Geography, The University of Utah, 260 S Central Campus Dr, Rm 4625, Salt Lake City, UT, 84112, USA.
Psychiatry, The University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA; Internal Medicine, The University of Utah, 30 North Mario Capecchi Dr, 3rd floor North, Salt Lake City, UT, 84112, USA; Philosophy, The University of Utah, Carolyn Tanner Irish Humanities Bldg 215 S Central Campus Dr., 4TH Floor, Salt Lake City, UT, 84112, USA.
Soc Sci Med. 2024 Nov;361:117369. doi: 10.1016/j.socscimed.2024.117369. Epub 2024 Sep 26.
Due to rapidly increasing youth suicides in the U.S state of Utah, the legislature funded creation of a 24/7 texting-based smartphone app in Spanish and English targeting Utah's school aged population. Recent research elsewhere (in the Netherlands) suggests cost inhibits help seeking among the economically disadvantaged. We evaluate the relationship between poverty and app usage during the onset of the COVID-19.
Local demographics, social determinants of health and COVID-19 infection rates were modeled using a Bayesian spatio-temporal approach examining usage rates.
When controlling for generally researched suicide crisis covariates, app usage is shown to vary depending on economic status of the population, with the largest relative increases in use among disadvantaged youth.
This bilingual Spanish/English, texting (SMS) based, smart phone app crisis hotline proved effective at providing adolescents from certain populations access to mental health care. The groups discussed are in Census Block Groups (CBGs - neighborhoods) with higher poverty, and/or lower population density (rural areas). The usage of the crisis hotline by these populations increased relative to the overall population as the COVID-19 pandemic unfolded. However, adolescents from areas of higher mobility (our proxy for housing insecure) and those in areas with larger non-White populations had a relative decrease in usage.
由于美国犹他州青年自杀率迅速上升，立法机构为该州学龄人口资助创建了一个西班牙语和英语的 24/7 短信智能手机应用程序。最近其他地方（荷兰）的研究表明，经济贫困会阻碍经济弱势群体寻求帮助。我们评估了在 COVID-19 爆发期间贫困与应用程序使用之间的关系。
使用贝叶斯时空方法对当地人口统计学、健康的社会决定因素和 COVID-19 感染率进行建模，以检查使用频率。
在控制一般研究自杀危机的协变量的情况下，研究表明，应用程序的使用情况因人口的经济状况而异，贫困青年的使用相对增加幅度最大。
这种双语西班牙语/英语、基于短信（SMS）的智能手机应用程序危机热线被证明可以有效地为某些人群的青少年提供获得心理健康护理的机会。讨论的群体是贫困程度较高和/或人口密度较低（农村地区）的人口普查街区组（CBG-社区）。随着 COVID-19 大流行的展开，这些人群对危机热线的使用相对于总人口有所增加。然而，来自流动性较高地区（我们住房不稳定的代理）和非白人人口较多地区的青少年使用相对减少。
