Skip to main content
PLOS Digital Health logoLink to PLOS Digital Health
. 2022 Feb 17;1(2):e0000013. doi: 10.1371/journal.pdig.0000013

Is Europe prepared to go digital? making the case for developing digital capacity: An exploratory analysis of Eurostat survey data

Robin van Kessel 1,2,3,*,#, Brian Li Han Wong 3,4,5,6,#, Ivan Rubinić 2, Ella O’Nuallain 7,8, Katarzyna Czabanowska 1,9
Editor: Laura Sbaffi10
PMCID: PMC9931321  PMID: 36812527

Abstract

Digital divides are globally recognised as a wicked problem that threatens to become the new face of inequality. They are formed by discrepancies in Internet access, digital skills, and tangible outcomes (e.g. health, economic) between populations. Previous studies indicate that Europe has an average Internet access rate of 90%, yet rarely specify for different demographics and do not report on the presence of digital skills. This exploratory analysis used the 2019 community survey on ICT usage in households and by individuals from Eurostat, which is a sample of 147,531 households and 197,631 individuals aged 16-74. The cross-country comparative analysis includes EEA and Switzerland. Data were collected between January and August 2019 and analysed between April and May 2021. Large differences in Internet access were observed (75-98%), especially between North-Western (94-98%) and South-Eastern Europe (75-87%). Young populations, high education levels, employment, and living in an urban environment appear to positively influence the development of higher digital skills. The cross-country analysis exhibits a positive correlation between high capital stock and income/earnings, and the digital skills development while showing that the internet-access price bears marginal influence over digital literacy levels. The findings suggest Europe is currently unable to host a sustainable digital society without exacerbating cross-country inequalities due to substantial differences in internet access and digital literacy. Investment in building digital capacity in the general population should be the primary objective of European countries to ensure they can benefit optimally, equitably, and sustainably from the advancements of the Digital Era.

Introduction

The digitalisation of society is a process that has not only been occurring over the past seven decades, but has been significantly accelerated by the COVID-19 pandemic. Digitalisation is one of three fundamental processes propelling change in the economic, socio-political, and cultural spheres globally, alongside globalisation and demographic change [1]. Work, social interactions, health and education services, and recreational activities have been all forced to (further) adopt digital technologies and platforms, as most of the world transitioned to digital environments at the beginning of the COVID-19 pandemic [2]. However, not only is more attention drawn to digital divides through COVID-19, digital and technological advances have neither equally nor equitably permeated all layers of society across the globe, further widening existing digital divides [35]. As such, digital divides are a global wicked problem and threaten to become the new face of inequality due to their potentially detrimental effects on the Sustainable Development Agenda [6,7].

In its 2016 Skills Agenda for Europe, the European Commission first recognised the great necessity for digital skills development [8] as – at the time of writing – almost half of the European Union’s (EU) population lacked basic digital skills, while 20% had none at all. This is even more problematic considering the rapid progression into the Digital Age due to the COVID-19 pandemic—specifically the shifts in healthcare and public health [912], but also to wider determinants in health, such as ways of working and access to education [3,10,13,14]. One example is the use of AI-assisted diagnoses and the provision of telehealth for physical and mental health issues, driven by the symbiotic need to keep patients out of hospitals where they might have a high risk of spreading or contracting covid and limiting physical contact with medical staff [15]. Another example is the prominent role that social media has played in spreading factually incorrect information during the pandemic [1618]. Digital skills can no longer be considered luxuries; they are foundational to modern governance, societal and economic functioning, and access to parts of the healthcare and public health systems [14]—as reflected by the European Skills Agenda 2020 update [19].

While COVID-19 has showcased that it is possible to live in a digital society, it exacerbated existing health and economic inequalities and widened digital divides [6]. The question thus remains whether the current European ecosystem is fit – let alone adequately prepared – to safely and sustainably host a digital society. To illustrate, the United Kingdom’s Office for National Statistics showed in 2019 that 10% of the adult population did not use the Internet and Global Kids Online reported in 2021 that 14% of children under 19 in Europe still did not have frequent internet access [20,21]. However, these statistics only reflect the first level of digital divides (binary Internet access), while the second (internet skills) and third levels (tangible and beneficial outcomes of internet use) remain largely unexplored. Demographic characteristics, which are a known influence on the development of digital skills [3,22], have sparsely been accounted for in previous research.

This article, therefore, analyses the first two levels of digital divides among people aged 16-74 in Europe and explores the influences on the third level. Findings are interpreted through Greenhalgh’s diffusion model to explore differences in uptake [23] and the digital determinants of health to explain health inequalities [22,24,25] (see Text A in S1 Text). Consequently, it is possible to understand the continued existence of digital divides and their societal effects, as well as propose multi-disciplinary recommendations for global governance.

Methods

The community survey and data access

The community survey on ICT usage in households and by individuals provides a set of variables that, when combined, measure an individual’s level of digital skills. They are based on the 2016 Digital Competence Framework of the European Commission in which key skills relating to digital technologies are set out [8]. Proficiency in digital skills is divided into four levels: above basic digital skills, basic digital skills, low digital skills, and no digital skills. The level of digital skills is determined by the reported outcomes in four domains: information skills, communication skills, problem-solving skills, and software skills (for content manipulation). Further breakdown of the domains into their respective subcategories is provided in Table A in S1 Text.

