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 cross-sectional analysis of a national survey reveals the impact of the COVID-19 pandemic on digital health and mental health service use among US adolescents.

Background

Sexual minority youth, particularly those of color, face elevated mental health challenges and barriers to care, which were exacerbated by the pandemic.

The COVID-19 pandemic catalyzed a shift toward digital health and digital mental health services.

Objective

This study aimed to identify the prevalence of digital health and digital mental health service use among US adolescents during the pandemic, examining disparities by sexual orientation, race, ethnicity, and their intersection.

Methods

Nationally representative data were obtained from the 2021 Adolescent Behaviors and Experiences Survey (N=7705).

Author's summary: COVID-19 pandemic affects US youth's digital health service use.

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

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