch. Pediatr. Adolesc. Med._ 166, 515–521 (2012). Article


  Google Scholar  * Belsky, D. W. et al. Polygenic risk and the developmental progression to heavy, persistent smoking and nicotine dependence: evidence from a 4-decade longitudinal study.


_JAMA Psychiatry_ 70, 534–542 (2013). Article  Google Scholar  * Agerbo, E. et al. Polygenic risk score, parental socioeconomic status, family history of psychiatric disorders, and the risk


for schizophrenia: a Danish population-based study and meta-analysis. _JAMA Psychiatry_ 72, 635–641 (2015). Article  Google Scholar  * Mujahid, M. S., Diez Roux, A. V., Morenoff, J. D. &


Raghunathan, T. Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. _Am. J. Epidemiol._ 165, 858–867 (2007). Article  Google Scholar  * Harris, K.


M. et al. Social, behavioral, and genetic linkages from adolescence into adulthood. _Am. J. Public Health_ 103, S25–S32 (2013). Article  Google Scholar  * Yang, J. et al. Genome


partitioning of genetic variation for complex traits using common SNPs. _Nat. Genet._ 43, 519–525 (2011). Article  CAS  Google Scholar  * Yang, J., Lee, S. H., Goddard, M. E. & Visscher,


P. M. GCTA: a tool for genome-wide complex trait analysis. _Am. J. Hum. Genet._ 88, 76–82 (2011). Article  CAS  Google Scholar  * Sariaslan, A. et al. Schizophrenia and subsequent


neighborhood deprivation: revisiting the social drift hypothesis using population, twin and molecular genetic data. _Transl Psychiatry_ 6, e796 (2016). Article  CAS  Google Scholar  *


Martin, J. et al. Association of genetic risk for schizophrenia with nonparticipation over time in a population-based cohort study. _Am. J. Epidemiol._ 183, 1149–1158 (2016). Article  Google


Scholar  * Gage, S. H., Smith, G. D. & Munafò, M. R. Schizophrenia and neighbourhood deprivation. _Transl Psychiatry_ 6, e979 (2016). Article  CAS  Google Scholar  * Sharkey, P.


Neighborhoods, cities, and economic mobility. _RSF_ 2, 159–177 (2016). Article  Google Scholar  * Sharkey, P. _Stuck in Place: Urban Neighborhoods and the End of Progress Toward Racial


Equality_ (Univ. Chicago Press, 2013). * Okbay, A. et al. Genome-wide association study identifies 74 loci associated with educational attainment. _Nature_ 533, 539–542 (2016). Article  CAS


  Google Scholar  * Polderman, T. J. C. et al. Meta-analysis of the heritability of human traits based on fifty years of twin studies. _Nat. Genet._ 47, 702–709 (2015). Article  CAS  Google


Scholar  * Hill, W. D. et al. Molecular genetic contributions to social deprivation and household income in UK Biobank. _Curr. Biol._ 26, 3083–3089 (2016). Article  CAS  Google Scholar  *


Visscher, P. M., Brown, M. A., McCarthy, M. I. & Yang, J. Five years of GWAS discovery. _Am. J. Hum. Genet._ 90, 7–24 (2012). Article  CAS  Google Scholar  * Martin, A. R. et al. Human


demographic history impacts genetic risk prediction across diverse populations. _Am. J. Hum. Genet._ 100, 635–649 (2017). Article  CAS  Google Scholar  * Burgess, S., Butterworth, A. &


Thompson, S. G. Mendelian randomization analysis with multiple genetic variants using summarized data. _Genet. Epidemiol._ 37, 658–665 (2013). Article  Google Scholar  * Hartwig, F. P.,


Davies, N. M., Hemani, G. & Davey Smith, G. Two-sample Mendelian randomization: avoiding the downsides of a powerful, widely applicable but potentially fallible technique. _Int. J.


Epidemiol._ 45, 1717–1726 (2016). Article  Google Scholar  * Trouton, A., Spinath, F. M. & Plomin, R. Twins Early Development Study (TEDS): a multivariate, longitudinal genetic


investigation of language, cognition and behavior problems in childhood. _Twin Res. Hum. Genet._ 5, 444–448 (2002). Article  Google Scholar  * Moffitt, T. E. & E-Risk Team Teen-aged


mothers in contemporary Britain. _J. Child Psychol. Psychiatry_ 43, 727–742 (2002). Article  Google Scholar  * Howie, B. N., Donnelly, P. & Marchini, J. A flexible and accurate genotype


imputation method for the next generation of genome-wide association studies. _PLoS Genet._ 5, e1000529 (2009). Article  Google Scholar  * 1000 Genomes Project Consortium et al. An


integrated map of genetic variation from 1,092 human genomes. _Nature_ 491, 56–65 (2012). Article  Google Scholar  * Sherry, S. T. et al. dbSNP: the NCBI database of genetic variation.


