| Literature DB >> 36085328 |
Guang Guo1,2, Meng-Jung Lin3,4, Kathleen Mullan Harris3,4.
Abstract
This research examines how the human genome and SES jointly and interactively shape verbal ability among youth in the U.S. The youth are aged 12-18 when the study starts. The research draws on findings from the latest GWAS as well as a rich set of longitudinal SES measures at individual, family and neighborhood levels from Add Health (N = 7194). Both SES and genome measures predict verbal ability well separately and jointly. More interestingly, the inclusion of both sets of predictors in the same model corrects for about 20% upward bias in the effect of the education PGS, and implies that about 20-30% of the effects of parental SES are not environmental, but parentally genomic. The three incremental R2s that measure the relative contributions of the two PGSs, the genomic component in parental SES, and the environmental component in parental SES are estimated to be about 1.5%, 1.5%, and 7.8%, respectively. The total environmental R2 and the total genomic R2 are, thus, 7.8% and 3%, respectively. These findings confirm the importance of SES environment and also pose challenges to traditional social-science research. Not only does an individual's genome have an important direct influence on verbal ability, parental genomes also influence verbal ability through parental SES. The decades-long blueprint of including SES in a model and interpreting their effects as those of SES needs to be amended accordingly. A straightforward solution is to routinely collect DNA data for large social-science studies granted that the primary purpose is to understand social and environmental influences.Entities:
Year: 2022 PMID: 36085328 PMCID: PMC9463438 DOI: 10.1038/s41539-022-00137-8
Source DB: PubMed Journal: NPJ Sci Learn ISSN: 2056-7936
Fig. 1Conceptual model of how parental genome, parental SES and offspring genome influence verbal ability.
(An arrowed line indicates a causal effect; a double-arrowed line indicates a correlation. Solid lines represent observed relationships while interrupted lines represent unobserved relationships). a While offspring genome receives 50% of genetic alleles from each parent’s genome randomly (path A), parental SES is subject to the influence of all parental alleles (100% from each parent, (path B). b Offspring genome and parental SES are correlated (path C) due to the shared alleles between offspring genome and the subcomponent of the genomic component in parental SES (path D). c The same set of alleles from offspring and parents act on the subcomponent shared between parents and offspring; the subcomponent not shared with offspring is only acted upon by parental alleles not transmitted to offspring. The two subcomponents are hypothesized to be about the same. d In regression of verbal ability, the effects of offspring genome and parental SES are expected to be reduced because of the correlation. e The size of reduction in the offspring-genome effect may reflect the size of an overestimate in a regression in which parental SES is not included. f The effect of parental SES is reduced because the inclusion of offspring genome removes about one half of the entire genomic component in parental SES. The total size of the genetic component in parental SES is reasoned to be about twice as large as the reduction in the effect of parental SES when offspring genome is included.
