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Chunk #38 — 4. Discussion

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Genetic and environmental influences on cannabis use initiation and problematic use: a meta-analysis of twin studies.
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Secondly, for both variables we incorporated a male cohort of twins where both twins served the US army during the Vietnam Era (48, 68). Genetic estimates based on this cohort are relatively high for cannabis initiation and relatively low for problematic cannabis use. Because the sample size of the source study is quite large, if the etiology of cannabis use in Vietnam veterans is different from that in the general population, the inclusion of this study could bias our results.