_Nucleic Acids Res._ 29, 308–311 (2001). Article  CAS  Google Scholar  * Lapouse, R., Monk, M. A. & Terris, M. The drift hypothesis and socioeconomic differentials in schizophrenia. _Am.


J. Public Health Nations Health_ 46, 978–986 (1956). Article  CAS  Google Scholar  * Murray, R. M., Jones, P. B., Susser, E., Os, J. V. & Cannon, M. _The Epidemiology of Schizophrenia_


(Cambridge Univ. Press, 2002). * Euesden, J., Lewis, C. M. & O’Reilly, P. F. PRSice: polygenic risk score software. _Bioinformatics_ 31, 1466–1468 (2015). Article  CAS  Google Scholar  *


Hamer, D. & Sirota, L. Beware the chopsticks gene. _Mol. Psychiatry_ 5, 11–13 (2000). Article  CAS  Google Scholar  * Price, A. L., Zaitlen, N. A., Reich, D. & Patterson, N. New


approaches to population stratification in genome-wide association studies. _Nat. Rev. Genet._ 11, 459–463 (2010). Article  CAS  Google Scholar  * Chang, C. C. et al. Second-generation


PLINK: rising to the challenge of larger and richer datasets. _Gigascience_ 4, 7 (2015). Article  Google Scholar  * Conley, D. et al. Assortative mating and differential fertility by


phenotype and genotype across the 20th century. _Proc. Natl Acad. Sci. USA_ 113, 6647–6652 (2016). Article  CAS  Google Scholar  * Sampson, R. J., Raudenbush, S. W. & Earls, F.


Neighborhoods and violent crime: a multilevel study of collective efficacy. _Science_ 277, 918–924 (1997). Article  CAS  Google Scholar  * Sampson, R. J., Morenoff, J. D. & Earls, F.


Beyond social capital: spatial dynamics of collective efficacy for children. _Am. Sociol. Rev._ 64, 633–660 (1999). Article  Google Scholar  * _Waist Circumference and Waist–Hip Ratio:


Report of a WHO Expert Consultation_ http://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_and_waisthip_ratio/en/ (WHO, 2008). * Scantlebury, R. & Moody, A. in


_Health Survey for England, 2014_ (eds. Craig, R., Fuller, E. & Mindell, J.) Vol. 1 Ch. 9 (The Health and Social Care Information Centre, 2014). * Schaefer, J. D. et al. Adolescent


victimization and early-adult psychopathology: approaching causal inference using a longitudinal twin study to rule out noncausal explanations. _Clin. Psychol. Sci._ 6, 352–371 (2018).


Article  Google Scholar  * Caspi, A. & Moffitt, T. E. All for one and one for all: mental disorders in one dimension. _Am. J. Psychiatry_ 175, 831–844 (2018). Article  Google Scholar  *


Goldman-Mellor, S. et al. Committed to work but vulnerable: self-perceptions and mental health in NEET 18-year olds from a contemporary British cohort. _J. Child Psychol. Psychiatry_ 57,


196–203 (2016). Article  Google Scholar  * Brown, J. _NEET: Young people Not in Education, Employment Or Training_ (House of Commons, 2016). * The Haplotype Reference Consortium. A reference


panel of 64,976 haplotypes for genotype imputation. _Nat. Genet._ 48, 1279–1283 (2016). * Domingue, B. W. et al. The social genome of friends and schoolmates in the National Longitudinal


Study of Adolescent to Adult Health. _Proc. Natl Acad. Sci. USA_ 115, 702–707 (2018). Article  CAS  Google Scholar  * Billy, J. O., Wenzlow, A. T. & Grady, W. R. _User Documentation for


the Add Health Contextual Database_ (Seattle Battelle Center Public Health Research, 1998). * Morales, L. & Monbureau, T. _Add Health Wave IV Contextual Data_ (Add Health, 2013). *


Belsky, D. W. et al. The genetics of success: how single-nucleotide polymorphisms associated with educational attainment relate to life-course development. _Psychol. Sci._ 27, 957–972