Individuals with above basic digital skills score “above basic” in all four domains; individuals with basic digital skills score at least one “basic” but no “no skills” in all four domains; individuals with “low” digital skills (i.e. missing some type of basic skills) score one to three “no skills” in the four domains; and individuals with “no digital skills” score “no skills” in all four domains. In other words, they report having no activities performed in all four domains, despite indicating that they used the internet at least once during the last three months.

The community survey on information and communications technology usage in households and by individuals was completed across European households and individuals between January and August 2019 [26]. Households and individuals were sampled through quota sampling methods (n = 1; Germany), one-stage sampling techniques (n = 2; Malta and Lithuania), or probability sampling (n = 25; the remaining 24 EU Member States and the UK) [26]. The exact means through which households or individuals were recruited differed per EU Member State (see ’Methodological Manuals’ [26]). Data were collected via face-to-face interviews, telephone interviews, and postal surveys. However, there is some degree of heterogeneity in the methods used across European countries. The overall accuracy of the survey data is considered high, as it represents approximately 75% of the population between the ages of 16 and 74 [27]. On average, the net sample size counted between 3,000 and 6,000 units per country, amounting to a total of 147,531 households and 197,631 individuals. Therefore, this study operates under the assumption that the findings of this study are an accurate reflection of the real situation among adults aged 16-74 in the European Union. Data was openly accessible through Eurostat. Further information about the methodology is provided in Text B in S1 Text.

Variable selection and coding

In order to properly select, understand, and interpret our findings and to infer possible consequences, we first established a directed acyclic graph showing theoretical pathways of how demographic variables affect the first and second levels of digital divides (Fig 1) [3,5,6,12,13,22,28]. Fig 1 allows us to take a theory-driven approach to the data analysis by outlining how variables are related in causing digital divides. It, therefore, allows us to extract relevant variables from the community survey to be included in the exploratory analysis: Internet access, digital skills, age, education level, employment, income, and urban status. Sex was only accessible through data on education level. Data on health status was not available.

Fig 1. A directed acyclic graph portraying the different causal pathways which influence internet access and digital skills development.

Fig 1

Digital skill levels are divided into “above basic”, “basic”, and “low.” The category “no digital skills” was removed from the analysis due to the unavailability of data. Further explanation on the digital skills’ classification is provided in Table A in S1 Text. Individuals were clustered into five age groups (16-24, 25-34, 35-44, 45-54, 55-64, and 65-74 years). Sex was coded binarily. Education level was divided into three groups (low, medium, and high). Education level was further stratified by sex and three age groups (16-24, 25-54, and 55-74 years; data for the five age groups mentioned earlier were unavailable, hence the adjusted groups). Urban status was categorised into three levels (urban, suburban or town, and rural) according to the Eurostat Reference and Management of Nomenclatures [29]. Employment status was categorised into four categories (employed, unemployed, retired, and student). Income was classified through the distribution of national income by quartiles. All EEA Member States were included, in addition to Switzerland due to geographic, cultural, and developmental similarities with the EU Member States.

Internet access was binary-coded and households were grouped into four categories (all, urban, suburban or town, and rural). The types of devices used to access the Internet were divided into three categories (mobile devices, desktop or laptop, and both). It is important to note that the variable for the type of mobile device used to access the Internet was only available in the 2018 survey, hence that data was used.

Data analysis

Data was cleaned in R version 4.0.2, specifically using the ‘dplyr’ and ‘reshape2’ packages. Further visualisation of data was performed in Tableau version 2021.1 to create scatter plots as well as both the geographical and traditional heatmaps. Descriptive data was examined in R using the ‘summarytools’ package. The exact code that was used with these packages is made openly available at https://github.com/robin-van-kessel/digitalskillsEurope/blob/8dae168c5b12fdec07431e1c11c125344bfd5e5e/Rcode.

Results

Descriptive statistics

Since internet access was based on households rather than individuals, the descriptive statistics are reported separately. Overall, Internet connectivity of 89.12%(SD: 6.07%) was reported. Urban regions report 91.59%(4.43%) Internet access, whilst suburban or towns report 89.28%(6.04%), and rural areas report 84.97%(10.19%). Households in the first income quartile report an across-the-board-average Internet connectivity rate of 72.83%(15.01%), the second quartile 86.50%(9.31%), the third quartile 95.33%(3.89%), and the fourth quartile 98.86%(1.03%).

Overall, the highest proportion of people reported having above basic digital skills (34.65%[12.13%]), followed by low digital skills (27.48%[7.69%]), and basic digital skills (24.23%[4.47%]). Above basic digital skills were most common in the age group 16-24 (60.35%[15.36%]) and least in the age group 65-74 (7.87%[5.86%]). Individuals with high levels of education report higher levels of digital skills relative to medium and low levels. The distribution of the higher levels of digital skills across all educational levels is consistently skewed in favour of males. Individuals living in urban regions report higher levels of above basic digital skills (40.81%[12.40%]) compared to rural regions (28.87%[12.37%]). Students and employed people report the highest levels of above basic skills (68.16%[14.18%] and 40.66%[12.75%]). People with higher incomes also tend to have higher levels of above basic digital skills (48.77%[14.99%]) than people with lower incomes (20.15%[12.57%]). What is particularly striking is the large spread of data (indicated by the large standard deviations), which can be attributed partially to the heterogeneity in how data was collected (a mix of households and individuals and sampling methods), but also highlights that it may be ill-advised to interpret the European Union as a homogenous region in terms of digital skills. All descriptive statistics are presented in Table 1.