Descriptive statistics for the Add-Health data.
| Variables | Whites | Hispanic Whites | Whites and Hispanic Whites |
|---|---|---|---|
| Mean or % (S.D.) | Mean or % (S.D.) | Mean or % (S.D.) | |
| PVT Standardized Score (Verbal Ability) | 104.5 (11.8) | 94.7 (17.3) | 102.7 (13.6) |
| Ability Polygenic Scores (PGS) | |||
| PGS for education | 0.0 (1.0) | 0.0 (1.0) | 0.0 (1.0) |
| PGS for cognitive ability | 0.0 (1.0) | 0.0 (1.0) | 0.0 (1.0) |
| SES context | |||
| Mother’s education | |||
| Less than high school | 11.4 | 36.4 | 16.1 |
| High school/some college | 59.1 | 43.2 | 54.1 |
| ≥College graduation | 26.8 | 12.4 | 25.1 |
| Missing | 2.8 | 8.0 | 3.8 |
| Father’s education | |||
| Less than high school | 11.0 | 37.7 | 16.0 |
| High school/some college | 56.5 | 39.8 | 53.4 |
| ≥College graduation | 26.3 | 12.2 | 23.6 |
| Missing | 6.2 | 10.3 | 7.0 |
| Mother’s occupation | |||
| None and other | 24.3 | 33.8 | 26.1 |
| Manual or blue collar | 15.1 | 25.3 | 17.0 |
| Sales/service/administrative | 26.2 | 19.3 | 24.9 |
| Professional or managerial | 29.2 | 16.6 | 26.8 |
| Missing | 5.2 | 5.1 | 5.2 |
| Father’s occupation | |||
| None and other | 11.8 | 14.6 | 12.3 |
| Manual or blue collar | 36.2 | 42.5 | 37.4 |
| Sales/service/administrative | 6.3 | 3.1 | 5.7 |
| Professional or managerial | 25.7 | 13.3 | 23.4 |
| Missing | 20.1 | 26.4 | 21.3 |
| Household income | |||
| 0–20 percentile | 9.5 | 20.5 | 11.6 |
| 20–40 percentile | 12.4 | 17.6 | 13.4 |
| 40–60 percentile | 18.5 | 15.6 | 17.9 |
| 60–80 percentile | 21.2 | 12.2 | 19.5 |
| 80–100 percentile | 20.9 | 7.5 | 18.4 |
| Missing | 17.6 | 26.6 | 19.3 |
| Family structure | |||
| 2 Biological parents | 53 | 47 | 51 |
| Sibling size | |||
| No sibling | 4.1 | 3.6 | 4.0 |
| 1 to 2 sibling(s) | 55.2 | 41.4 | 52.6 |
| 3 to 5 siblings | 27.0 | 33.7 | 28.2 |
| 6 to 20 siblings | 13.6 | 21.2 | 15.1 |
| Other and missing | 0.1 | 0.2 | 0.1 |
| Neighborhood disadvantages | 0.0 (1.0) | 0.0 (0.9) | 0.0 (1.0) |
| In School | 58 | 54 | 57 |
| Demographics | |||
| Age | 18.9 (3.6) | 19.3 (3.6) | 18.9 (3.6) |
| Gender | |||
| Female | 53 | 49 | 52 |
| Male | 47 | 51 | 48 |
| Race and Ethnicity | |||
| White | – | – | 81.1 |
| Hispanic | – | – | 18.9 |
| Immigration status | |||
| US Born | 71 | 53 | 67 |
| Speaking English at Home | 100 | 55 | 91 |
| Heritability: MZ (73 pairs), DZ (92 pairs) | 0.38 | ||
Multilevel models of Wave-1 and 3 verbal ability showing coefficients (standard errors) of SES context.
| Predictors | Whites | Hispanic Whites | Whites and Hispanic Whites |
|---|---|---|---|
| SES | SES | SES | |
| β (S.E.) | β (S.E.) | β (S.E.) | |
| SES context | |||
| Mother’s education | |||
| Less than high school | – | – | – |
| High school/some college | 3.29 (0.56)*** | 0.49 (1.37) | 2.63 (0.52)*** |
| ≥College graduation | 6.10 (0.69)*** | 4.73 (1.99)* | 5.65 (0.67)*** |
| Missing | −0.53 (1.05) | −1.90 (2.32) | −1.07 (0.96) |
| Father’s education | |||
| Less than high school | – | – | – |
| High school/some college | 1.87 (0.54)*** | 3.39 (1.34)* | 2.09 (0.51)*** |
| ≥College graduation | 2.16 (0.66)** | 0.80 (1.90) | 1.96 (0.64)** |
| Missing | 0.94 (0.94) | 0.51 (2.28) | 0.59 (0.89) |
| Mother’s occupation | |||
| Manual or blue collar | – | – | – |
| None and others | −0.04 (0.39) | 0.67 (0.97) | 0.03 (0.37) |
