The Swedish Twin Registry was first developed in the late 1950s to study the effects of environmental factors, like
alcohol and
tobacco, on
chronic disease risk while controlling for potential
genetic confounding factors. When the registry was first started, researchers contacted every parish in Sweden to obtain records of
multiple births between 1886 and 1925. The researchers then used this information to develop a list of potential twins, whose actual twin status was verified in 1959. In 1960 and 1961, a questionnaire asking about demographic and health-related information was sent to all living same-sex twins that had been identified in Sweden at the time. Additional questionnaires were sent out in 1963 and 1967, and select twin pairs also responded to a further questionnaire in 1970. By 1970, it was estimated that the STR had included 95% of all twins born in Sweden from 1886 to 1925. More recently, the STR has obtained records of twin births in Sweden from the country's
National Board of Health and Welfare. In 2004, the registry began inviting all identified nine-year-old twins in the country to participate in its Child and Adolescent Twin Study in Sweden (CATSS). ==Cohorts==