Evidence map›Paper›PMID 41474811›Full record

ArticlePloS one2025

Digital health determinants & divide in the Arab world: A cross-sectional study.

Radwan Qasrawi, Reema Tayyem, Suliman Thwib, Ghada Issa, Malak Amro, Razan AbuGhoush, Haleama Al Sabbah, Khlood Bookari, Noor Alawadhi, Sabika Allehdan and 9 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Radwan QasrawiDepartment of Computer Science, Al-Quds University, Jerusalem, Palestine.ORCID 0000-0001-8671-7026
Reema TayyemDepartment of Human Nutrition, College of Health Sciences, Qatar University (QU)-Health, Qatar University, Doha, Qatar.ORCID 0000-0003-1640-0511
Suliman ThwibDepartment of Computer Science, Al-Quds University, Jerusalem, Palestine.ORCID 0009-0009-5085-3443
Ghada IssaDepartment of Computer Science, Al-Quds University, Jerusalem, Palestine.
Malak AmroDepartment of Computer Science, Al-Quds University, Jerusalem, Palestine.
Razan AbuGhoushThe Center of Technology and Innovation, Al-Quds University, Jerusalem, Palestine.
Haleama Al SabbahDepartment of Public Health, College of Health Sciences, Abu Dhabi University, United Arab Emirates, Dubai.
Khlood BookariDepartment of Clinical Nutrition, Faculty of Applied Medical Sciences, Taibah University, Medina, Saudi Arabia.
Noor AlawadhiSchool of Education, Kuwait University, Kuwait, Kuwait.
Sabika AllehdanDepartment of Biology, College of Science, University of Bahrain, Zallaq, Kingdom of Bahrain.
Hana TriguiLaboratoire de Microbiologie Moléculaire, Vaccinologie et Développement Biotechnologique, Institut Pasteur de Tunis, the University of Tunis El Manar, Tunis, Tunisia.
Elie SokhnMolecular Testing Laboratory, Medical Laboratory Department, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.ORCID 0000-0003-1519-6790
Yousef KhaderDepartment of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Eman BadranPediatric Department, Faculty of Medicine, Neonatal-Perinatal Division, University of Jordan, Amman, Jordan.ORCID 0000-0003-1124-592X
Iman KamelNational Research Centre, Cairo, Egypt.
Atiyeh AbdallahDepartment of Biomedical Sciences, College of Health Sciences, QU Health Sector, Qatar University, Doha, Qatar.
Mohamed JemaàHuman Genetics Laboratory, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Emmanuel MusaAI4PEP York University, Toronto, Canada.
Jude Dzevela KongDepartment of Mathematics and Statistics, Faculty of Science, York University, North York, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital determinants of health include key technological factors such as internet access, digital literacy, and the quality of online health information. These elements critically influence health outcomes and behaviors.

methodsThis study examined the impact of digital health determinants on health improvement across ten Arab countries: Bahrain, Palestine, Lebanon, Jordan, Kuwait, the United Arab Emirates, Saudi Arabia, Egypt, Morocco, and Tunisia. The study analyzed a dataset of 12,522 samples after implementing SMOTE-ENN to balance underrepresented demographics, capturing data on digital literacy, internet access, and the impact of online health information on personal health.

resultsResults showed that 93.9% of participants reported having internet access, yet 71.4% did not receive formal education on internet usage. Morocco, Tunisia, and Jordan reported the highest percentages of individuals without such education. Regarding health impacts, 32.9% of participants reported significant personal health improvements linked to digital determinants. Egypt, Lebanon, and Saudi Arabia had higher rates of positive health impacts, while Morocco, Jordan, and Bahrain reported the lowest health improvements. Higher digital literacy and reliable internet access were positively associated with better health outcomes across all countries, whereas specific sociodemographic and digital factors varied: younger age and urban residence were linked to greater benefit in the Gulf; education level and healthcare access were especially influential in North Africa; and in the Levant, digital literacy and use of trusted health sources showed strong impact. These findings show both shared and region-specific drivers of digital health benefits.

conclusionImproving health outcomes requires diversification: foundational education on internet usage must be combined with broader digital literacy initiatives, efforts to build and maintain trust in credible online health platforms, and strategies that actively foster patient engagement through interactive digital tools. Policies should also ensure reliable internet infrastructure and tailor interventions to regional and sociodemographic contexts to improve overall health outcomes.

Indexed as

Arab WorldDigital HealthHealth LiteracyInternet AccessAdolescentAdultAgedArabsCross-Sectional StudiesFemaleHumansInternetMaleMiddle AgedMiddle EastYoung Adult

Identifiers

PMID41474811
PMCPMC12755751

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.