Multiple marginalized identities: Multilevel analysis of COVID-19 impacts on youth mental and behavioral health

CONCLUSIONS: Intersectional analysis revealed both shared and region-specific disparities. WNC showed higher top-risk prevalence for depression, anxiety, and self-harm, while statewide strata showed higher ADHD risk. Findings support regionally tailored prevention strategies, including rural workforce expansion, culturally responsive care, and standardized diagnostic practices.

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