# Digital Health Literacy Among Immigrants in Spain: Implications for Health Equity and Policies

**Authors:** Inés Rey Hidalgo, Ana Fernández-Feito, Sarah Wamala Andersson, Cristina Fernández García, Beatrice Avagnina, Marta María Pisano-Gónzalez

PMC · DOI: 10.3389/ijph.2025.1608436 · International Journal of Public Health · 2025-10-24

## TL;DR

This study explores how immigrants in Spain use digital health tools, highlighting barriers like language and education, and suggests policy changes to improve health equity.

## Contribution

The study offers new insights into digital health literacy among immigrants and proposes tailored policies to address health inequalities.

## Key findings

- Immigrants see digital health literacy as empowering but face socio-economic and cultural barriers.
- Participants highlighted the need for better health platforms with improved access, content, and security.
- Involvement of healthcare providers and stakeholders is advocated to adapt services for immigrant communities.

## Abstract

The objective of this study was to qualitatively explore the experiences of immigrants in Spain using the internet for health-related purposes, while identifying the barriers, needs, and opportunities within the context of digital health literacy.

24 individuals with immigrant backgrounds in Spain participated in semi-structured interviews guided by a participatory framework. Data were analysed using qualitative content analysis.

Immigrants perceive digital health literacy as a valuable tool for empowering them to take a more active role in managing their health. However, socio-economic and cultural barriers such as language limitations and low levels of education were identified. Key needs included improvements in health platforms, particularly regarding access, content and security. Participants advocate for greater involvement from healthcare providers and strategic stakeholders to better adapt services to immigrant communities.

This study provides valuable insights for policymakers, offering evidence-based approaches for inclusive strategies to enhance digital health literacy. It also emphasizes the necessity of policies tailored to the specific health needs of immigrant populations, aiming to reduce health inequalities.

## Full-text entities

- **Diseases:** DHL (MESH:C000721267), HL (MESH:C538324), IDEAHL (MESH:D000067329), cancer (MESH:D009369), anxiety (MESH:D001007), obesity (MESH:D009765), breast cancer (MESH:D001943), dermatitis (MESH:D003872), migraine (MESH:D008881), sleep apnea (MESH:D012891)
- **Chemicals:** DHL (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

32 references — full list in the complete paper: https://tomesphere.com/paper/PMC12591995/full.md

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Source: https://tomesphere.com/paper/PMC12591995