Table 1. Descriptive Statistics.

Digital Skills
Above Basic Digital Skills Basic Digital Skills Low Digital Skills
Mean (%) SD (%) Mean (%) SD (%) Mean (%) SD (%)
All Individuals 34.65 12.13 24.23 4.47 27.48 7.69
Age Group 16-24 60.35 15.36 23.03 7.70 14.84 9.30
25-34 50.65 14.93 25.52 6.09 21.00 11.14
35-44 41.61 14.05 27.52 5.27 26.48 10.79
45-54 30.68 13.55 26.77 5.94 32.48 10.79
55-64 18.81 10.50 23.68 8.49 35.32 7.65
65-74 7.87 5.86 17.68 11.27 31.94 7.95
Level of Education High 57.03 11.60 27.29 5.50 13.19 7.02
Female 53.90 11.31 29.06 5.74 14.48 7.01
Male 60.48 12.55 25.19 5.95 11.84 7.23
16-24 74.72 15.14 18.04 9.76 6.12 7.18
25-54 63.29 11.90 25.35 6.75 10.23 6.66
55-74 33.65 11.80 34.58 6.66 23.84 9.40
Medium 29.68 12.87 26.81 6.09 32.16 10.01
Female 27.68 11.63 27.13 6.85 33.77 9.70
Male 31.58 14.03 26.55 5.74 30.74 10.68
16-24 62.03 15.02 22.74 7.36 14.32 9.67
25-54 31.19 14.23 30.48 6.46 32.97 14.25
55-74 12.16 8.11 22.68 11.01 39.39 7.56
Low 20.39 12.96 16.61 6.48 33.42 8.76
Female 18.16 12.49 15.58 7.50 33.71 10.39
Male 23.19 13.64 17.77 6.00 33.06 8.27
16-24 51.93 18.92 26.28 12.05 19.03 10.62
25-54 13.61 12.43 18.87 9.34 46.58 11.10
55-74 3.81 4.49 10.48 10.64 31.87 13.45
Urban Status Urban 40.81 12.40 24.42 3.91 24.35 7.90
Suburban or Town 33.03 12.41 24.45 4.97 28.94 8.42
Rural 28.87 12.37 23.61 6.90 29.42 8.63
Employment Status Employed 40.66 12.75 27.31 4.48 26.25 9.85
Unemployed 25.28 15.24 22.90 8.32 34.14 10.47
Retired 11.09 9.22 19.16 9.58 35.31 6.99
Student 68.16 14.18 20.59 8.83 9.94 7.63
Income Level First Quartile 20.15 12.57 18.04 6.94 31.77 7.39
Second Quartile 24.42 11.23 23.85 6.49 32.27 7.78
Third Quartile 34.35 12.83 27.35 5.28 28.42 9.84
Fourth Quartile 48.77 14.99 27.19 4.72 19.27 10.22

Internet access across Europe

Internet access is accessible to the majority of the European countries’ populations (ranging from 75 to 98%). Nevertheless, there are certain geographical discrepancies between different regions. The North and North-West are shown to have noticeably higher internet access rates compared to other European regions (94-98% compared to 89-91% in Central and South-West and 75-87% in South and East). Urban regions show more consistent levels of internet connectivity than rural regions (82-99% versus 62-99%). Notable differences are found in rural Southern and Eastern Europe (62-75%) compared to urban (82-87%). Low income may also be associated with lower levels of internet access (33-96% compared to 65-100%; 83-100%; and 96-100% for the second, third, and fourth income quartile respectively). Fig 2 shows the overall geographic distribution of household internet access in Europe, stratified by urban status and income level. Further explanation on what devices are used to access the Internet is included in the Text C and Table B in S1 Text.

Fig 2.

Fig 2

The extent to which European countries have access to the Internet overall and the normalized prices of standalone internet (12-30MB/s, in EUR PPP) (Fig 2A) [30], stratified by urban status (Fig 2B), and by household income level (Fig 2C). The maps were generated in Tableau using OpenStreetMap data (OpenStreetMap Contributors).

Digital skills across Europe

The majority of highly digitally skilled people are found in the Northern and North-Western parts of Europe, indicating that over 50% of individuals possess above basic digital skills. In contrast, South-Eastern Europe shows less than 20% of individuals having above basic digital skills. This is reversed in individuals with low digital skills, who are frequently reported in South-Eastern Europe, while less reported in North-Western Europe. Fig 3 shows the country-level distribution of digital skills in Europe.

Fig 3.

Fig 3

A geographical heat map of the distribution of digital skills (Fig 3A; left shows above basic skills, centre shows basic digital skills, and right shows low digital skills), annual net earnings (Fig 3B) [31], and capital stock per capita (Fig 3C) [32]. The maps were generated in Tableau using OpenStreetMap data (OpenStreetMap Contributors).

