title: Health Disparities by Income in Spain Before and After the Economic Crisis.
abstract: Little is known about how health disparities by income change during times of economic crisis. We apply a decomposition method to unravel the contributions of income growth, income inequality and differential income mobility across socio-demographic groups to changes in health disparities by income in Spain using longitudinal data from the Survey of Income and Living Conditions for the period 2004-2012. We find a modest rise in health inequality by income in Spain in the 5 years of economic growth prior to the start of the crisis in 2008, but a sharp fall after 2008. The drop mainly derives from the fact that loss of employment and earnings has disproportionately affected the incomes of the younger and healthier groups rather than the (mainly stable pension) incomes of the groups over 65 years. This suggests that unequal distribution of income protection by age may reduce health inequality in the short run after an economic recession. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.|Tinbergen Institute, Amsterdam, The Netherlands.|NETSPAR, Tilburg, The Netherlands.
authors.forename: Max
authors.identifier: 0000-0001-8842-2299
authors.initials: M
authors.lastname: Coveney
authors.affiliation: Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.|Tinbergen Institute, Amsterdam, The Netherlands.|NETSPAR, Tilburg, The Netherlands.
authors.forename: Pilar
authors.initials: P
authors.lastname: García-Gómez
authors.affiliation: Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.|Tinbergen Institute, Amsterdam, The Netherlands.|NETSPAR, Tilburg, The Netherlands.|Institute for Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
authors.forename: Eddy
authors.initials: E
authors.lastname: Van Doorslaer
authors.affiliation: Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.|Tinbergen Institute, Amsterdam, The Netherlands.|NETSPAR, Tilburg, The Netherlands.
authors.forename: Tom
authors.initials: T
authors.lastname: Van Ourti
mesh_terms: D000328:Adult; D057172:Economic Recession / Q000706:statistics & numerical data; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010415:Pensions; D013030:Spain; D014478:Unemployment
keywords: Spain; economic crisis; health inequality