Youth health and wellbeing in Spain is addressed through a cross-sectoral approach involving health, education, social services, and youth policy. The Ministry of Health leads national health policy, including prevention, care, and health promotion. While the Youth Institute coordinated youth-specific actions under the Ministry of Social Rights, Consumers and Agenda 2030.  

The Youth Strategy 2030 (Estrategia de Juventud 2030, EJ2030), integrates health as a key axis, promoting emotional wellbeing, healthy lifestyles, and access to services. Regional governments (Autonomous Communities) are responsible for implementing  health and education programmes, resulting in diverse approaches across territories .

Key challenges include rising mental health concerns, substance use, sedentary lifestyles, and unequal access to youth-friendly services. Recent data from ESTUDES 2023 and ALADINO 2023 highlight persistent issues such as early alcohol consumption, obesity, and emotional distress among adolescents. Vulnerable groups—such as youth formerly in care, LGBTIQ+ youth, and those in rural areas—face additional barriers to health and wellbeing.