ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2023
Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An investigation into telemedicine utilization for refugee mental health: a systematic review.Globalization and health · 2025Pooled it
- Article
- Virtual Care Remuneration Policy and Postdischarge Follow-Up Trends.JAMA network open · 2026Article
- A systematic review of global mental health service utilisation in young refugees and asylum seekers.BJPsych open · 2026Review
- Geographic variation and neighbourhood correlates of mental health-related hospitalizations and emergency department visits in children and youth during the COVID-19 pandemic: a population-based study.Frontiers in child and adolescent psychiatry · 2026Article
- Child Health Research Using linked Multi-domain Canadian Administrative Data: A Scoping Review.International journal of population data science · 2026Article
- Child and Adolescent Virtual Mental Health Care and Duration of Treatment: Retrospective Cohort Study.JMIR mental health · 2025Article
- What Is Fair? Defining Fairness in Machine Learning for Health.Statistics in medicine · 2025Review
- COVID-19 in Rural Ontario Communities: Exploring Women's Mental Health During a Pandemic.International journal of environmental research and public health · 2025Article
- Determinants of Patient Use of Telemental Health Services: Representative Cross-Sectional Survey From Germany.JMIR mental health · 2025Article
- Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort study.Archives of disease in childhood · 2024Article
- Artificial intelligence and social accountability in the Canadian health care landscape: A rapid literature review.PLOS digital health · 2024Review
- Article
- New and continuing physician-based outpatient mental health care among children and adolescents during the COVID-19 pandemic in Ontario, Canada: a population-based study.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe sought to evaluate the relationship between social determinants of health and physician-based mental healthcare utilization and virtual care use among children and adolescents in Ontario, Canada, during the COVID-19 pandemic.
methodsThis population-based repeated cross-sectional study of children and adolescents (3-17 years;
resultsOverall, pediatric physician-based mental healthcare visits were 5% lower than expected (rate ratio [RR] = 0.95, 95% confidence interval [CI], 0.92 to 0.98) among those living in the most deprived areas in the first year of the pandemic, compared with the least deprived with 4% higher than expected rates (RR = 1.04, 95% CI, 1.02 to 1.06). There were no differences in overall observed and expected visit rates by region of residence. Immigrants had 14% to 26% higher visit rates compared with expected from July 2020 to February 2021, whereas refugees had similarly observed and expected rates. Virtual care use was approximately 65% among refugees, compared with 70% for all strata.
conclusionDuring the first year of the pandemic, pediatric physician-based mental healthcare utilization was higher among immigrants and lower than expected among those with lower socioeconomic status. Refugees had the lowest use of virtual care. Further work is needed to understand whether these differences reflect issues in access to care or the need to help inform ongoing pandemic recovery planning.
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