The World Bank is publishing nine volumes of Disease Control Priorities, 3rd edition (DCP3) between 2015 and 2018. Volume 9, Improving Health and Reducing Poverty, summarises the main messages from all the volumes and contains cross-cutting analyses. This Review draws on all nine volumes to convey conclusions. The analysis in DCP3 is built around 21 essential packages that were developed in the nine volumes. Each essential package addresses the concerns of a major professional community (eg, child health or surgery) and contains a mix of intersectoral policies and health-sector interventions. 71 intersectoral prevention policies were identified in total, 29 of which are priorities for early introduction. Interventions within the health sector were grouped onto five platforms (population based, community level, health centre, first-level hospital, and referral hospital). DCP3 defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4·2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5·2% of GNI in lower-middle-income countries. Financing provision of continuing intervention against chronic conditions accounts for about half of estimated incremental costs. For lower-middle-income countries, the mortality reduction from implementing the EUHC can only reach about half the mortality reduction in non-communicable diseases called for by the Sustainable Development Goals. Full achievement will require increased investment or sustained intersectoral action, and actions by finance ministries to tax smoking and polluting emissions and to reduce or eliminate (often large) subsidies on fossil fuels appear of central importance. DCP3 is intended to be a model starting point for analyses at the country level, but country-specific cost structures, epidemiological needs, and national priorities will generally lead to definitions of EUHC that differ from country to country and from the model in this Review. DCP3 is particularly relevant as achievement of EUHC relies increasingly on greater domestic finance, with global developmental assistance in health focusing more on global public goods. In addition to assessing effects on mortality, DCP3 looked at outcomes of EUHC not encompassed by the disability-adjusted life-year metric and related cost-effectiveness analyses. The other objectives included financial protection (potentially better provided upstream by keeping people out of the hospital rather than downstream by paying their hospital bills for them), stillbirths averted, palliative care, contraception, and child physical and intellectual growth. The first 1000 days after conception are highly important for child development, but the next 7000 days are likewise important and often neglected.
Economic games are well-established experimental paradigms for modeling social decision making. A large body of literature has pointed to the heterogeneity of behavior within many of these games, which might be partly explained by broad interpersonal trait dispositions. Using the Big Five and HEXACO (Honesty-Humility, Emotionality, eXtraversion, Agreeableness, Conscientiousness, Openness to Experience) personality frameworks, we review the role of personality in two main classes of economic games: social dilemmas and bargaining games. This reveals an emerging role for Big Five agreeableness in promoting cooperative, egalitarian, and altruistic behaviors across several games, consistent with its core characteristic of maintaining harmonious interpersonal relations. The role for extraversion is less clear, which may reflect the divergent effects of its underlying agentic and affiliative motivational components. In addition, HEXACO honesty-humility and agreeableness may capture distinct aspects of prosocial behavior outside the bounds of the Five-Factor Model. Important considerations and directions for future studies are discussed within the emerging personality-economics interface.
One of the most common tools for studying pro‐sociality is the dictator game, in which allocations to one's partner are often described in terms of altruism. However, the motivations driving these allocations may represent either emotional concern for others (compassion), adherence to social norms regarding fairness (politeness), or both. In this article, we apply personality psychology to the study of behavior in the dictator game, in which we examine the discriminant validity of distinct pro‐social constructs from the Big Five and HEXACO models in relation to allocations of wealth. Across four studies (Study 1: N = 192; Study 2: N = 212; Study 3: N = 304; Study 4: N = 90) utilizing both hypothetical and incentivized designs, we found that the politeness—but not compassion—aspect of Big Five Agreeableness, as well as HEXACO Honesty‐Humility, uniquely predicted dictator allocations within their respective personality models. These findings contribute to a growing literature indicating that the standard dictator game measures “good manners” or adherence to norms concerning fairness, rather than pure emotional concern or compassionate motives, and have important implications for how this paradigm is used and interpreted in psychological research.
ObjectiveThe extensive use of two diverging personality taxonomies (the Big Five and HEXACO models) in contemporary research creates a need for understanding how traits connect to each other across taxonomies. Previous research has approached this at both a highly general (domain‐) level as well as at a highly specific (facet‐) level. The present report is the first to use the intermediate (aspect‐) level of the Big Five Aspect Scales (BFAS) to understand the connections between the two models.MethodWe explored these associations in a meta‐analysis of four samples drawn from three countries (total N = 1,586).ResultsWe observed that each HEXACO domain correlated ≥|0.51| with one or more BFAS aspects. Half of the aspects were more strongly associated with HEXACO facets than with HEXACO domains, sometimes markedly so.ConclusionAlthough many domains, aspects, and facets are similarly represented across the two models, this was not always the case. Researchers seeking to use one model to extend findings built primarily off the other should carefully consider how well represented their traits of interest are in the other assessment. Psychology instructors are encouraged to use the BFAS to illustrate the subtler distinctions between the Big Five and HEXACO models.
Recent research has highlighted the role of prosocial personality traits—agreeableness and honesty-humility—in egalitarian distributions of wealth in the dictator game. Expanding on these findings, we ran two studies to examine individual differences in two other forms of prosociality—generosity and reciprocity—with respect to two major models of personality, the Big Five and the HEXACO. Participants (combined N = 560) completed a series of economic games in which allocations in the dictator game were compared with those in the generosity game, a non-constant-sum wealth distribution task where proposers with fixed payoffs selected the size of their partner’s payoff (“generosity”). We further examined positive and negative reciprocity by manipulating a partner’s previous move (“reciprocity”). