Contribution: Data curation, Formal analysis, ​Investigation, Validation, Visualization, Writing - original draft, Writing - review & editing;2. Department of Anthropology, University of Pennsylvania, Philadelphia, Pennsylvania, USA;3. Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia, USA

Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA

Contribution: Conceptualization, Data curation, ​Investigation, Methodology, Writing - original draft, Writing - review & editing;4. Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia, USA

Contribution: Data curation, ​Investigation, Writing - original draft, Writing - review & editing;5. Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia, USA

Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA

Contribution: ​Investigation, Writing - original draft, Writing - review & editing;6. Gullah/Geechee Nation, St. Helena Island, South Carolina, USA

Contribution: ​Investigation, Writing - original draft, Writing - review & editing;7. Lee H. Moultrie & Associates, North Charleston, South Carolina, USA

Contribution: ​Investigation, Writing - original draft, Writing - review & editing;8. Department of Health Services Research, New York University Winthrop Hospital, Mineola, New York, USA

Contribution: Data curation, ​Investigation, Writing - original draft, Writing - review & editing;9. Department of Biology, East Carolina University, Greenville, North Carolina, USA

Center for Health Disparities, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA

Contribution: ​Investigation, Writing - original draft, Writing - review & editing;10. Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA

Contribution: Funding acquisition, Resources, Writing - original draft, Writing - review & editing;11. Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA

Contribution: ​Investigation, Resources, Writing - original draft, Writing - review & editing;12. College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA

^†This work is dedicated to Ida Spruill and Michèle Sale, deceased.

Contribution: ​Investigation, Resources, Writing - original draft, Writing - review & editing;13. Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA;14. Department of Genetics, Harvard Medical School, Boston, Massachusetts, USA;15. Department of Nutrition Science, University of Alabama at Birmingham, Birmingham, Alabama, USA

Contribution: Conceptualization, Funding acquisition, ​Investigation, Resources, Validation, Writing - original draft, Writing - review & editing;16. Center for Precision Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA

Contribution: Conceptualization, Formal analysis, ​Investigation, Methodology, Validation, Writing - original draft, Writing - review & editing;17. Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia, USA

Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA

^†This work is dedicated to Ida Spruill and Michèle Sale, deceased.

Contribution: Conceptualization, Funding acquisition, ​Investigation, Resources, Supervision, Writing - original draft, Writing - review & editing;18. Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA