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Genome-wide Association Studies in Ancestrally Diverse Populations: Opportunities, Methods, Pitfalls, and Recommendations
Open accessAbstract
Genome-wide association studies (GWASs) have focused primarily on populations of European descent, but it is essential that diverse populations become better represented. Increasing diversity among study participants will advance our understanding of genetic architecture in all populations and ensure that genetic research is broadly applicable. To facilitate and promote research in multi-ancestry and admixed cohorts, we outline key methodological considerations and highlight opportunities, challenges, solutions, and areas in need of development. Despite the perception that analyzing genetic data from diverse populations is difficult, it is scientifically and ethically imperative, and there is an expanding analytical toolbox to do it well.
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“Previous studies have found that population diversity may improve fine-mapping resolution38,39”
From Shared genetic architectures of educational attainment in East Asian and European populations (2024) · cites this paper as [39]
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“Genetic risk prediction attenuates with increasing divergence between the discovery and target populations, indicating that polygenic risk scores (PRSs) based on Eurocentric GWASs are not equally predictive when applied to non-European populations (Duncan et al., 2019; Martin et al., 2019).”
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Self-citationCross-ancestry genome-wide association study identifies new susceptibility genes for preeclampsia
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“We conducted standard quality control (QC) for the two datasets 30 – 32 (Supplementary Figure 1).”
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“19 In addition to perhaps these PRSs exerting main effects on symptoms, it is also possible that they will moderate the impact of COVID exposure.”
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“Many GWAS discovery studies have been conducted in individuals of northern European ancestry [22, 23].”
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BackgroundInfluence of Admixture on Phenotypes
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“However, such studies have experienced dramatically reduced success in African-descent and Latino populations, partly due to their substantially more nuanced genetic architecture resulting from genetic admixture (Marchini et al., 2004; Peterson et al., 2019).”
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Open Science Practices in Psychiatric Genetics: A Primer
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“Classification of these categories vary as a function of the statistical methods and global reference groups used to categorize study sample participants (Peterson et al., 2019).”
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“, 2018), the vast majority of participants were of European descent (Peterson et al., 2019).”
Self-citationPolygenic risk scores adaptation for Height in a Vietnamese population
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“Most of the public genome-wide association study (GWAS) data has been conducted in the European population [13], [18].”
BackgroundPhenotype and genetic analysis of data collected within the first year of NeuroDev: A Pilot Study
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“People of African ancestry have been grossly underrepresented in genetic studies, across domains and disciplines.(29,30) In aggregate, this is most visible through the constitution of large genetic databases like gnomAD, in which only 14% of individuals (N ≈ 27,000) have some African ancestry (31,32).”
BackgroundIntersectionality and genetic ancestry: New methods to solve old problems
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Multiancestry conditional and joint analysis applied to GWAS summary statistics
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Multifaceted role of genetic and epigenetic architecture of glucose homeostasis and diabetes
Khokhar, M. (2026) · npj Metabolic Health and Disease · doi:10.1038/s44324-026-00135-z
“ThepersistentEurocentricbiasofbothGWAS and functional genomic studies means that a disproportionate fraction of discoveredassociationsandmechanisticinsightsderivefrompopulationsof European descent, limiting generalisability 130,131,133 .”
The impact of diabetes on formal and informal care
Gousia, K., Nizalova, O. Y., Mališauskaitė, G., & Teo, H. (2026) · Social Science & Medicine · doi:10.1016/j.socscimed.2026.119955
Genetic evidence for the psychosis continuum: polygenic score analysis
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“8 In this context, a landmark GWAS conducted in Han Chinese populations identified a single nucleotide polymorphism (SNP), rs12415800, located near the Sirtuin 1 (SIRT1) gene on chromosome 10, as one of the first GWAS significant risk variants for MDD. 9 Notably, the risk allele (A) frequency of…”
FGF-23 is associated with increased risk of abdominal aortic calcification
Song, L., Chen, J., Xue, C., Song, C., Zhu, J.-H., & Xu, D.-L. (2026) · Medicine · doi:10.1097/md.0000000000050966
“[41,42] Second, because both the phosphate and AAC GWAS datasets were derived from UK Biobank-related resources, potential sample overlap between the mediator and outcome datasets could not be fully excluded.”