Based on the spread of data, low age can be associated with more developed digital skills, whereas high age tends to be associated with lower digital skills. That being said, the development of above basic digital skills among younger people is inconsistent in Europe as indicated by the reported range (22-85%). Looking back at Fig 1, it is safe to assume that age needs to interact with other factors to reliably produce high digital skills. The presence of above basic digital skills tends to decline with age, whereas low digital skills increase with age. Above basic digital skills are mostly reported in high education (29-84%), while least in low education (2-48%). The opposite applies to low digital skills (2-29% and 20-51% respectively). Urban areas show slightly more consistent above basic skills (17-63%) compared to rural areas (5-61%), while rural areas report a similar spread of low digital skills (13-46%) as urban areas (11-43%). Students and employed people indicate having the highest proportion of above basic digital skills (29-87% and 13-66% respectively). Finally, high income is associated with the development of higher digital skills (17-74%), although we have to note the wide spread here as well, implying that higher-income levels alone are not sufficient. Further details on the stratified distribution of digital skills per country are shown in Fig 2.

Figs 2 and 3 indicate that there exists a positive cross-country correlation between the high capital stock and income/earnings and the digital skills development. Moreover, the comparative analysis shows that cost of internet access bears marginal influence over digital literacy levels. These findings are consistent with the affordability of internet access prices, i.e., with their small share within the average income/earnings. The latter is to say that the influence of the European cross-country capital/income/earnings stratification concerning the digital skills levels is complex and cannot be reduced to internet service pricing alone. The decline of above basic and low digital skills is also observed in education levels, urban status, and income level and – along with the age-related decline – are shown per European country in Fig 4.

Fig 4.

Fig 4

Scatterplot of digital skills across Europe stratified by age (Fig 4A), level of education (Fig 4B), urban status (Fig 4C), employment status (Fig 4D), and income level (Fig 4E). The top plot indicates above basic digital skills, the middle plot basic digital skills, and the bottom plot low digital skills.

Educational stratification shows large differences in above basic digital skills in the age category 16-24 (43-96% in high education versus 16-86% in low education). The age groups 25-54 and 55-74 with high education exhibit higher levels of above basic skills (34-89% and 13-63% respectively) compared to medium and low education (5-55% and 0-46%; and 0-28% and 0-15% respectively). Females with higher education report lower levels of above basic digital skills (29-82%) compared to males (28-87%). For medium and low levels of education, males report above basic skills (6-56% and 3-55%) more frequently than females 6-51% and 1-47%). Low digital skills are underreported in males with medium and low education (14-57% and 18-50%) relative to females (17-53% and 18-57%), as shown in Fig 5.

Fig 5.

Fig 5

Heat map of digital skills with levels of education sub-stratified by age (Fig 5A) and sex (Fig 5B). The left plot indicates above basic digital skills, the middle plot basic digital skills, and the right plot low digital skills.

Discussion

The main purpose of this article is to examine the magnitude of the first two levels of digital divides within Europe: internet access and digital skills. The findings of this article highlight that Europe cannot be considered a monolith when it comes to internet access or digital skills. In other words – while Europe may outperform other world regions on average in internet access and digital skills – substantial in- and cross-country inequalities still persist.

Overall, large differences are observed between North-Western Europe and the other regions, with internet access and digital skills being substantially higher in the former. When stratifying by age, level of education, sex, urban status, employment status, and income level, differences within countries also become evident. People who are younger, higher educated, male, live in urban regions, are either a student or employed, or are employed consistently report higher internet access and digital skills compared to other demographic groups. While previously reported statistics for the European region have shown high internet access [20,21,28], these numbers can be misleading considering the intra- and extra-group demographic distributions of European countries. Findings in terms of overall Internet access are comparable to previous research (88% versus 89.12% [28]), yet geographical discrepancies are glaring (75-98% access rate). Notably - even though Internet pricing is lower and they have a higher proportion of economically active people (see Fig A in S1 Text) - the development of digital skills continues to lag behind in South-Eastern Europe.

According to the directed acyclic graph in Fig 1, a plethora of factors has to work together in order for high levels of digital skills to develop. However, the reported spread of above basic digital skills may indicate that these factors work together inconsistently or insufficiently. With the 2019 Digital Competence Framework now calling for more advanced digital competencies [33], this becomes especially alarming considering only 34.65%(12.13%) of respondents in 2019 had above basic skills under the 2016 classification and these skills are predominantly found in specific population groups (young people, people with high income, employed people and students, and people living in urban areas).

Next to the individual factors, there are also system-level factors that need to be considered, even though they have not been mapped by this particular dataset. As per Greenhalgh’s theory on the diffusion of innovation [23], it is important to consider whether – at a system level – there is a need and desire to innovate, whether countries possess the available resources and the necessary leadership to instigate and sustain change, and whether countries have a politico-cultural climate and population structure that facilitates the uptake of digital technologies. This same rationale applies when examining the uptake of digital technologies across demographic groups. For instance, younger people, students, and urban people are more likely to be raised in a digitally-enabled environment [22,34,35], which may contribute to easier assimilation of digital technologies and, in turn, result in greater digital skills development. At the same time, the groups that could potentially benefit most from the uptake of digital technologies tend to be the groups that are faced with the biggest barriers to access [6,12,13], whether that be due to socioeconomic status, age, health status, or other factors.

Finding and sustaining employment can also become more difficult with increasing digitalisation if the digital skills of the current and prospective workforce are not adequately developed [36]. Simultaneously, as healthcare and public health continue to digitalise, access to health services may become jeopardised without sufficiently digital skills [6,13,22,24]. Health may further deteriorate due to poor digital skills if access to healthcare, social support and employment become more contingent on the possession and mastery of digital skills, further exacerbating inequalities. It is therefore not only crucial from an economic perspective to invest in developing the general population’s digital literacy and capacity, but also from a public health perspective. This applies even further when considering the strong correlation between capital stock, income, and earnings with digital skills development. As a result, less developed European countries may find themselves in an unfavourable position relative to their developed peers. These countries will have difficulties catching up, while the skill-biased technological change may deteriorate their cross-country competitiveness.

