ArticleJournal of medical Internet research2022
Determinants of e-Mental Health Use During COVID-19: Cross-sectional Canadian Study.
Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Service User Experiences and Perceptions of Virtual Mental Health and Substance Use Care in Canada: A Survey of the Wellness Together Canada Portal.Mayo Clinic proceedings. Digital health · 2026Article
- Digital Divide in Awareness, Want, and Adoption Across Diverse eHealth Services: Cross-Sectional Survey of Inpatients in Jinan, China.Journal of medical Internet research · 2025Article
- A Statistical Framework for Person-centered Analysis of Digital Service Use in Public Health and Social Care.Methods of information in medicine · 2025Article
- Determinants of Patient Use of Telemental Health Services: Representative Cross-Sectional Survey From Germany.JMIR mental health · 2025Article
- Professional mental health aid for children, adolescents, and young adults during COVID-19 in Flanders, Belgium.Frontiers in public health · 2025Article
- Article
- Service quality optimization of online mental health communities: A KANO-IPA model approach.Digital healthArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to mental health treatment across Canada remains a challenge, with many reporting unmet care needs. National and provincial e-Mental health (eMH) programs have been developed over the past decade across Canada, with many more emerging during COVID-19 in an attempt to reduce barriers related to geography, isolation, transportation, physical disability, and availability.
objectiveThe aim of this study was to identify factors associated with the utilization of eMH services across Canada during the COVID-19 pandemic using Andersen and Newman's framework of health service utilization.
methodsThis study used data gathered from the 2021 Canadian Digital Health Survey, a cross-sectional, web-based survey of 12,052 Canadians aged 16 years and older with internet access. Bivariate associations between the use of eMH services and health service utilization factors (predisposing, enabling, illness level) of survey respondents were assessed using χ
resultsThe proportion of eMH service users among survey respondents was small (883/12,052, 7.33%). Results from the logistic regression suggest that users of eMH services were likely to be those with regular family physician access (odds ratio [OR] 1.57, P=.02), living in nonrural communities (OR 1.08, P<.001), having undergraduate (OR 1.40, P=.001) or postgraduate (OR 1.48, P=.003) education, and being eHealth literate (OR 1.05, P<.001). Those with lower eMH usage were less likely to speak English at home (OR 0.06, P<.001).
conclusionsOur study provides empirical evidence on the impact of individual health utilization factors on the use of eMH among Canadians during the COVID-19 pandemic. Given the opportunities and promise of eMH services in increasing access to care, future digital interventions should both tailor themselves toward users of these services and consider awareness campaigns to reach nonusers. Future research should also focus on understanding the reasons behind the use and nonuse of eMH services.
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