Risk of Exclusion in People with Disabilities in Spain: Determinants of Health and Poverty

Int J Environ Res Public Health. 2018 Sep 27;15(10):2129. doi: 10.3390/ijerph15102129.


In this paper, we analyze data from the 2012 Encuesta de Integración Social y Salud (Social Integration and Health Survey) of the Instituto Nacional de Estadística (Spanish National Institute of Statistics) to obtain profiles created by combining disability, poverty and social exclusion. We hypothesize that the probability that people will experience social exclusion increases if they have a disability, chronic illness or limitation in conducting everyday activities, and that this probability is greater for women than for men. To conduct our analysis, we constructed a social exclusion model based on a series of social determinants that acts as a dependent variable. In this context, social exclusion is understood to go beyond the concept of financial poverty. We performed bivariate analyses, in which we calculated the Odds Ratios (OR) for certain variables considered to be predictors of social exclusion. We also performed a means comparison test and an ANOVA test to observe differences between individuals with recognized disability and those without. Finally, we conducted logistic regression analysis to determine which vulnerability profiles are most likely to experience a situation of social exclusion. We also discuss the limitations of our study, and suggest areas in, which the relationships between health, social exclusion and disability can be further investigated.

Keywords: disability; health; poverty; social exclusion; social inequality.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Disabled Persons / statistics & numerical data*
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Poverty / statistics & numerical data*
  • Risk Assessment
  • Social Alienation*
  • Spain
  • Young Adult