| Sales/service/administrative | 0.49 (0.39) | 0.01 (1.19) | 0.44 (0.39) |
| Professional or managerial | 0.35 (0.41) | 0.77 (1.28) | 0.42 (0.41) |
| Missing | −0.37 (0.82) | 0.07 (2.05) | −0.16 (0.78) |
| Father’s occupation | |||
| Manual or blue collar | – | – | – |
| None and others | −0.06 (0.40) | −0.31 (1.08) | −0.14 (0.39) |
| Sales/service/administrative | 1.27 (0.52)* | 2.73 (2.02) | 1.51 (0.54)** |
| Professional or managerial | 2.40 (0.34)*** | 2.57 (1.21)* | 2.50 (0.34)*** |
| Missing | 0.62 (0.40) | 0.54 (1.07) | 0.45 (0.39) |
| Household Income W1 | |||
| 0–20 percentile | – | – | – |
| 20–40 percentile | 1.16 (0.59)* | 3.91 (1.33)** | 1.91 (0.54)*** |
| 40–0 percentile | 2.24 (0.56)*** | 5.83 (1.40)*** | 2.91 (0.53)*** |
| 60–80 percentile | 2.90 (0.56)*** | 4.70 (1.62)** | 3.31 (0.54)*** |
| 80–100 percentile | 3.46 (0.59)*** | 6.69 (1.91)*** | 3.88 (0.57)*** |
| Missing | 1.15 (0.56)* | −0.30 (1.20) | 0.84+ (0.51) |
| 2 biological parents W1 | 0.09 (0.34) | −1.17 (0.95) | −0.17 (0.33) |
| Sibship size | |||
| No sibling | – | – | – |
| 1 to 2 siblings | −2.22 (0.68)** | −1.81 (2.14) | −2.14 (0.68)** |
| 3 to 5 siblings | −2.57 (0.71)*** | −4.12 (2.16)+ | −2.84 (0.70)*** |
| 6 to 20 siblings | −3.04 (0.76)*** | −5.37 (2.24)* | −3.62 (0.74)*** |
| Other and Missing | 1.14 (4.20) | 0.03 (10.03) | 0.71 (3.95) |
| Neighborhood Disadvantages | −0.41 (0.10)*** | −1.0 (0.32)5*** | −0.60 (0.10)*** |
| In School | 1.54 (0.31)*** | 0.97 (1.03) | 1.47 (0.32)*** |
| Demographics | |||
| Age | 0.34 (0.04)*** | 0.63 (0.15)*** | 0.40 (0.04)*** |
| Female | −1.20 (0.26)*** | −0.70 (0.76) | −1.10 (0.26)*** |
| Immigration status | |||
| US Born | 1.65 (0.29)*** | 3.58 (0.79)*** | 2.00 (0.28)*** |
| Speaking English Home | 6.35 (2.05)** | 3.63 (0.91)*** | 4.60* (0.61)** |
| Race and Ethnicity | |||
| White | – | – | – |
| Hispanic | – | – | −4.41 (0.43)*** |
| Constant | 84.34 (2.42)*** | 76.47 (4.12)*** | 84.98 (1.43)*** |
| Random effects | |||
| | 1.78 (0.05)*** | 2.40 (0.04)*** | 1.94 (0.04)*** |
| | 1.74 (0.05)*** | −7.09 (0.65)*** | 1.69 (0.06)*** |
| | 2.00 (0.01)*** | 2.46 (0.02)*** | 2.13 (0.01)*** |
| Model-level parameters | |||
| (−2) Log-Likelihood | 77,794 | 20,004 | 98,618 |
| Person-observations | 10,401 | 2421 | 12,822 |
| Number of Families | 5208 | 1276 | 6466 |
| Number of Persons | 5820 | 1374 | 7194 |
| OLS | 0.127 | 0.140 | 0.199 |
***p < 0.001; **p < 0.01; *p < 0.05; +p < 0.1.
Multilevel models of Wave-1 and 3 verbal ability showing coefficients (standard errors) of ability-related PGSs.
| Predictors | Whites | Hispanic Whites | Whites and Hispanic Whites |
|---|---|---|---|
| PGS | PGS | PGS | |
| β (S.E.) | β (S.E.) | β (S.E.) | |
| Ability PGSs | |||
| PGS for education | 2.32 (0.14)*** | 1.91 (0.44)*** | 2.27 (0.15)*** |
| PGS for IQ | 0.31 (0.14)* | 0.89 (0.43)* | 0.44 (0.14)** |
| Population admixture | Omitted# | Omitted# | Omitted# |
| Constant | 102.8 (0.74)*** | 100.6 (1.06)*** | 100.7 (0.43)*** |
| Random effects | Omitted# | Omitted# | Omitted# |
| Model-level parameters | Some omitted# | Some omitted# | Some omitted# |
| Number of persons | 5820 | 1374 | 7194 |
| (−2)Log-Likelihood | 78,396 | 20,170 | 99,396 |
| OLS | 0.042 | 0.080 | 0.126 |
#“Omitted” indicates that the parameters are very similar to those in previous models and omitted to avoid redundancy.
