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From Income Inequalities to Social Exclusion: The Impact of the Great Recession on Self-Rated Health in Spain During the Onset of the Economic Crisis

Author

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  • Esteban Sánchez-Moreno
  • Lorena Gallardo-Peralta

Abstract

The impact of the Great Recession on health stands out due to its implications for the wellbeing of the population. The available empirical evidence suggests that macrosocial inequalities can be a central element in explaining differences in the impact of the crisis on the health of the population during its early years (2008–2011). Specifically, it is necessary to analyze the role played by the processes constituting a model of inequalities based on social exclusion. This study addresses the topic by using longitudinal data taken from the European Union statistics on income and living conditions (EU-SILC) survey ( n  = 5.924), with a hierarchical structure of four measurement moments nested in 5,924 individuals nested in 17 regions. Variables from two levels of analysis are considered: individual and ecological (regional) variables. The findings show that personal socioeconomic status (income and education) are significantly associated with changes in self-rated health during the onset of the crisis. The findings for ecological variables show that the variables measuring exclusion (material deprivation and low work intensity) play a significant role in the explanation of inequalities in health and how they changed during the crisis. Both indicators are negatively associated with self-rated health, while the Gini index and the proportion of the population in long-term unemployment do not have a consistent significant effect. These findings support the hypothesis that there are higher risks to wellbeing in more unequal societies compared with more equal societies.

Suggested Citation

  • Esteban Sánchez-Moreno & Lorena Gallardo-Peralta, 2021. "From Income Inequalities to Social Exclusion: The Impact of the Great Recession on Self-Rated Health in Spain During the Onset of the Economic Crisis," SAGE Open, , vol. 11(4), pages 21582440211, October.
    • Handle: RePEc:sae:sagope:v:11:y:2021:i:4:p:21582440211052925
    DOI: 10.1177/21582440211052925
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    1. Cox, Matthew & Boyle, Paul J. & Davey, Peter G. & Feng, Zhiqiang & Morris, Andrew D., 2007. "Locality deprivation and Type 2 diabetes incidence: A local test of relative inequalities," Social Science & Medicine, Elsevier, vol. 65(9), pages 1953-1964, November.
    2. Birgisdóttir, Kristín Helga & Hauksdóttir, Arna & Ruhm, Christopher & Valdimarsdóttir, Unnur Anna & Ásgeirsdóttir, Tinna Laufey, 2020. "The effect of the economic collapse in Iceland on the probability of cardiovascular events," Economics & Human Biology, Elsevier, vol. 37(C).
    3. Francesco Bogliacino & Virginia Maestri, 2016. "Wealth Inequality and the Great Recession," Intereconomics: Review of European Economic Policy, Springer;ZBW - Leibniz Information Centre for Economics;Centre for European Policy Studies (CEPS), vol. 51(2), pages 61-66, March.
    4. Heikki Hiilamo, 2014. "Is Income Inequality ‘Toxic for Mental Health’? An Ecological Study on Municipal Level Risk Factors for Depression," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    5. María Andrée López Gómez & Laura Serra & George L Delclos & Fernando G Benavides, 2017. "Employment history indicators and mortality in a nested case-control study from the Spanish WORKing life social security (WORKss) cohort," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-15, June.
    6. Ivy Liu & Alan Agresti, 2005. "The analysis of ordered categorical data: An overview and a survey of recent developments," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 14(1), pages 1-73, June.
    7. Maas, Cora J. M. & Hox, J.J.Joop J., 2004. "The influence of violations of assumptions on multilevel parameter estimates and their standard errors," Computational Statistics & Data Analysis, Elsevier, vol. 46(3), pages 427-440, June.
    8. Kronenberg, Christoph & Boehnke, Jan R., 2019. "How did the 2008-11 financial crisis affect work-related common mental distress? Evidence from 393 workplaces in Great Britain," Economics & Human Biology, Elsevier, vol. 33(C), pages 193-200.
    9. repec:dau:papers:123456789/10510 is not listed on IDEAS
    10. Monica Violeta Achim & Viorela Ligia Văidean & Sorin Nicolae Borlea, 2020. "Corruption and health outcomes within an economic and cultural framework," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 195-207, March.
    11. Ehsan Latif, 2020. "Health Outcomes Before, During and After the Great Recession in Canada: A Longitudinal Analysis," Review of Economic Analysis, Digital Initiatives at the University of Waterloo Library, vol. 12(1), pages 59-72, April.
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