Available evidence suggests that male homosexuality is both familial and so
mewhat heritable and that some cases may be caused by an X-linked gene. How
ever, most studies have recruited subjects in a relatively unsystematic man
ner, typically via advertisements, and hence suffer from the potential meth
odological flaw of ascertainment bias due to volunteer self-selection. In t
he present study we assessed the familiality of male homosexuality using tw
o carefully ascertained samples and attempted to replicate findings consist
ent with X-linkage in three samples. The percentage of siblings of the prob
ands rated as either homosexual or bisexual, with a high degree of certaint
y, ranged from 7 to 10% for brothers and 3 to 4% for sisters. These estimat
es are higher than recent comparable population-based estimates of homosexu
ality, supporting the importance of familial factors for male homosexuality
. Estimates of lambda(s) for male homosexuality ranged from 3.0 to 4.0. Non
e of the samples showed a significantly greater proportion of maternal than
paternal homosexual uncles or homosexual male maternal first cousins. Alth
ough our results differed significantly with those of some prior studies, t
hey do not exclude the possibility of moderate X-linkage for male sexual or
ientation.