***p < 0.001; **p < 0.01; *p < 0.05; +p < 0.1.
Multilevel models of Wave-1 and 3 verbal ability showing coefficients (standard errors) of SES context and ability-related PGSs.
| Predictors | Whites | Hispanic Whites | Whites and Hispanic Whites |
|---|---|---|---|
| SES + PGS | SES + PGS | SES + PGS | |
| β (S.E.) | β (S.E.) | β (S.E.) | |
| Ability PGSs | |||
| PGS for education | 1.72 (0.14)*** | 1.62 (0.42)*** | 1.73 (0.14)*** |
| PGS for IQ | 0.25 (0.13)+ | 1.00 (0.41)* | 0.41 (0.13)** |
| SES context | |||
| Mother’s Education | |||
| Less than high school | – | – | – |
| High school/some college | 2.96 (0.55)*** | −0.22 (1.36) | 2.21 (0.52)*** |
| ≥College graduation | 5.56 (0.68)*** | 3.45 (1.96)+ | 4.98 (0.66)*** |
| Missing | −0.61 (1.04) | −2.22 (2.28) | −1.18 (0.94) |
| Father’s Education | |||
| Less than high school | – | – | – |
| High school/some college | 1.87 (0.53)*** | 3.25 (1.32)* | 2.00 (0.50)*** |
| ≥College graduation | 2.04 (0.65)** | 0.81 (1.88) | 1.81 (0.63)** |
| Missing | 0.77 (0.93) | 0.45 (2.25) | 0.43 (0.88) |
| Mother’s occupation | |||
| Manual or blue collar | – | – | – |
| None and others | −0.12 (0.39) | 0.40 (0.95) | −0.06 (0.37) |
| Sales/service/administrative | 0.43 (0.39) | −0.34 (1.18) | 0.27 (0.38) |
| Professional or managerial | 0.31 (0.41) | 0.60 (1.27) | 0.32 (0.40) |
| Missing | −0.37 (0.81) | −0.07 (2.02) | −0.25 (0.77) |
| Father’s occupation | |||
| Manual or blue collar | – | – | – |
| None and others | 0.00 (0.40) | −0.57 (1.07) | −0.17 (0.38) |
| Sales/service/administrative | 1.19 (0.52)* | 1.86 (2.00) | 1.33 (0.53)* |
| Professional or managerial | 2.22 (0.33)*** | 1.97 (1.19)+ | 2.27 (0.34)*** |
| Missing | 0.54 (0.40) | 0.09 (1.05) | 0.30 (0.38) |
| Household Income Wave 1 | |||
| 0–20 percentile | – | – | – |
| 20–40 percentile | 0.86 (0.58) | 3.94 (1.30)** | 1.79 (0.53)*** |
| 40–60 percentile | 1.87 (0.55)*** | 5.73 (1.38)*** | 2.70 (0.52)*** |
| 60–80 percentile | 2.45 (0.56)*** | 4.35 (1.58)** | 3.02 (0.53)*** |
| 80–100 percentile | 2.84 (0.58)*** | 6.13 (1.87)** | 3.45 (0.56)*** |
| Missing | 0.79 (0.55) | 0.10 (1.18) | 0.77 (0.50) |
| 2 Biological Parents Wave 1 | 0.03 (0.33) | −1.09 (0.93) | −0.20 (0.32) |
| Sibship size | |||
| No sibling | – | – | – |
| 1 to 2 siblings | −2.24 (0.67)*** | −1.21 (2.10) | −2.06 (0.67)** |
| 3 to 5 siblings | −2.64 (0.70)*** | −3.03 (2.13) | −2.70 (0.69)*** |
| 6 to 20 siblings | −2.99 (0.75)*** | −3.81 (2.21)+ | −3.25 (0.73)*** |
| Other and missing | 0.86 (4.14) | −2.44 (9.81) | −0.29 (3.88) |
| Neighborhood disadvantages | −0.40 (0.10)*** | −1.01 (0.32)** | −0.59 (0.10)*** |
| In School | 1.42 (0.31)*** | 0.74 (1.02) | 1.34 (0.31)*** |
| Demographics | |||
| Age | 0.32 (0.04)*** | 0.59 (0.14)*** | 0.38 (0.04)*** |
| Female | −1.16 (0.26)*** | −0.92 (0.75) | −1.07 (0.25)*** |
| Immigration status | |||
| US born | 1.61 (0.28)*** | 3.30 (0.78)*** | 1.90 (0.28)*** |
| Speaking English Home | 6.80 (2.06)*** | 3.17 (0.93)*** | 4.13 (0.61)*** |
| Race and Ethnicity | |||
| White | – | – | – |
| Hispanic | – | – | −1.04 (0.64) |
| Population admixture | Omitted# | Omitted# | Omitted# |
| Constant | 82.6 (2.48)*** | 80.1 (4.23)*** | 84.1 (1.46)*** |
| Random effects | Omitted# | Omitted# | Omitted# |
| Model-level parameters | Some omitted# | Some omitted# | Some omitted# |
| Number of persons | 5820 | 1374 | 7194 |
| (−2)Log-Likelihood | 77,606 | 19,946 | 98,372 |
| OLS | 0.147 | 0.166 | 0.219 |
| 0.128 | 0.154 | 0.204 | |
| 0.019 | 0.012 | 0.015 | |
#“Omitted” indicates that the parameters are very similar to those in previous models and omitted to avoid redundancy.
