ArticleFrontiers in health services2026
Identifying predictors of use of mental health services and supports during the COVID-19 pandemic: an analysis of the CHILD COVID-19 Add-on Study.
Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: The aim of this work was to explore the rate of and factors associated with the use of mental health services and supports (MHSS) in a Canadian cohort of children and adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Study design: We analyzed data from 1,554 parent-child dyads participating in the CHILD COVID-19 Add-on Study, surveyed between January 2021 and March 2022. Results: The overall rate of self-reported access to MHSS over 15 months was 17% among 1,100 participants. Bivariate analyses identified multiple predictors associated with MHSS use. After adjustments in the logistic regression models, the following factors were significantly associated with MHSS use: accessing COVID-19-related income support [adjusted odds ratio (aOR), 0.56; 95% confidence interval (CI), 0.35-0.89]; missed school (aOR, 1.74; 95% CI 1.16-2.61); being slightly worried (aOR, 1.86; 95% CI 1.15-3.00) or very/extremely worried (aOR, 5.25; 95% CI 2.38-11.56) in the past 2 weeks compared with not worried; and having a chronic health condition (aOR, 2.78; 95% CI, 1.85-4.19). In contrast, having a mental health rating of very good (aOR, 0.45; 95% CI, 0.28-0.73; Conclusions: Mental health service use was notable during COVID-19, particularly among children with chronic health conditions. Further research on the use of MHSS is needed to provide effective mental healthcare for children.
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