Self-citationFrom Collection to Collaboration: Building Ethical Frameworks for Genetic Research
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“(P29)” One participant suggested that research could create professional opportunities to build skills for TNGD people, encouraging cisgender researchers particularly to mentor and hire TNGD individuals: “W hether or not I”
Cella, R., Bian, H., Luo, A., Alfakhri, B., Malik, S., Malik, S., & Ruaño, G. (2026) · Pharmaceuticals · doi:10.3390/ph19101554
“Over 78% of participants in genome-wide association studies (GWAS) are of European descent, with 71.8% recruited from just three countries: the United States, the United Kingdom, and Iceland [40].”
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Miteva-Marcheva, N. N., Ivanov, H., Sotkova-Ivanova, I., Boyanov, N., & Stoyanova, V. (2026) · Pharmaceuticals · doi:10.3390/ph19101504
“Consequently, genetic profiles characteristic of Eastern European populations, including Bulgarians, are underrepresented, which may limit the applicability of pharmacogenetic data from global datasets to Eastern European populations [5].”
Common alleles associated with connectivity within and across the brain’s main functional networks
Caseras, X., Chambers, T., Hall, L., Pardiñas, A., Murphy, K., & Anney, R. (2026) · Nature Communications · doi:10.1038/s41467-026-77476-2
“We also aimed to ensure compatibility with procedures for GWAS downstream analyses, which require accurate estimates of LD that often rely on single-population reference panels 52 .”
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Genetics of type 2 diabetes: Beyond single nucleotide variant studies
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“In this way, the main reference datasets have limitations in the representation of different populations, particularly in African, Native American, and certain Asian populations [53,98,99].”
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Papanicolaou, D., Perdikeas, S., & Jones, G. B. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1880641
“As examples, a large proportion of genomic data is derived from persons of European ancestry whereas Hispanic, Asian, African and mixed race individuals are under-represented (Figure 1) (10 – 12).”
Lu, W.-X., Zhao, R., & Chatterjee, N. (2026) · medRxiv · doi:10.64898/2026.08.04.26359626
“Given the substantial presence of admixed individuals in many countries [16, 17, 18], their underrepresentation in genetic studies[19], and their dispropor-36 tionate burden of common diseases [20, 21, 22], a robust inclusion of these populations in GWAS is essential to advance genetic discovery…”
Bajpai, A., Holla, B., Sharma, E., Mahadevan, J., Shankarappa, B. M., Dahiya, N., Purushottam, M., Viswanath, B., Jain, S., & Benegal, V. (2026) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2026.105116
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“Finally, the cohort was predominantly of European ancestry and did not include patient-reported outcomes such as quality of life or satisfaction, which may limit generalizability and clinical contextualization [42,43].”
Anthropometric and cardio-metabolic trait variation and genetic associations in sub-Saharan Africa
Hansen, M. E. B., Hazra, U., Kim, M., Raj, S. M., Fan, S., Beggs, W. R., Mpoloka, S. W., Mokone, G. G., Nyambo, T., Meskel, D. W., et al. (2026) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2026.07.006 · Cited by 1
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“…are historically Eurocentric (with 86.3% representation of the total number of studies up to 2019), efforts have been made in recent years to investigate individuals with ethnically diverse ancestry, and to identify differences in terms of genetic architecture between different populations [173].”
InfluentialExtending genome-wide association studies to admixed cohorts with high degrees of relatedness
Tan, T., Vergara-Lope, A., Martínez‐Magaña, J. J., Shah, N. N., Lin, Y.-S., Yuan, K., Berumen-Campos, J., Alegre-Díaz, J., Kuri-Morales, P. A., Tapia‐Conyer, R., et al. (2026) · Nature Genetics · doi:10.1038/s41588-026-02689-6 · Cited by 2
“…contribute to this issue, but even when data exist, admixed individuals have historically been excluded due to the scarcity of methods and pipelines that effectively account for admixture, largely due to the concern of raised false positive discoveries stemming from population structure 10–15 .”
Liu, T.-Y., Yang, J.-S., Chen, Y.-C., Tsai, S.-C., Chiu, Y.-J., Liao, C.-C., Chang, Y.-T., Shyu, W.-C., Jeng, L., & Tsai, F.-J. (2026) · Cell & Bioscience · doi:10.1186/s13578-026-01619-7
“Despite the rapidly increasing prevalence of MASLD throughout Asia, East Asian populations remain underrepresented in current GWAS datasets [25].”
Jen, Y., Yu, S., Hsiao, P., Kuo, P., Liu, C., Liu, C., Hwang, T., Hsieh, M. H., Chien, Y., Lin, Y.-T., et al. (2026) · Molecular Psychiatry · doi:10.1038/s41380-026-03731-z
“1 (Illumina, San Diego, CA), containing 588,628 SNPs. Standard QC procedures were applied [41] (see Supplementary Methods).”