***p < 0.001; **p < 0.01; *p < 0.05,+p < 0.1.
Multilevel models of Wave-3 verbal ability showing coefficients (standard errors) of SES context and ability-related PGSs conditional on Wave-1 verbal ability.
| Predictors | Whites | Hispanic Whites | Whites and Hispanic Whites |
|---|---|---|---|
| SES + PGS | SES + PGS | SES + PGS | |
| β (S.E.) | β (S.E.) | β (S.E.) | |
| Verbal Ability at Wave 1 | 0.49 (0.01)*** | 0.48 (0.03)*** | 0.49 (0.01)*** |
| Ability PGSs | |||
| PGS for education | 0.38 (0.14)** | 1.00 (0.50)* | 0.51 (0.15)*** |
| PGS for IQ | −0.02 (0.13) | 0.78 (0.50) | 0.13 (0.14) |
| SES context | |||
| Years of Education by Wave 3 | 0.74 (0.08)*** | 0.90 (0.26)*** | 0.78 (0.08)*** |
| Mother’s Education | |||
| Less than High School | – | – | – |
| High school/some college | 1.08 (0.61)+ | 0.87 (1.83) | 1.14 (0.61)+ |
| ≥College graduation | 1.64 (0.77)* | 2.81 (2.67) | 1.77 (0.79)* |
| Missing | 0.42 (1.13) | −4.62 (3.05) | −0.79 (1.10) |
| Father’s Education | |||
| Less than High School | – | – | – |
| High school/some college | 0.09 (0.61) | 0.95 (1.82) | 0.33 (0.61) |
| ≥College graduation | 0.02 (0.76) | 0.59 (2.60) | 0.27 (0.78) |
| Missing | 0.08 (1.08) | 5.53 (3.11)+ | 1.17 (1.08) |
| Mother’s Occupation Wave 1 | |||
| Manual or blue collar | – | – | – |
| None and others | −0.22 (0.43) | 0.98 (1.22) | −0.55 (0.93) |
| Sales/service/administrative | −0.11 (0.45) | 1.68 (1.54) | 0.11 (0.43) |
| Professional or managerial | −0.30 (0.47) | 2.46 (1.68) | 0.29 (0.46) |
| Missing | −0.05 (0.93) | −2.92 (2.73) | 0.17 (0.49) |
| Father’s Occupation Wave 1 | |||
| Manual or blue collar | – | – | – |
| None and others | 0.21 (0.41) | 0.59 (1.32) | −0.27 (0.45) |
| Sales/service/administrative | −1.07 (0.58)+ | 3.18 (2.80) | 0.35 (0.42) |
| Professional or managerial | 0.31 (0.37) | 0.08 (1.57) | −0.69 (0.63) |
| Missing | −0.35 (0.43) | 0.52 (1.37) | 0.30 (0.40) |
| Household Income at Wave 1 | |||
| 0–20 percentile | – | – | – |
| 20–40 percentile | −0.24 (0.57) | 1.34 (1.56) | 0.20 (0.56) |
| 40–60 percentile | −0.53 (0.54) | 2.04 (1.68) | 0.02 (0.55) |
| 60–80 percentile | 0.09 (0.55) | −2.15 (1.91) | −0.03 (0.57) |
| 80–100 percentile | 0.10 (0.59) | 3.42 (2.28) | 0.46 (0.60) |
| Missing | −0.65 (0.55) | −0.53 (1.46) | −0.64 (0.54) |
| 2 Biological Parents at Wave 1 | −0.61 (0.34)+ | −0.94 (1.15) | −0.81 (0.35)* |
| Sibling size | |||
| No sibling | – | – | – |
| 1 to 2 siblings | 0.55 (0.65) | −0.78 (2.41) | 0.23 (0.69) |
| 3 to 5 siblings | 0.32 (0.68) | −1.42 (2.44) | −0.08 (0.71) |
| 6 to 20 siblings | −0.08 (0.73) | −3.60 (2.56) | −1.02 (0.76) |
