Along with demographic factors, social structural factors such as community socioeconomic status can create barriers and influence the likelihood of individuals accessing mental health services. Community socioeconomic status is a key factor because the variable can impact opportunities and resources in a community for accessing mental health services. Overall, lower community socioeconomic status has been associated with decreased rates of utilizing mental health services (Anakwenze & Zuberi 2013; Cook et al. 2013; Cummings 2014). Research has demonstrated that adolescents who live in counties with less affluence as measured by family income level, the rate of people with a college education in the county, and the proportion of individuals