Self-citationBridging ancestry gaps in genomic risk prediction with tabular foundation models
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“Human genetic variation is continuous and structured by admixture and fine-scale population history, yet many prediction pipe-lines rely on coarse ancestry labels (Peterson et al. 2019).”
Association Analysis of HLA-DPA1 Polymorphisms with Thyroid Diseases in a Korean Cohort
Kim, G., & Kim, E.-J. (2026) · Korean Journal of Clinical Laboratory Science · doi:10.15324/kjcls.2026.58.2.185
Sheibani, K., Francis, B., Francis, N., Wilson, M. R., & Nassiri, N. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-026-03044-5
Kalidasan, Y., Kantipudi, S. J., Ramachandran, I., & Venkatesan, V. (2026) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-026-01185-2
“…may act as a context-dependent modifier rather than a universal genetic risk factor for MDD, as evidenced by the inconsistent results across populations, which may be due to variations in environmental exposures, clinical features, sample sizes, or interactions with other genetic pathways [25].”
Dissecting the immune–metabolic axis in appendicitis: A Mendelian randomization mediation study
Zheng, H., Wang, K., & Wang, D. (2026) · Medicine · doi:10.1097/md.0000000000049284
Barr, P. B., Neale, Z. E., Bigdeli, T. B., Chatzinakos, C., Harvey, P. D., Peterson, R. E., & Meyers, J. L. (2026) · Psychological Medicine · doi:10.1017/s003329172610470x · Cited by 1
“Informed by best practices for handling genetic data from diverse populations (Peterson et al., 2019), we stratified analyses by genetic similarity and included genetic principal components, which limit the possibility of false positives due to population stratification.”
Self-citationGenetic Evaluation Practices in Living Kidney Donor Candidates
Çalişkan, Y., Oto, O., Alhamad, T., Yazıcı, H., Velioğlu, A., Yildiz, A., Radunović, D., Garg, N., Kousios, A., Ural, Z., et al. (2026) · Kidney International Reports · doi:10.1016/j.ekir.2026.106665
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Austerberry, C., Corfield, E. C., Havdahl, A., Smajlagić, D., Brandlistuen, R. E., Wang, M. V., Fish, L. A., Bernardi, M., van de Grint, J., Bekkhus, M., et al. (2026) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.70179
“Most GWAS to date have been conducted in European ancestry samples (Peterson et al., 2019), limiting their broader applicability.”
Kikidis, G., Raio, A., Sportelli, L., Antonucci, L., Bertolino, A., Rampino, A., Selvaggi, P., Weinberger, D. R., & Pergola, G. (2026) · bioRxiv · doi:10.64898/2026.05.19.726222
“Individuals of African ancestry are underrepresented in psychiatric genomics despite their greater genetic diversity and specific linkage disequilibrium patterns, which provide both challenges and unique opportunities for discovering novel biology [48-50].”
Liu, Z.-Y., Song, L., Yue, Z.-R., Huo, S.-Y., & Xu, F.-J. (2026) · World Journal of Diabetes · doi:10.4239/wjd.v17.i5.116585
Characterizing the Uncertainty, Misclassification and Inconsistency of Polygenic Prediction
Zhang, Y.-Z., Zhang, R., & Ge, T. (2026) · medRxiv · doi:10.64898/2026.05.11.26352897
Díaz‐Zuluaga, A. M., Anderberg, J. L., Ramirez-Diaz, A. M., Marques, A. H., Rast, C. E., Bustamante, D., Jonker, D., Valencia‐Echeverry, J., Kyebuzibwa, J., Muñoz, J. S., et al. (2026) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.70019
Carretero-Fernández, M., Cabrera-Serrano, A. J., Ruiz-Durán, L., Ibáñez, M., Bonilla, M., Mesa, F., Gutiérrez‐Bautista, J. F., Chahboun, R., Reyes‐Zurita, F. J., Martínez‐López, J., et al. (2026) · Translational Oncology · doi:10.1016/j.tranon.2026.102796
“Addressing these challenges will require larger multi-ancestry cohorts, integrative multi-omic approaches, functional validation of candidate loci, and standardized analytical frameworks to improve robustness, biological interpretation, and clinical applicability [62,85,86].”
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“Due to the lack of diversity in genomics research and limited data to use in joint models, current risk prediction methods may lead to an exacerbation of health disparities (1–6).”
