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@article{ Sánchez-Moreno2021, title = {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 = {Sánchez-Moreno, Esteban and Gallardo-Peralta, Lorena}, journal = {Sage Open}, number = {4}, pages = {1-18}, volume = {11}, year = {2021}, issn = {2158-2440}, doi = {https://doi.org/10.1177/21582440211052925}, urn = {https://nbn-resolving.org/urn:nbn:de:0168-ssoar-78851-5}, 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.}, keywords = {Spanien; Spain; Einkommensunterschied; difference in income; Exklusion; exclusion; Rezession; recession; Weltwirtschaftskrise; Great Depression; Gesundheit; health; Mehrebenenanalyse; multi-level analysis; Gesundheitszustand; health status; Ungleichheit; inequality; sozioökonomische Faktoren; socioeconomic factors; Wohlbefinden; well-being}}