*Article* **Race, Ethnicity, Nativity and Perceptions of Health Risk during the COVID-19 Pandemic in the US**

**Thomas Jamieson 1,\* , Dakota Caldwell <sup>1</sup> , Barbara Gomez-Aguinaga <sup>1</sup> and Cristián Doña-Reveco <sup>2</sup>**


**\*** Correspondence: tjamieson@unomaha.edu

**Abstract:** Previous research demonstrates that pandemics, including COVID-19, have disproportionate effects on communities of color, further exacerbating existing healthcare inequities. While increasing evidence points to the greater threat posed by COVID-19 to Latinx communities, less remains known about how identification as Latinx and migration status influence their perception of risk and harm. In this article, we use cross-sectional data from a large national probability sample to demonstrate a large positive association between ethnic identity and migration status and perceptions of harm from COVID-19 in the US. We find that individuals identifying as Hispanic/Latinx and first-generation immigrants report significantly greater risks of becoming infected by COVID-19 in the next three months, and dying from the virus if they do contract it. Further, subgroup analysis reveals that health risks are especially felt by individuals of Mexican descent, who represent the largest share of US Latinxs. Collectively, our results provide evidence about how the pandemic places increased stress on people from Latinx and immigrant communities relative to White non-Hispanic individuals in the US.

**Keywords:** race; ethnicity; immigration; health risk; COVID-19; survey research