Cabrera-Serrano, A. J., Carretero-Fernández, M., Pérez-Rojo, B., ter Horst, R., Cañadas‐Garre, M., Canhão, H. M., Quartuccio, L., Sørensen, S. B., Glintborg, B., Filipescu, I., et al. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1637735
Bitar, F., Zareef, R. O., Abou-Karam, R., Nemer, G. M., Bitar, F. F., Fahed, A. C., & Sater, Z. A. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1779659
Lannoy, S., Barr, P. B., Gillespie, N. A., Stephenson, M. E., & Edwards, A. C. (2026) · Archives of Suicide Research · doi:10.1080/13811118.2026.2648604
“Here, we follow best practices for current approaches to handling genetic data from diverse populations (Peterson et al., 2019) in order to limit the possibility of false positives due to population stratification (presence of a systematic difference in allele frequencies) and variation in linkage…”
Self-citationArner, A. M., McCabe, T. C., Seyler, A., Zamri, S. N., Huat, T. B. T. A. T. B., Tam, K. L., Kinyua, P., John, E., Njeru, S., Lim, Y. A. L., et al. (2026) · bioRxiv · doi:10.64898/2026.03.17.711941
“…of diverse sampling is widely recognized as crucial for robust understanding of both evolutionary processes and the genetic architecture of complex traits and diseases [5,6], and is essential to both address health disparities and maximize the reach of benefits from downstream discoveries [7].”
Nelson, L. D., Simons, M. U., Jain, S., Sun, X., Choi, K. W., Temkin, N. R., Diaz-Arrastia, R. R., Gardner, R. C., Taylor, S. R., Manley, G. T., et al. (2026) · Journal of Neurotrauma · doi:10.1177/08977151261432398 · Cited by 1
Stinson, E. A., Lellapalli, S., Hawn, S. E., Merrill, N. A., Rappaport, L. M., Sheerin, C. M., Michopoulos, V., Bacanu, S., Peterson, R. E., Powers, A. D., et al. (2026) · European Journal of Psychotraumatology · doi:10.1080/20008066.2026.2635214
Self-citationShepherd, R. A., Stacey, D., Janetzki, J., Clark, S., Hyppönen, E., & Suppiah, V. (2026) · Schizophrenia Research · doi:10.1016/j.schres.2026.02.014
Edwards, A. C., Passero, K., Eglovitch, M., Polak, K., Parlier‐Ahmad, A. B., Ngjelina, E., Stephenson, M. E., Lannoy, S., Svikis, D. S., & Kendler, K. S. (2026) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.70276
“Improving the represen-tativeness of participants in genetic analyses is an ongoing challenge in the field for both biological and ethical reasons (Peterson et al., 2019 ).”
Self-citationEstimating population structure using epigenome-wide methylation data
Wang, Z., Taylor, K., Rotter, J., Rich, S. S., Zheng, Y.-N., Hou, L., Guo, X.-Q., Bressler, J., Raffield, L., Liu, Y.-M., et al. (2026) · Briefings in Bioinformatics · doi:10.1093/bib/bbag142
Chen, K., Chen, S., Dias, R., & Torkamani, A. (2026) · BMC Bioinformatics · doi:10.1186/s12859-025-06184-3
“Understanding population stratification is crucial for capturing genetic traits and reducing confounding effects in GWAS [55–57].”
Singh, P., Tripathy, D. B., & Kumar, G. (2026) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-025-01843-x · Cited by 1
Yao, W.-T., Fan, J., Lu, J., Guo, H., Yu, C., Wang, X., Wang, Y., Zhang, Y., Duan, Q., Cheng, L., et al. (2026) · Genome Medicine · doi:10.1186/s13073-026-01606-0
“To further quantify whether ancestry diversity improved fine-mapping resolution as suggested by prior studies [12, 69], we performed analysis with identical parameters only in the EUR population (Fig.”
Song, J., Li, P., Canis, M., Unger, K., Haas, N. A., & Gires, O. (2026) · BMC Medicine · doi:10.1186/s12916-026-04677-3
“The genetic architecture of illnesses and their linkage depend on genetic ancestry, which is not covered in an unbiased manner in current GWAS, as studies include mostly individuals of European ancestry [92, 159, 160].”
Pleasant, V. A., Slocum, B., & Purkiss, A. (2026) · Technology in Cancer Research and Treatment · doi:10.1177/15330338261427326
“37,38 While it is possible that a person with a VUS result may miss a window to bene fi t from PGT-M if the VUS is later upgraded after fetal conception, the reality is that the majority of VUS are later downgraded to benign/likely benign.”
