“…While predisposition to underlying health conditions, such as hypertension, diabetes, high blood pressure, and asthma, play a role in COVID-19 racial disparities, a history of exposure to marginalization, discrimination, and racial trauma resulting from a "hierarchy of citizenship" [12], p.2 and subsequent unequal "citizenship in practice" [12], p.5; systemic barriers such as systematic racism within the healthcare system; likelihood of being uninsured; reduced access to affordable medical testing; and denied access to COVID-19 testing, diagnosis, and management also likely contribute to poor COVID-19 health outcomes among African American populations [12][13][14]. Therefore, the disproportionate impact Healthcare 2021, 9, 145 2 of 14 of COVID-19 on African American communities necessitates an increased focus on the intersectional roles of racism, stigma, and other determinants of health in influencing disease and mortality risk.…”