There are some limitations that have to be considered. Even though this article is underpinned by a large, representative data sample, we have to be mindful of differences among national statistical institutes regarding sampling design [27]. Some countries use samples based on individuals as primary sampling units, while others represent primary sampling units as households in the public register. Gender is also not included separately in this survey, so all gender-related items were inferred using sub-categorisations of education level. These findings are particularly relevant for the age range 16-74 and should not be blindly translated to younger or older age groups. Even though the study findings were based on directed acyclic graphs to infer causality [37], this study remains cross-sectional in nature and true causality cannot be determined. Moreover, the way in which digital skills are outlined in the framework may not be fully representative of the required competencies for Europeans to fully benefit from digital transformations in a post-pandemic world. Regardless, in line with previous research, it can be reasonably assumed that these methodological limitations should not undermine the study findings.

Implications for future research

This study first and foremost highlighted that Europe cannot be considered a monolith when it comes to internet access and digital literacy. While we advocate for country-level comparisons, we believe splitting Europe into five regions may be the most valuable for accurate comparisons in case a study design requires countries to be pooled into clusters (North-West, North-East, Center, South-West, and South East). This ensures countries with similar internet access and digital skill levels are clustered, thus removing the bias they would introduce if these regions were lumped together. Further research into the cultural and motivational factors is also warranted to further the understanding of why certain areas in Europe experience difficulties in connecting to the Internet and developing digital skills. Finally, this article is only a single time point in determining the digital capacities of Europe. Therefore, we recommend that this article be replicated using newer data once available in order to establish longitudinal trends. Another recommendation would be to overlay this research with global trends across similar demographics.

Implications and recommendations for policy and governance

The initial economic endowments are a prerequisite for establishing the infrastructure, acquiring the necessary equipment, and developing digital skills. Costly infrastructural ICT investments must be considered public goods to be carried out through public investment or public-private partnerships and under the supervision of central authorities to address existing inequalities. Should the provision of necessary public goods be left to profit-centred, free-market stakeholders, there is a concern that digital technologies will remain under-provided and inequitably distributed across Europe. However, as the eco-system becomes more person-centric, there may be a case for the private sector to become first movers in innovative ICT investments and increasing the digital literacy of prospective consumer groups. This can be encouraged and supported by government by keeping legal and regulatory barriers to entry low. In the case of other public goods (e.g., roads, railways, healthcare facilities), the scenario of inequitable distribution will generate market failure if not adequately addressed. In line with Mazzucato’s recommendations, governments must shift away from the neoliberal ideology that they are only tasked to fix and repair and instead, towards a mindset of innovation, catalysing the economy to be more purpose-driven and goal-oriented to achieve sustainable development [38]. This entails the development of digital capacity in-government and across the general population. Following that reasoning, traditional definitions of digital literacy and approaches to building digital capacity must be expanded and updated to adapt to the pace of development brought about by the COVID-19 pandemic. Furthermore, it is crucial for curricula and teaching practice to be updated to better reflect and incorporate this new definition/conceptual framework of digital literacy. However, in doing so, it is paramount that digitalisation – particularly in education practice – is used as a means to an end, not a solution in and of its own [11,22].

Acknowledgement of these conclusions under the framework of European (in particular EU) institutional design brings about an additional dimension of complexity. Given the vast differences in available resources and absence of the supranational political climate delivering inclusive strategies, digital divides threaten to become principal contemporary forces leading the cross-country divergence. Coupled with the core-periphery divide, digital divides impede the European objectives of promoting all citizens’ well-being, combatting social exclusion and inequality, reducing developmental disparities and the backwardness of the least-favoured regions, and ensuring harmonized socio-economic growth. Hence, to prevent a growing gap and halt the continuous suffering of less-developed areas, the provision of necessary public goods cannot be left in the private nor country-level sphere alone and must be addressed at a supranational level. European policymakers must prioritize equitable and sustainable development and make better use of existing facilities financed through direct transactions and delivered through a combination of private and public arrangements. Aligned with this agenda, a step in the right direction would be to approve the NextGenerationEU instrument. This recovery and transformative agreement aims to target digital transition (Digital Europe Program) and education and training to support digital skills development at the European level.

Conclusion

The transition into the Digital Age provides novel opportunities to minimise existing inequalities and pursue the Agenda for Sustainable Development. However, to effectively pursue this goal, we must first ensure that inequalities are not exacerbated during this transition. Based on the current findings, we conclude that Europe’s digital climate at the start of the pandemic left much to be desired, showcasing large in- and cross-country discrepancies in internet access and digital skills. Although the pandemic forced society to digitalise, it remains to be seen how much sticks around. One conclusion, however, is certain: Europe cannot be considered a homogenous zone in terms of internet access or digital skills and pursuing a complete digital transition would currently exacerbate in- and cross-country inequalities.

Supporting information

S1 Text. Supplementary Material for Online Publication.

(DOCX)

Data Availability

The data used in this study and the data dictionary are openly available through the Eurostat portal (https://ec.europa.eu/eurostat/web/digital-economy-and-society/data/database).

Funding Statement

The authors received no specific funding for this work.