Jiang, H., Gao, C., Wang, D., Tian, H., & Zhu, B. (2026) · Assay and Drug Development Technologies · doi:10.1177/1540658x261415762
Rao, A., Byun, J., Thrift, A. P., & El‐Serag, H. B. (2026) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000003131
“However, GWAS have been predominantly conducted in individuals of European descent; despite increased efforts to include diverse populations in genomic studies, individuals of African ancestry represent less than 4% of all GWAS participants [6,7].”
Functional ADAM12 variants modulate proteolytic activity and influence metabolic traits
Drobiova, H., Madhoun, A. A., Thanaraj, T., Channanath, A., Hebbar, P., Sindhu, S., Ahmad, R., Al-Mulla, F., & Al-Temaimi, R. (2026) · Scientific Reports · doi:10.1038/s41598-025-34827-1
Tu, Y., & Fernández-Rhodes, L. (2026) · Frontiers in Genetics · doi:10.3389/fgene.2025.1725866
Metadata
- Authors
- Peterson, R. E., Kuchenbaecker, K., Walters, R. K., Chen, C.-Y., Popejoy, A. B., Periyasamy, S., Lam, M., Iyegbe, C., Strawbridge, R. J., Brick, L., Carey, C. E., Martin, A. R., Meyers, J. L., Su, J., Chen, J., Edwards, A. C., Kalungi, A., Koen, N., Majara, L., Schwarz, E., Smoller, J. W., Stahl, E. A., Sullivan, P. F., Vassos, E., Mowry, B., Prieto, M. L., Cuellar-Barboza, A., Bigdeli, T. B., Edenberg, H. J., Huang, H., & Duncan, L. E.
- Affiliations
- Virginia Commonwealth University (US)
- University College London (GB)
- Broad Institute (US)
- Stanford Medicine (US)
- The University of Queensland (AU)
- King's College London (GB)
- Karolinska Institutet (SE)
- Brown University (US)
- SUNY Downstate Health Sciences University (US)
- Arizona State University (US)
- Heidelberg University (DE)
- Massachusetts General Hospital (US)
- Icahn School of Medicine at Mount Sinai (US)
- University of North Carolina at Chapel Hill (US)
- Mayo Clinic (US)
- Indiana University School of Medicine (US)
- Corresponding author
- Peterson, Roseann E.
- ORCID
- Peterson, Roseann E.
- Kuchenbaecker, Karoline
- Walters, Raymond K.
- Chen, Chia-Yen
- Popejoy, Alice B.
- Periyasamy, Sathish
- Lam, Max
- Iyegbe, Conrad
- Strawbridge, Rona J.
- Brick, Leslie
- Carey, Caitlin E.
- Martin, Alicia R.
- Meyers, Jacquelyn L.
- Su, Jinni
- Chen, Junfang
- Edwards, Alexis C.
- Kalungi, Allan
- Koen, Nastassja
- Majara, Lerato
- Schwarz, Emanuel
- Smoller, Jordan W.
- Stahl, Eli A.
- Sullivan, Patrick F.
- Vassos, Evangelos
- Mowry, Bryan
- Prieto, Miguel L.
- Bigdeli, Tim B.
- Edenberg, Howard J.
- Huang, Hailiang
- Duncan, Laramie E.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 179
- Issue
- 3
- Pages
- 589-603
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC6939869
- OpenAlex
- W2970480306
- Cited by
- 797
- References
- 89
- Citations by year
- 2026: 110 · 2025: 134 · 2024: 153 · 2023: 158 · 2022: 117 · 2021: 82 · 2020: 41 · 2019: 2
- FWCI
- 8.08
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Cell (publishedVersion, other-oa)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- SUNY Digital Repository Support (State University of New York System) (submittedVersion, cc-by-nc-nd)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- Vetenskapsrådet (D0886501)
- UK Research and Innovation (MR/S003061/1, K99MH117229)
- National Alliance for Research on Schizophrenia and Depression (22604)
- National Institutes of Health (K01 MH113848, MH109532, MH109536, MH109539, U01 MH109528, MH109501, MH109514, MH109499)
- European Commission
- Horizon 2020
- Royal Irish Academy (610307)
- Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University
- Wellcome Trust (212360/Z/18/Z, 5U01MH109539)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Social Sciences › Anthropology › Race, Genetics, and Society
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Forensic and Genetic Research
- Keywords
- genome-wide association study, population diversity, admixed populations, genetic ancestry, genetic architecture, methodological considerations, underrepresented groups, genetic research ethics
- MeSH terms
- Data Accuracy, Human Genetics, Genetics, Population, Humans, Pedigree, Genetic Variation, Genome-Wide Association Study, Genotyping Techniques
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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