COVID-19 was recognized as a pandemic in the United States in March 2020. Since the emergence, research has explored conditions associated with the illness; however, racial disparities remain underexplored. The purpose of this paper is to explore disparities in conditions associated with an increased severity risk of COVID-19 including race, personal factors, healthcare accessibility, and affordability. Using data from the 2018 National Health Interview Survey (NHIS), univariate and multivariate analysis were performed. More Non-Hispanic (NH) Blacks (61.1%) and NH Whites (61.2%) had conditions associated with increased severity risk of COVID-19 compared to Hispanics (47.1%) (p < .001). Racial differences revealed a higher proportion of NH Blacks with increased severity risk of COVID-19 were female (p < .001), not married (p < .001), not employed for wages (p < .001), had accessibility issues with transportation (p < .001), and had affordability issues with paying for medicine (p < .001). A higher proportion of Hispanic persons had a health place change (p = .020), had accessibility issues (e.g. telephone (p < .001), longer wait times (p < .001), closed facility (p = .038)) and had affordability issue with worrying about pay (p < .001). Significant predictors that were positively associated with increased severity risk of COVID-19 for all racial/ethnic groups were being NH Black, older age, having appointment issues, and affordability issues with medicine. Differences in magnitude across racial group dynamics were observed. Racial disparities exist in conditions associated with increased severity risk of COVID-19. As future policies and interventions are developed, it is important to consider differentials across racial group dynamics.

COVID-19 于 2020 年 3 月在美国被确认为大流行病。自出现以来，研究探索了与该疾病相关的条件；然而，种族差异仍未得到充分探索。本文的目的是探讨与 COVID-19 严重风险增加相关的条件差异，包括种族、个人因素、医疗保健可及性和负担能力。使用来自 2018 年全国健康访谈调查 (NHIS) 的数据，进行了单变量和多变量分析。与西班牙裔 (47.1%) 相比，更多非西班牙裔 (NH) 黑人 (61.1%) 和 NH 白人 (61.2%) 患有与 COVID-19 严重风险增加相关的疾病 ( p  < .001)。种族差异表明，在 COVID-19 严重风险增加的 NH 黑人中，女性比例较高（p  < .001)、未婚 ( p  < .001)、没有受雇于工资 ( p  < .001)、交通不便 ( p  < .001) 和医药费支付能力问题( p < .001)  。 001)。更高比例的西班牙裔人有卫生场所变化（p  = .020），有无障碍问题（例如电话（p  < .001），更长的等待时间（p  < .001），封闭设施（p  = .038））并且担心工资的负担能力问题（p < .001)。对于所有种族/族裔群体，与 COVID-19 严重风险增加呈正相关的重要预测因素是 NH Black、年龄较大、有预约问题和药物可负担性问题。观察到跨种族群体动态的幅度差异。种族差异存在于与 COVID-19 严重风险增加相关的条件下。随着未来政策和干预措施的制定，重要的是要考虑跨种族群体动态的差异。