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

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

The COVID-19 pandemic has worsened these disparities and led to a shift towards digital health services.

Objective

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

Methods

Data was obtained from the 2021 Adolescent Behaviors and Experiences Survey, a nationally representative sample of 7705 participants.

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

Author's summary: This 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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