Social inequalities in reception of social welfare support: A population based twin study
Social welfare support runs in families. Recent studies using Nordic registry data have found individual<br />differences in genetic factors to be of substantial importance for medical benefits. However, to date there has<br />been no genetically informative studies on receiving social welfare support. To prevent young adults to not<br />drop out of the work life and become recipients of social welfare support, it is of substantial interest to<br />clarify to what extent the familiarity of social welfare support is due to genetic or social differences between<br />families. We used data from the Historical-Event Database on 7,698 Norwegian twins born 1967-1979 to<br />estimate the relative contribution of genetic factors, the effective familial environment (i.e. the “shared<br />environment”), and individual-specific environmental factors. We found that the two forms of familial risk,<br />genetic and shared environmental, explained 39% and 45%, respectively, of the risk for receiving social<br />welfare support among young Norwegian twins. Only 17% of the variance in risk factors could be explained<br />by individual-specific risk factors. It appears that risk for receiving social welfare support can to a great<br />extent be explained by environmental differences between families. Therefore prevention strategies targeting<br />social inequalities between families would indeed be effective. Furthermore, genetic risk factors are also<br />important in explaining risk for receiving social welfare support. These effects could be mediated through<br />heritable traits related to substance abuse, psychiatric disorders, and personality. Individual-specific risk factors<br />were of very little importance. Hence, with regard to receiving social welfare support, family matters.