ArticleDigital health
'Multi-stressed': A qualitative study exploring the impact of the social determinants of health on access to digital mental health for youth and young adults in Alberta.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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.
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Who cites it
3 citing papers in PubMed.
- Improving Digital Measurement-Based Care Within Emerging Adult Mental Health Care Pathways: Protocol for a Co-Design Phase Embedded in a Multimethod Rapid Learning Health System Study.JMIR research protocols · 2026Article
- Emerging Adults' Experiences of Digital Measurement-Based Care in Routine Mental Health Care: Qualitative Study and Conceptual Synthesis.JMIR formative research · 2026Article
- Understanding Family Functioning as a Protective Factor for Adolescents' Mental Health from the Parental Perspective: Photovoice in Rural Communities of Ecuador.International journal of environmental research and public health · 2025Article
Corrections and comments
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Mental illness among youth (ages 15-24) is a critical and global public health issue. Youth's pathways to accessing mental healthcare are complex, non-linear, and mediated by the social determinants of health - including social, economic, environmental, and systemic factors. Digital mental health is recognised as a potential solution to address inequitable access to mental healthcare among youth. However, concerns have been raised regarding access to digital mental health for youth who are underserved and excluded by current mental healthcare systems. Access to digital mental health is a matter of mental health equity requiring urgent attention. Methods: This study explores mental healthcare providers' perspectives of how the social determinants of health affect access to digital mental health for youth in Alberta, Canada. A qualitative descriptive methodology was utilised to analyse focus group data and identify pertinent themes. Results: Twenty-three focus groups were conducted with 168 participants from schools, specialised mental health services, primary care networks, and community-based mental health service settings. Findings show that youth's access to digital mental health is impacted by three overarching and intersecting themes: (1) social influences, (2) socio-economic circumstances, and (3) community contextual and systemic factors. Conclusions: The three themes indicate that the social determinants of health do not occur in isolation and may combine to produce multiple forms of disadvantage. Practical considerations and recommendations emphasise the need to address the social determinants of health to ensure that all youth benefit equitably from emerging digital solutions.
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