Department of Social Work and Social Services, Faculty of Economics & Business, University of Alicante, Alicante 03690, Spain.
Int J Environ Res Public Health. 2019 Nov 20;16(23):4600. doi: 10.3390/ijerph16234600.
This study examines the social exclusion characteristics of a sample of users of primary care social services in two local entities in Spain. The objective of this study was to identify the intensity and scope of social exclusion in an exploratory way and to look at the typology of existing exclusionary situations to inform policy making and professional practice. Data from 1009 users were collected by primary care social services professionals, completing the Social Exclusion Scale of the University of Alicante (SES-UA). The dimensions with the greatest levels of social exclusion in the study population were those related to work/employment, income and education and training. The dimensions with an intermediate level of exclusion were those related to housing and social isolation. Social acceptance, family and social conflict and health were the dimensions with the lowest levels of exclusion. The analysis also showed the existence of five significantly different groups, that showed five different life trajectories along the continuum between social exclusion and social inclusion. The results show the importance and utility of developing professional and policy intervention protocols based on research evidence, with the objective of improving the quality of life of the users.
本研究考察了西班牙两个地方实体中初级保健社会服务使用者样本的社会排斥特征。本研究的目的是探索性地确定社会排斥的强度和范围，并研究现有的排斥情况的类型，以为政策制定和专业实践提供信息。初级保健社会服务专业人员收集了 1009 名使用者的数据，完成了阿利坎特大学社会排斥量表（SES-UA）。研究人群中社会排斥程度最高的维度是与工作/就业、收入和教育及培训相关的维度。处于中等排斥水平的维度是与住房和社会隔离相关的维度。社会接纳、家庭和社会冲突以及健康是排斥程度最低的维度。分析还显示了存在五个明显不同的群体，这些群体沿着社会排斥和社会包容的连续体表现出五种不同的生活轨迹。研究结果表明，根据研究证据制定专业和政策干预方案的重要性和实用性，目的是提高使用者的生活质量。