| Other and Missing | 3.79 (4.38) | −4.84 (10.66) | 2.40 (4.17) |
| Neighborhood disadvantages W1 | −0.60 (0.15)*** | 0.09 (0.53) | −0.44 (0.16)** |
| Neighborhood disadvantages W3 | −0.02 (0.13) | −0.49 (0.52) | −0.08 (0.14) |
| Demographics | |||
| Age (Wave 3) | 0.43 (0.08)*** | −0.25 (0.27) | 0.30 (0.08)*** |
| Female | −0.44 (0.26)+ | 0.09 (0.92) | −0.34 (0.27) |
| Immigration status | |||
| US born | 0.70 (0.29)* | −0.27 (0.98) | 0.43 (0.30) |
| Speaking English Home | 0.51 (2.05) | −1.03 (1.14) | −0.55 (0.66) |
| Race and Ethnicity | |||
| White | – | – | – |
| Hispanic | – | – | −0.87 (0.68) |
| Population admixture | Omitted# | Omitted# | Omitted# |
| Constant | 32.4 (3.03)*** | 46.0 (7.57)*** | 35.9 (2.39)*** |
| Random effects | Omitted# | Omitted# | Omitted# |
| Model-level parameters | Some omitted# | Some omitted# | Some omitted# |
| −2 Log-Likelihood | 32,737 | 8550 | 41,922 |
| Number of Persons | 4579 | 1047 | 5626 |
| OLS | 0.405 | 0.296 | 0.407 |
#“Omitted” indicates that the parameters are very similar to those in previous models and omitted to avoid redundancy.
***p < 0.001; **p < 0.01; *p < 0.05; +p < 0.1.
Multilevel models of Wave-1 and 3 verbal ability showing G×E-interaction coefficients (standard errors) between an SES principal component and the two ability-related PGSs.
| Predictors | Main-effect Model | G×E-Interaction Model |
|---|---|---|
| Whites and Hispanic Whites | Whites and Hispanic Whites | |
| SES | SES | |
| β (S.E.) | β (S.E.) | |
| Ability PGSs | ||
| PGS for education | 1.88 (0.16)*** | 1.88 (0.16)*** |
| PGS for IQ | 0.32 (0.16)* | 0.32 (0.16)* |
| SES PC | 3.08 (0.16)*** | 3.08 (0.16)*** |
| PGS × SES | ||
| PGS for Education*SES PC | – | 0.36 (0.15)* |
| PGS for IQ*SES PC | – | −0.21 (0.15) |
| Demographics | ||
| Age | 0.21 (0.03)*** | 0.21 (0.03)*** |
| Female | −1.18 (0.30)*** | −1.19 (0.30)*** |
| Immigration status | ||
| US Born | 1.80 (0.33)*** | 1.83 (0.33)*** |
| Speaking English Home | 5.04 (0.78)*** | 5.08 (0.78)*** |
| Race and Ethnicity | ||
| White | – | |
| Hispanic | −1.43 (0.78)+ | −1.41 (0.78)+ |
| Population admixture | Omitted# | Omitted# |
| Constant | 94.4 (1.07)*** | 94.2 (1.08)*** |
| Random effects | Omitted# | Omitted# |
| Model-level parameters | Some omitted# | Some omitted# |
| −2LogLikelihood | 67,064 | 67,058 |
| Number of Persons | 4566 | 4566 |
| OLS | 0.19 | 0.19 |
#“Omitted” indicates that the parameters are very similar to those in previous models and omitted to avoid redundancy.
***p < 0.001; **p < 0.01; *p < 0.05; +p < 0.1.