Opening the black box of under-health people: the case of Spain

The most famous modern definition of health was created during a Preamble to the Constitution of the World Health Organization in 1946: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” This definition has not been amended and, since then, many indicators have been proposed to measure health such as Self-Assessed Health (SAH) status. It provides an overall measure of a population’s health based on individuals’ personal perceptions of their own health. In this paper, we focus our analysis on “under-health” as the fact of having a level that falls behind the health requirements necessary to perform what is considered an “expected life based on Self Assessed Health”. For Spain using the European Union Statistics on Income and Living Conditions (EU-SILC), we can confirm there exist under-healthy people by occupation, age group and sex. Additionally, under-healthy workers are most likely to be found among skilled agricultural, fishery workers and elementary occupations.