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By Grok and ChatGPT under the supervision of Dr. Williams
Introduction
The term “Black” in public health scholarship is routinely used as a categorical umbrella that conceals the cultural, historical, and ancestral distinctions among people of African descent. While politically expedient, this flattening of identity undermines analytical precision, community accountability, and ethical rigor. Grounded in the Critical Race Framework (CRF) and Public Health Liberation (PHL)—which prioritize lived experience, cultural rootedness, and structural specificity—this study asks: Who are the “Black” scholars shaping the direction of public health discourse in the United States?
More specifically, we interrogate the degree to which American Descendants of Slavery (ADOS)—a group shaped by centuries of government-sanctioned dispossession, surveillance, and structural exclusion—are substantively represented among the field’s most influential researchers. Given that ADOS communities face unique, intergenerational health burdens, any meaningful attempt to redress these disparities must include the epistemologies, leadership, and lived experiences of this population.
Methods
We identified the 20 most prominent Black public health researchers in the United States as of 2025 using publicly available indicators of influence: national recognition, scholarly output, institutional leadership, and policy impact. Using verified sources (e.g., institutional biographies, academic profiles, published interviews), we examined each scholar’s nativity (place of birth), cultural background (e.g., ADOS, Afro-Caribbean, African immigrant), and parental origin.
Scholars were classified into typological categories based on shared cultural or ancestral identities. Typologies were not inferred from phenotype or names but grounded in verified information. Ambiguous or unverifiable cases were classified as “unspecified” to preserve methodological integrity.
Although ADOS scholars make up a majority (60%), the remaining 40% reflect other Black diasporic identities. The routine aggregation of all these scholars under the singular label “Black” obscures this diversity and raises important questions about who is actually positioned to define and address the health crises facing ADOS communities.
Discussion
These findings surface a critical tension in contemporary public health: the overextension of the term “Black” as a monolith. While intended to denote racial solidarity, the term often functions to obscure significant cultural and historical differences—especially those rooted in structural violence. ADOS communities, in particular, face health challenges that are deeply intertwined with the legacy of U.S. slavery, Jim Crow segregation, and modern mass incarceration. Their experience cannot be understood—or addressed—through a generic racial lens.
CRF insists that phenotypic proximity does not equal epistemic authority. A U.S.-based scholar of African or Caribbean immigrant descent may share the burden of anti-Black racism but not the deep intergenerational trauma, dispossession, or cultural embeddedness that define the ADOS experience. The result is a misalignment between those most impacted by systemic public health neglect and those most empowered to shape its academic and policy agenda.
Moreover, elite academic institutions may inadvertently conflate all racially Black scholars as interchangeable. This symbolic politics of diversity—where skin color substitutes for lived history—risks marginalizing ADOS voices even within “Black representation.” This flattening is not neutral; it reflects institutional complicity in suppressing community-specific knowledge production. As PHL warns, research without representational accountability easily becomes extractive, even when cloaked in the language of equity.
Conclusion
This study underscores the urgent need to disaggregate “Black” identity in public health scholarship and leadership. ADOS communities—uniquely shaped by the legacy of U.S. slavery—require representation that is not merely symbolic but substantively rooted in lived experience, cultural accountability, and ancestral ties. To move from rhetoric to repair, and from inclusion to liberation, public health must reckon with who is allowed to lead, speak, and represent under the banner of “Black.”