Sf. Simmons et al., SELECTION BIAS IN SAMPLES OF OLDER TWINS - A COMPARISON BETWEEN OCTOGENARIAN TWINS AND SINGLETONS IN SWEDEN, Journal of aging and health, 9(4), 1997, pp. 553-567
Twin studies are a powerful approach for estimating genetic and enviro
nmental influences in later life, but the usual requirement that both
twins are alive may introduce a selection bias in gerontological studi
es relative to representative samples of nontwins. In the present stud
y, samples of older twins and nontwins in Sweden were compared across
the domains of vitality, well-being, physical and cognitive functionin
g, and health utilization to evaluate possible selection bias. One mem
ber of each twin dyad in the OCTO-Twin Study of intact twin pairs olde
r than age 80 was randomly selected (N = 128) and compared with a popu
lation-based sample of nontwins (N = 324) from the OCTO Study. Multipl
e regressions adjusting for differences in demographic variables showe
d significant effects for twin status in only 3 of 20 comparisons. The
results suggest that twin pairs surviving into very late life are sim
ilar to a representative sample of nontwins of the same age in health
status and biobehavioral functioning. These findings support the gener
alizability of twin studies for understanding genetic and environmenta
l influences on aging, health, and behavior.