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

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

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

Background and Objective

The COVID-19 pandemic accelerated the shift to digital health services, making it difficult to understand digital exclusion and the digital divide.

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

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.

Author's summary: Study examines digital health disparities among US youth during the pandemic.

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

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