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 During the COVID-19 Pandemic

A cross-sectional analysis of a national survey examined the prevalence of digital health and digital mental health service use among US adolescents during the COVID-19 pandemic.

Background

Sexual minority youth, particularly sexual minority youth of color, face elevated mental health challenges and persistent barriers to care, which were exacerbated by the COVID-19 pandemic.

Objective

This study aimed to identify the prevalence of digital health and digital mental health service use among US adolescents during the COVID-19 pandemic, examining heterogeneity by sexual orientation, race and ethnicity, and their intersection.

Methods

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

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: COVID-19 pandemic worsened mental health disparities among US youth.

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

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