these first-degree relatives were sought for baseline interviews and for follow-up interviews approximately 5 years later. The protocol was approved by the institutional review board at each site, and written informed consent was obtained from all subjects. Of the subjects studied in the present report, 85.7% were first-degree relatives of the proband (father, mother, sibling, offspring). The sample was 80.0% White, 12.5% African American, 4.5% Hispanic, and 3.0% was classified as Native American, Pacific Islanders and “other.”