The relative importance of genetic and environmental influences on the CAGE was investigated by decomposing the variance–covariance structure of the dichotomous CAGE (0 vs. 1+ yes answers) into latent factors representing additive genetic (A), non-additive genetic (D) or shared environmental influences (C) and unique environmental (E) influences. First, cross-sectional genetic analyses were conducted for each age group separately. Next, longitudinal genetic analyses were performed. All genetic analyses were conducted in Mx (Neale et al. 2006) in two zygosity groups, as sex differences in the twin correlations were absent. For model identification purposes, the variance was fixed at unity for all age groups in both the cross-sectional models as well as in the longitudinal model.