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Chunk #24 — Discussion

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Multivariate genome-wide association meta-analysis of over 1 million subjects identifies loci underlying multiple substance use disorders.
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This study has limitations. First, our GWAS in individuals of African-ancestry had few discoveries, underscoring the need for systematic data collection on SUDs in globally representative populations. Still, we chose to analyze and present these data as their exclusion only furthers disparities in genetic discoveries. Second, although we discovered many loci, they accounted for only a small proportion of the total variance. More samples, particularly those in diverse populations, and the integration of rarer variants are needed to discover the biological pathways that fall below genome-wide significance or are missed in GWAS. Finally, despite interesting associations between our PRS and SUDs, our findings do not apply to prognostication of future disease risk.