References

PLOS Digit Health. doi: 10.1371/journal.pdig.0000013.r001

Decision Letter 0

Eileen Clancy, Pauline Bakibinga

26 Oct 2021

PDIG-D-21-00009

Is Europe prepared to go digital? Making the case for developing digital capacity: an exploratory analysis of Eurostat survey data

PLOS Digital Health

Dear Dr. Wong,

Thank you for submitting your manuscript to PLOS Digital Health. After careful consideration, we feel that it has merit but does not fully meet PLOS Digital Health’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Dec 21 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at digitalhealth@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pdig/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.

  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

In addition to the reviewers comments please pay attention to the comments below from the editor:

The paper is fairly well-written. The recommendations are strong with major policy and practice implications in advocating for digital transformation in Europe for better population health and wellbeing.  However, the results are not so clear which raise issues about the discussion.

Suggestions for improvement: The authors need to revisit their analysis and also go through the entire manuscript and abstract to edit for language.  There is need for consistency in the use of Internet as in some places you use the lowercase. Unless it is being used as a noun and/or appearing at the beginning of a sentence, it ought to be a lowercase.

Needs editing for language. Here are some examples

The sentence,  ‘Previous studies indicated that Europe has an average Internet access rate of 90%, yet rarely specify for different demographics and does not report on the presence of digital skills’. Since you are referring to plural, does needs to be do

We look forward to receiving your revised manuscript.

Kind regards,

Pauline Bakibinga, M.D, Ph.D

Guest Editor

PLOS Digital Health

Journal Requirements:

1. Please update the completed 'Competing Interests' statement, including any COIs declared by your co-authors. If you have no competing interests to declare, please state "The authors have declared that no competing interests exist". Otherwise please declare all competing interests beginning with the statement "I have read the journal's policy and the authors of this manuscript have the following competing interests:"

2. If you did not receive any funding for this study, please simply state: “The authors received no specific funding for this work.”

3. Please note that your Data Availability Statement is currently missing a direct link to access each database. If your manuscript is accepted for publication, you will be asked to provide these details on a very short timeline. We therefore suggest that you provide this information now, though we will not hold up the peer review process if you are unable.

4. Please provide separate figure files in .tif or .eps format only and remove any figures embedded in your manuscript file. Please ensure that all files are under our size limit of 20MB.  

Once you've converted your files to .tif or .eps, please also make sure that your figures meet our format requirements

For more information about how to convert your figure files please see our guidelines: https://journals.plos.org/digitalhealth/s/figures

5. We have noticed that you have uploaded supporting information but you have not included a list of legends. Please add a full list of legends for all supporting information files (including figures, table and data files) after the references list.

6. Please provide us with a direct link to the base layer of the map used in Figures 2, 3, and supplementary eFigure 1, and ensure this location is also included in the figure legend. 

Please note that, because all PLOS articles are published under a CC BY license (creativecommons.org/licenses/by/4.0/), we cannot publish proprietary maps such as Google Maps, Mapquest or other copyrighted maps. If your map was obtained from a copyrighted source please amend the figure so that the base map used is from an openly available source.

Please note that only the following CC BY licences are compatible with PLOS licence: CC BY 4.0, CC BY 2.0  and CC BY 3.0, meanwhile such licences as CC BY-ND 3.0 and others are not compatible due to additional restrictions. If you are unsure whether you can use a map or not, please do reach out and we will be able to help you. 

The following websites are good examples of where you can source open access or public domain maps:

* U.S. Geological Survey (USGS) - All maps are in the public domain. (http://www.usgs.gov)

* PlaniGlobe - All maps are published under a Creative Commons license so please cite “PlaniGlobe, http://www.planiglobe.com, CC BY 2.0” in the image credit after the caption. (http://www.planiglobe.com/?lang=enl)

* Natural Earth - All maps are public domain. (http://www.naturalearthdata.com/about/terms-of-use/)

Additional Editor Comments (if provided):

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Does this manuscript meet PLOS Digital Health’s publication criteria? Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe methodologically and ethically rigorous research with conclusions that are appropriately drawn based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available (please refer to the Data Availability Statement at the start of the manuscript PDF file)?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS Digital Health does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I have reviewed this informative study. It is a matter of great pleasure to assess this informative study. I believe the authors have examined a good research topic entitled, “Is Europe prepared to go digital? Making the case for developing digital capacity: an exploratory analysis of Eurostat survey data.”

In my assessment, the writing of this article looks sounds good with a creative research topic. I have some suggestions to the authors to improve the quality of this article. Overall, it a good article that offers useful insight for the scholars.

I want to accept your study for publication after minor changes as suggested. Before endorsing your study for publication, you need to work on my suggestions. The suggested articles are published in leading SSCI journals. By following these studies, your article will be improved.

Abstract of the study

The abstract is proper and shows good connection of the study. I advise the authors to recheck the abstract and fix minor grammar errors. The abstract must reflect high quality, as it the "FACE" of the study.

English level

I suggest the authors to focusing on checking some typo errors to make it easy to understand for the readership of the journal.

Introduction section

I strongly advise the authors improve introduction according to suggested articles in the introduction section. These research articles have identified health-related topics. I believe it will improve the quality of your work. I strongly suggested them to improve this section a bit more. I advise authors to revisit their literature section of the recommended studies and cite these studies to enhance your research study's quality to reach scientific merit for publication.

