Vicious Circle Research

Socio-economic vulnerability and disability in Israel

278 settlements analyzed | Real administrative data

This project analyzes the factual correlations between Socio-Economic status and medical conditions across Israel, utilizing the most recent data available.We integrated administrative records from the National Insurance Institute (Bituach Leumi)—specifically benefit recipients in localities with over 2,000 residents, current as of December 2024—with official indices from the Central Bureau of Statistics (CBS). The CBS data includes the Socio-Economic Index (Cluster & Score, updated to 2021) and the Peripherality Index (Cluster & Score, updated to 2020).Based on this unified dataset, we engineered two novel composite features: The Social Index: A weighted combination of the socio-economic score, periphery scale, and income support rates.The Health Index: An aggregation of general disability, special services for persons with disabilities, and mobility benefits.

Interactive Map of Israel

Dropdown: Socio-economic cluster | Disability rate | Income support rate

Main Findings

Use the dropdown to compare spatial patterns across socio-economic cluster, disability rate, and income support rate. Bubble size reflects population, so dense areas stand out quickly.

Spearman Correlations: Social vs Health Indicators

Negative values mean higher socio-economic score -> lower disability

Main Findings: Values closer to -1 or 1 indicate stronger negative/positive correltation between different indicators.

Correlation Between Social-Economic Vulnerability and Disability

Social/Health indices | Spearman r = 0.58

Methodology: How We Calculated the Indices

Both indices are normalized to a range of -1 (Distress) to +1 (Resilience).

1. The Social Index (X-Axis)

A weighted measure of a settlement's socio-economic strength:

Meaning: A score of +1 represents a wealthy, central locality; -1 represents a poor, peripheral one.

2. The Health Index (Y-Axis)

A weighted measure of the working-age population's health (inverted, so high = healthy):

Meaning: A score of +1 represents a locality with very low disability rates (Healthy); -1 represents high disability rates (Unhealthy).

Main Findings: Higher social vulnerability aligns with higher disability severity across settlements, even after combining multiple indicators into the social and health indices.

Resilience vs. Distress: Deviation from Expected Health Index

Residuals from social index -> health index regression

Key Anomalies

Top 5 'Distress' Cities (Population > 10K) (Red/Negative Residual)

SettlementSE ClusterResidualPopulation
טבריה3-0.9652,388
באר שבע5-0.72214,661
קריית ים5-0.7041,520
עפולה5-0.6965,478
מגדל העמק4-0.5928,708

The Intergenerational Trap: Child vs. Adult Disability

National averages mark the red zone for priority intervention

Axis Definitions

The x-axis is the rate of recipients of a general disability pension in each locality, out of the entire working-age population in that locality (ages 18-64). The range is from 0 to the settlement with the highest general disability rate (14.8%).

The y-axis is the rate of recipients of a disabled child benefit in each locality, out of the entire population of children in that locality (ages 0 to 17). The range is from 0 to the settlement with the highest disabled child benefit rate (10.7%).

The Data Story

This scatter plot reveals a possible disturbing correlation between working-age disability (parents) and child disability (future generation). The "Red Zone" (top-right quadrant) represents localities where both rates exceed the national weighted average.

Red Zone Priority List (Top 10)

SettlementRegionSE ClusterChild Rate %Adult Rate %
קריית שמונהNorth58.8411.06
טבריהNorth38.2414.82
בת יםCenter57.938.27
טירת כרמלNorth67.839.24
רמלהCenter47.338.08
קריית גתSouth47.278.70
עפולהNorth57.1911.22
חצור הגליליתNorth47.1411.11
באר שבעSouth57.0810.28
אור יהודהCenter57.028.11

Appendix

Long-Term Care vs Income Support

Spearman r = 0.73 | Color = peripherality cluster

Main Findings: Higher income support tends to co-occur with higher LTC rates, reflecting overlapping vulnerability among older populations.

Disability Rates by Socio-Economic Quartile (Settlements > 10K population)

Benchmark line = overall weighted working-age disability rate

Main Findings

The chart compares the average disability rate across Israeli settlements, grouped into socio-economic quartiles—from the lowest (Q1) to the highest (Q4). The analysis includes only settlements with more than 10,000 residents. Each bar represents the mean disability rate across settlements within that quartile. The key takeaway is that there is no linear downward trend across the three lower quartiles (Q1–Q3): the values are similar, and Q2 is even slightly higher than Q1. In contrast, the highest quartile (Q4) shows a sharp and substantial drop in disability rates compared to the other quartiles.

Benchmark: Overall weighted disability rate = 6.76%.

General Disability vs Income Support

Spearman r = 0.72

Main Findings: Settlements with higher disability rates also tend to show higher income support rates, indicating overlapping vulnerability.

General Disability vs Socio-Economic Index

Spearman r = -0.54 | Color = peripherality cluster

Main Findings: Lower socio-economic scores are associated with higher disability rates, especially in peripheral localities.

Residuals: General Disability vs Socio-Economic Index

Deviation from expected SEI given disability rate

Long-Term Care vs Socio-Economic Index

Spearman r = -0.69

Main Findings: LTC rates are influenced by age structure, but still show a meaningful association with socio-economic conditions.