Intersectional Disparities in Digital Health and Mental Health Service Use Among US Youth During the COVID-19 Pandemic: Cross-Sectional Analysis of a National Survey

Intersectional Disparities in Digital Health and Mental Health Service Use Among US Youth

A study examined the prevalence of digital health and digital mental health service use among US adolescents during the COVID-19 pandemic.

Background information highlights that sexual minority youth, particularly those of color, face elevated mental health challenges and barriers to care, which were exacerbated by the pandemic.

Objectives and Methods

The objective of this cross-sectional study was to identify the prevalence of digital health and digital mental health service use among US adolescents and examine heterogeneity by sexual orientation, race, ethnicity, and their intersection.

Methods involved obtaining nationally representative data from the 2021 Adolescent Behaviors and Experiences Survey, which included 7705 participants.

The COVID-19 pandemic catalyzed a shift toward digital health and digital mental health services, making it challenging to understand digital exclusion and the digital divide.

Author's summary: A cross-sectional study analyzed digital health disparities among US youth during the COVID-19 pandemic.

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Journal of Medical Internet Research Journal of Medical Internet Research — 2025-10-27

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