abstract: 'We analyze the influence of the dramatic changes in the Spanish labor market during the crisis on the perceived health of the Spanish population. We use the longitudinal Living Conditions Survey database and multilevel longitudinal logistic models between 2007 and 2011, before and during the economic crisis in one of the European countries most affected by its consequences. Unemployment (OR 1.75; p < 0.001), job insecurity (OR 1.38; p < 0.001), and being part of a household with severe material deprivation (OR 1.87; p = 0.004) increase the risk of having worsened perceived health. Available income, on the other hand, is a protective factor (OR 0.72; p < 0.001). Public expenditure policies have little impact on the perceived health. Labor market reforms reducing the degree of job insecurity and unemployment, together with income transfers to those at greater risk of social deprivation, can be more effective in improving the health of the population than the increase of aggregated social or health care expenditure. This study provides evidence of the influence that unemployment, job insecurity, and poverty exert on the perceived health of individuals, with data collected in Spain after the onset of the financial crisis. In addition, after analyzing public social expenditure, only expenditure on FPS seems to influence self-reported health, although to a very limited degree.' affiliation: 'Correa, M (Corresponding Author), Univ Granada, Appl Econ, Campus Univ Cartuja, E-18071 Granada, Spain. Fornell, Beatriz; Correa, Manuel; Puerto Lopez del Amo, M.; Martin, Jose J., Univ Granada, Appl Econ, Campus Univ Cartuja, E-18071 Granada, Spain.' author: Fornell, Beatriz and Correa, Manuel and Puerto Lopez del Amo, M. and Martin, Jose J. author-email: manuelcorrea@ugr.es author_list: - family: Fornell given: Beatriz - family: Correa given: Manuel - family: Puerto Lopez del Amo given: M. - family: Martin given: Jose J. da: '2023-09-28' doi: 10.1007/s11136-018-1824-5 eissn: 1573-2649 files: [] issn: 0962-9343 journal: QUALITY OF LIFE RESEARCH keywords: 'Unemployment; Precarious employment; Poverty; Self-rated health; Spain; Longitudinal study' keywords-plus: 'SELF-RATED HEALTH; QUALITY-OF-LIFE; JOB INSECURITY; PRECARIOUS EMPLOYMENT; MENTAL-HEALTH; TEMPORARY EMPLOYMENT; SOCIOECONOMIC GROUPS; INCOME INEQUALITIES; MULTILEVEL ANALYSIS; REPORTED HEALTH' language: English month: AUG number: '8' number-of-cited-references: '88' pages: 2095-2105 papis_id: 1a88a2179b3994f9740156be00319cba ref: Fornell2018influencechanges researcherid-numbers: 'Martín, José Jesús/AAB-7056-2019 del Amo Gonzál, M. Puerto López/AAC-5041-2019 Correa, Manuel/AAT-6956-2020' times-cited: '11' title: Influence of changes in the Spanish labor market during the economic crisis (2007-2011) on perceived health type: Article unique-id: WOS:000438121400014 usage-count-last-180-days: '0' usage-count-since-2013: '14' volume: '27' web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services; Public, Environmental \& Occupational Health' year: '2018'