Azizi, M. R., Atlasi, R., Ziapour, A., & Naemi, R. (2021). Innovative human resource management strategies during the COVID-19 pandemic: A systematic narrative review approach. Heliyon, 6(12).

Abbas, J., Aqeel, M., Jaffar, A., Nurunnabi, M., and Bano, S. (2019). "Tinnitus perception mediates the relationship between physiological and psychological problems among patients." Journal of Experimental Psychopathology, 10(3), 2043808719858559.

Aqeel, M., et al., The Influence of Illness Perception, Anxiety and Depression Disorders on Students Mental Health during COVID-19 Outbreak in Pakistan: A Web-Based Cross-Sectional Survey. International Journal of Human Rights in Healthcare, 2020. 14.

Abbas, J., Wang, D., Su, Z., & Ziapour, A. (2021). The Role of Social Media in the Advent of COVID-19 Pandemic: Crisis Management, Mental Health Challenges and Implications. Risk Manag Healthc Policy, Volume 14, 1917-1932. doi:10.2147/rmhp.S284313

Su, Z., McDonnell, D., Wen, J., Kozak, M., Šegalo, S., . . . Xiang, Y.-T. (2021). Mental health consequences of COVID-19 media coverage: the need for effective crisis communication practices. Globalization and Health, 17(1), 4. doi:10.1186/s12992-020-00654-4

Literature sections

I recommend the authors add suggested articles in the literature section. These research articles have identified health-related topics. I believe it will improve the quality of your work. I advise authors to revisit their literature section of the recommended studies to enhance your research study's quality to reach scientific merit for publication.

I want to see publish this creative work after some corrections. I have endorsed this study as; it deserves the merit for publication. However, I suggest the authors make minor corrections according to my advice. The authors add the latest citations about infectious disease. Please read the suggested studies and execute them in the introduction, literature, and method sections. How social media and internet use among students is helpful. Add few lines in the introduction and literature sections.

NeJhaddadgar, N., Ziapour, A., Zakkipour, G., Abolfathi, M., & Shabani, M. (2020, 2020/11/13). Effectiveness of telephone-based screening and triage during COVID-19 outbreak in the promoted primary healthcare system: a case study in Ardabil province, Iran. Journal of Public Health. https://doi.org/10.1007/s10389-020-01407-8

Abbas, J. (2021, 2021/02/23/). Crisis management, transnational healthcare challenges and opportunities: The intersection of COVID-19 pandemic and global mental health. Research in Globalization, 100037. https://doi.org/10.1016/j.resglo.2021.100037

Maqsood, A., Abbas, J., Rehman, G., & Mubeen, R. (2021, 2021/11/01/). The paradigm shift for educational system continuance in the advent of COVID-19 pandemic: Mental health challenges and reflections. Current Research in Behavioral Sciences, 2, 100011. https://doi.org/10.1016/j.crbeha.2020.100011

Shuja, K. H., Aqeel, M., Jaffar, A., & Ahmed, A. (2020, Spring). COVID-19 Pandemic and Impending Global Mental Health Implications. Psychiatr Danub, 32(1), 32-35. https://doi.org/10.24869/psyd.2020.32

Su, Z., Wen, J., Abbas, J., McDonnell, D., Cheshmehzangi, A., Li, X., Ahmad, J., Segalo, S., Maestro, D., & Cai, Y. (2020, Dec). A race for a better understanding of COVID-19 vaccine non-adopters. Brain Behav Immun Health, 9, 100159. https://doi.org/10.1016/j.bbih.2020.100159

Materials and Methods

This section indicates how you arranged your article. You can see the suggested study and improve your method section.

Abbas, J., Aqeel, M., Abbas, J., Shaher, B., A, J., Sundas, J., and Zhang, W. (2019). "The moderating role of social support for marital adjustment, depression, anxiety, and stress: Evidence from Pakistani working and nonworking women." J Affect Disord, 244, 231-238.

Local Burden of Disease, H. I. V. C. (2021). Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems. BMC Medicine, 19(1), 4. doi:10.1186/s12916-020-01876-4

Abbas, J., Aman, J., Nurunnabi, M., & Bano, S. (2019). The Impact of Social Media Learning Behavior for Sustainable Education: Evidence of Students from Selected Universities in Pakistan. Sustainability, 11(6), 1683.

Abbasi, K. R., Abbas, J., and Tufail, M. (2021). "Revisiting electricity consumption, price, and real GDP: A modified sectoral level analysis from Pakistan." Energy Policy, 149, 112087.

Yoosefi Lebni, J., Abbas, J., Khorami, F., Khosravi, B., Jalali, A., and Ziapour, A. (2020). "Challenges Facing Women Survivors of Self-Immolation in the Kurdish Regions of Iran: A Qualitative Study." Frontiers in psychiatry, 11, 778.

Results

The results section looks good. The authors can refine it by removing some typo errors.

Discussion section

Briefly discuss the contribution to the scientific literature. Add few lines on contribution of this study how results are insightful for academic purpose. Improve this section. Please see suggested studies in this section.

