Addi van Bergen

Cumulation of ill health and low agency 137 6 SD: standard deviation SE: social exclusion SEI-HS: Social Exclusion Index for Health Surveys SF: social factor SRH: self-rated health WHO: World Health Organization GLOSSARY Social exclusion The cumulation of disadvantages in social, economic, cultural and political domains. - A person is socially excluded if he/she cannot participate fully in society and make use of the benefits that society offers. Social Exclusion Index for Health Surveys (SEI-HS) Validated instrument to measure the multidimensional concept of social exclusion. Agency The human capability to influence one’s functioning and the course of events by one’s actions. Personal control The extent to which an individual regards his or her life chances as being under his or her personal control rather than fatalistically ruled. Relative risk (RR) The risk of a certain event (disease, risk factor, etc.) in one group compared to the risk of the same event in another group. Population attributable fraction (PAF) The proportion of the health problem that can be attributed to, or that is associated with, a particular risk factor. ACKNOWLEDGMENTS We gratefully acknowledge Henriëtte Dijkshoorn, Gea Schouten, Nasra Karamali and Jessica Bouwman from the Public Health Services of Amsterdam, Rotterdam, The Hague and Utrecht for making available the data used in this study and giving valuable advice on data quality, SPSS syntaxes and other methodological issues. SUPPLEMENTARY MATERIALS Table A1. Relative risk (95% CI) and PAF for four dimensions of social exclusion. Table A2. Overlap between social exclusion and four social factors (weighted percen- tages). Table A3. Relative risks (95% CI) for social factors with and without SE and differ- ential effects.