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Generic
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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
%A Sánchez-Moreno, Esteban
%A Gallardo-Peralta, Lorena
%K Spanien
%K Einkommensunterschied
%K Exklusion
%K Rezession
%K Weltwirtschaftskrise
%K Gesundheit
%K Mehrebenenanalyse
%K Gesundheitszustand
%K Ungleichheit
%K sozioökonomische Faktoren
%K Wohlbefinden
%K EU-SILC 2015
%K self-rated health
%D 2021
%X Veröffentlichungsversion
%X begutachtet (peer reviewed)
%X In: Sage Open ; 11 (2021) 4 ; 1-18
%X 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.