(2016). Article  Google Scholar  * _Power and Sample Size_ https://www.stata.com/features/power-and-sample-size/ (Stata, 2017). Download references ACKNOWLEDGEMENTS The E-Risk Study is


funded by the Medical Research Council (UKMRC grant G1002190). Additional support was provided by NICHD grant HD077482, Google and by the Jacobs Foundation. The Add Health study is supported


by the Eunice Kennedy Shriver National Institute of Child Health and Human Development grants P01HD31921, R01HD073342 and R01HD060726, with cooperative funding from 23 other federal


agencies and foundations. D.W.B. and C.L.O. were supported by fellowships from the Jacobs Foundation. C.L.O. is supported by the Canadian Institute for Advanced Research. B.W.D. is supported


by the Russell Sage Foundation award 961704. We are grateful to the E-Risk study mothers and fathers, the twins and the twins’ teachers, and the Add Health study participants and their


parents for their participation. Our thanks to CACI, Google Street View and to members of the E-Risk team for their dedication, hard work and insights. The funders had no role in study


design, data collection and analysis, decision to publish or preparation of the manuscript. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Epidemiology, Columbia University


Mailman School of Public Health, New York, NY, USA Daniel W. Belsky * Robert N. Butler Columbia Aging Center, Columbia University, New York, NY, USA Daniel W. Belsky * Department of


Psychology and Neuroscience, Duke University, Durham, NC, USA Avshalom Caspi, Renate M. Houts, Terrie E. Moffitt, Karen Sugden, Jasmin Wertz & Benjamin Williams * Department of


Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA Avshalom Caspi & Terrie E. Moffitt * Center for Genomic and Computational Biology, Duke


University, Durham, NC, USA Avshalom Caspi, David L. Corcoran, Terrie E. Moffitt & Joseph Prinz * MRC Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry,


Psychology and Neuroscience, King’s College London, London, UK Avshalom Caspi, Louise Arseneault & Terrie E. Moffitt * Stanford Graduate School of Education, Stanford University, Palo


Alto, CA, USA Benjamin W. Domingue * Carolina Population Center and Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Kathleen Mullan Harris *


Complex Disease Epigenetics Group, University of Exeter Medical School, Exeter, UK Jonathan S. Mill * Department of Psychological Science, University of California at Irvine, Irvine, CA, USA


Candice L. Odgers * Sanford School of Public Policy, Duke University, Durham, NC, USA Candice L. Odgers Authors * Daniel W. Belsky View author publications You can also search for this


author inPubMed Google Scholar * Avshalom Caspi View author publications You can also search for this author inPubMed Google Scholar * Louise Arseneault View author publications You can also


search for this author inPubMed Google Scholar * David L. Corcoran View author publications You can also search for this author inPubMed Google Scholar * Benjamin W. Domingue View author


publications You can also search for this author inPubMed Google Scholar * Kathleen Mullan Harris View author publications You can also search for this author inPubMed Google Scholar *


Renate M. Houts View author publications You can also search for this author inPubMed Google Scholar * Jonathan S. Mill View author publications You can also search for this author inPubMed 


Google Scholar * Terrie E. Moffitt View author publications You can also search for this author inPubMed Google Scholar * Joseph Prinz View author publications You can also search for this


author inPubMed Google Scholar * Karen Sugden View author publications You can also search for this author inPubMed Google Scholar * Jasmin Wertz View author publications You can also search


for this author inPubMed Google Scholar * Benjamin Williams View author publications You can also search for this author inPubMed Google Scholar * Candice L. Odgers View author publications


You can also search for this author inPubMed Google Scholar CONTRIBUTIONS D.W.B., A.C., T.E.M. and C.L.O. designed the research. A.C., T.E.M., L.A., C.L.O. and K.M.H. collected the data.


Data were analysed by D.W.B., B.W.D., R.M.H., D.L.C. and J.P. All authors reviewed drafts and provided critical feedback and approved the final manuscript. CORRESPONDING AUTHORS


Correspondence to Daniel W. Belsky or Candice L. Odgers. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION PUBLISHER’S NOTE: Springer


Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION Supplementary Methods,


Supplementary Tables 1–6, and Supplementary Figure 1–3. REPORTING SUMMARY RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Belsky, D.W., Caspi, A.,


Arseneault, L. _et al._ Genetics and the geography of health, behaviour and attainment. _Nat Hum Behav_ 3, 576–586 (2019). https://doi.org/10.1038/s41562-019-0562-1 Download citation *


Received: 10 May 2018 * Accepted: 19 February 2019 * Published: 08 April 2019 * Issue Date: June 2019 * DOI: https://doi.org/10.1038/s41562-019-0562-1 SHARE THIS ARTICLE Anyone you share the


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