The Role of Trusted Adults in Shaping Adolescent Health Information Access and Mental Wellbeing in Urban India

Background: Adolescents in urban India face significant challenges in accessing healthcare and reliable health information, particularly during crises such as the COVID-19 pandemic. However, the role of trusted adults in shaping adolescent health remains underexplored. Objectives: This study examined healthcare access, health information exposure, and the influence of trusted adults among urban Indian adolescents during the COVID-19 pandemic. Methods: A cross-sectional online survey was conducted with 790 adolescents aged 10–19 years across urban India during the second wave of COVID-19 (May– October 2021). The survey assessed mental health, healthcare access, sources of health information, and the presence of trusted adults. Multivariable logistic regression models were used to examine associations between trusted adults and key health (and related) outcomes, adjusting for age, gender, and type of school. Results: Most adolescents (85.3%) reported having a trusted adult. Adolescents with a trusted adult had significantly higher odds of accessing a healthcare provider (AOR = 1.98, p = 0.001) and receiving information on mental health (AOR = 2.38, p < 0.001), nutrition (AOR = 1.79, p = 0.005), and COVID-19 (AOR = 1.91, p = 0.003). The presence of a trusted adult was strongly associated with lower psychological distress during (AOR = 0.40, p < 0 . 001) and before (AOR = 0.43, p < 0 . 001) the pandemic. No significant association was found with telehealth use or access to sensitive health information such as sexual and reproductive health. Conclusions: Trusted adults play a critical protective role in adolescent health by improving healthcare access and supporting mental wellbeing. Integrating trusted adult frameworks into adolescent health programs may help strengthen supportive environments across homes, schools, and communities.