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Chunk #14 — Methods — Reasons for Geographic and Racial Differences in Stroke Study (REGARDS)

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Development and validation of a trans-ancestry polygenic risk score for type 2 diabetes in diverse populations.
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REGARDS [28] is a national, population-based, longitudinal study of incident stroke and associated risk factors of over 30,000 self-reported Black and White adults aged 45 years or older from all 48 contiguous U.S. states and the District of Columbia. REGARDS was designed to investigate reasons underlying the higher rate of stroke mortality among Black compared to White individuals, as well as why residents of the Southeastern U.S. had worse death rates compared to other US regions. By design, participants were oversampled if they were residents of the stroke belt or if they were Black. Participants completed a computer-assisted telephone interview to collect demographic information and medication adherence, and an in-home visit for blood pressure measurements and collection of blood and urine samples. Participants have been contacted on 6-month intervals to obtain information on incident stroke or secondary outcomes. Genotyping was performed on 8,916 Black participants using Illumina MEGA arrays. Imputation was conducted using release 2 (r2) of the National Heart Lung and Blood Institute (NHLBI) TOPMed reference panel available through the BioData Catalyst framework. Participants were excluded if they had