Abstract
<jats:p>Background/Objectives: Migrants often experience health inequities resulting from administrative insecurity, precarious employment, and barriers to healthcare access. Although non-metropolitan areas are increasingly important destinations for migrant populations, evidence on their health experiences in these settings remains limited. This study aimed to examine how migrants living in non-metropolitan areas of Spain expe-rience health throughout the migration process and to identify implications for nursing practice and health policy. Methods: A descriptive phenomenological study was con-ducted using Giorgi’s method. Twenty-two adult migrants living in the Spanish prov-inces of Zamora and León participated in semi-structured, in-depth interviews. Data were analyzed following Giorgi’s phenomenological approach, and the study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Results: Five in-terconnected themes emerged: migration process, health perceptions, social networks, work conditions, and adaptation and integration. The central finding, “Health as Work”, revealed that participants primarily understood health as the ability to work and maintain economic stability rather than as a state of physical or mental well-being. This perspective reflected broader structural vulnerability arising from administrative insecurity, pre-carious employment, and limited social support. Nurses and third-sector organizations were identified as essential in facilitating healthcare navigation, promoting health lit-eracy, and providing psychosocial support. Conclusions: Migrants’ health experiences in non-metropolitan Spain are shaped by structural vulnerability, with employment and legal status strongly influencing health and access to care. Nursing practice should in-tegrate culturally responsive and structurally informed care, while health policies should reduce administrative and employment barriers and strengthen collaboration between healthcare services and community organizations to promote health equity.</jats:p>