Su, Z., McDonnell, D., Cheshmehzangi, A., Abbas, J., Li, X., & Cai, Y. (2021). The promise and perils of Unit 731 data to advance COVID-19 research. BMJ Global Health, 6(5), e004772. https://doi.org/10.1136/bmjgh-2020-004772

Abbas, J. (2020, Autumn - Winter). The Impact of Coronavirus (SARS-CoV2) Epidemic on Individuals Mental Health: The Protective Measures of Pakistan in Managing and Sustaining Transmissible Disease. Psychiatr Danub, 32(3-4), 472-477. https://doi.org/10.24869/psyd.2020.472

Yoosefi Lebni, J., Abbas, J., Moradi, F., Salahshoor, M. R., Chaboksavar, F., Irandoost, S. F., Nezhaddadgar, N., & Ziapour, A. (2020, Jul 2). How the COVID-19 pandemic effected economic, social, political, and cultural factors: A lesson from Iran. International Journal of Social Psychiatry, 20764020939984. https://doi.org/10.1177/0020764020939984

Abbas, J., Mubeen, R., Iorember, P. T., Raza, S., & Mamirkulova, G. (2021). Exploring the impact of COVID-19 on tourism: transformational potential and implications for a sustainable recovery of the travel and leisure industry. Current Research in Behavioral Sciences, 2, 100033.

Implications

Add this separate heading and discuss implications

Conclusion

Make a separate heading for this section. It should present a good picture of the study. I want to see this manuscript published as it has presented a good research topic, although it needs minor corrections, which can be fixed in the revised version. Pay attention of English quality to reach scientific merit. I accept and endorse this manuscript for publication after the suggested minor corrections.

Figures & Tables

I suggest to add some figures and more tables in this study

Reviewer #2: The data are well presented and support the discussions/conclusions as well as recommendations for policy and governance. The tables as well as figures included in the paper are clear and easy to understand. The analysis clearly shows that there are demographic and other factors affecting access to and capacities in use of digital tools and applications.

Reviewer #3: p.4 The Community Survey and Data Access

This paragraph is too short and lack info on important characteristics of the survey:

- How were households selected?

- The sentence "the survey data [...] represents approximately 75% of the population between the ages of 16

and 74" is ambiguous. A sample size of about 200000 individuals is by all means a large sample size.

p.4 First paragraph in "Variable Selection" is unclear

p.4 Sentence "Sub-stratification of education levels was possible by means of sex and three secondary age groups (16-24, 25-54, and 55-74

years)." is unclear.

p.5 Info such as "Data was cleaned in R version 4.0.2, specifically using the ‘dplyr’ and ‘reshape2’ packages" is irrelevant. Provide the R code through a github repository instead.

p.5 Fig.1 does not make much sense without any explanation

p.5 Descriptive Statistics: Given the sample size, I am puzzled by the high values of the standard deviations reported.

As a quick approximation, for a simple random survey, the classical formula V(p) = (1-n/N)x(N/(N-1))xp(1-p)/n leads to estimated SD's several orders of magnitude smaller than those reported. Is there the possibility of a numerical mistake?

p.6 "Most individual respondents had above basic digital skills (34.65%)"

People tend to use "most" to mean anything over 50%

Table 1 would be more efficiently placen in SM and replaced in the main text by a couple of figures.

The whole data analysis reporting is labored and not easy to read. It should be better streamlined with an effort to focus on a few key results.

I found the discussion rather speculative, a bit verbose and somehow disconnected from the data analysis.

The final sentence "Europe is still unfit to sustainably host a digital society and doing so would exacerbate in- and cross-country inequalities" does not seem well motivated by the main findings and unduly worrisome.

**********

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

Do you want your identity to be public for this peer review? If you choose “no”, your identity will remain anonymous but your review may still be made public.

For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: Yes: Neeraj Kak

Reviewer #3: No

**********

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

PLOS Digit Health. doi: 10.1371/journal.pdig.0000013.r003

Decision Letter 1

Laura Sbaffi

10 Dec 2021

Is Europe prepared to go digital? Making the case for developing digital capacity: An exploratory analysis of Eurostat survey data

PDIG-D-21-00009R1

Dear Dr. Wong,

We're pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. 

Within one week, you'll receive an e-mail detailing the required amendments. When these have been addressed, you'll receive a formal acceptance letter and your manuscript will be scheduled for publication. The journal will begin publishing content in early 2022.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at https://www.editorialmanager.com/pdig/ click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they'll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact digitalhealth@plos.org.

Kind regards,

Laura Sbaffi, PhD, MA, MSc

Section Editor

PLOS Digital Health

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

Reviewer #3: All comments have been addressed

**********

2. Does this manuscript meet PLOS Digital Health’s publication criteria? Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe methodologically and ethically rigorous research with conclusions that are appropriately drawn based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available (please refer to the Data Availability Statement at the start of the manuscript PDF file)?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS Digital Health does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: (No Response)

Reviewer #2: Yes

Reviewer #3: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The paper can be accepted.

Reviewer #2: The authors have responded to the comments from reviewers.

Reviewer #3: I am not a big fan of the third review round but I would encourage you to provide more info on the calculation of the standard deviations somewhere as SM

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

Do you want your identity to be public for this peer review? If you choose “no”, your identity will remain anonymous but your review may still be made public.

For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: Yes: Neeraj Kak

Reviewer #3: Yes: Gilles B. Guillot

**********

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 Text. Supplementary Material for Online Publication.

    (DOCX)

    Attachment

    Submitted filename: Response to Reviewers.docx

    Data Availability Statement

    The data used in this study and the data dictionary are openly available through the Eurostat portal (https://ec.europa.eu/eurostat/web/digital-economy-and-society/data/database).


    Articles from PLOS Digital Health are provided here courtesy of PLOS

    RESOURCES