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medRxiv PreprintsInternational13 November 2026

Sex and generation shape the genetic architecture of smoking initiation

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The rapidly changing cultural contexts over the past century modified the genetic factors that influence smoking initiation (SI). Using data from nearly seven million respondents, we conducted genome-wide associations study (GWAS) meta-analyses stratified by sex and generation across European, East Asian, African American, and Latino genetic ancestry populations. Sex and generation, but not genetic ancestry, moderate both the SNP-based heritability estimates and associations with individual loci. Specifically, SI is more heritable in females and younger generations. Furthermore, the impact of
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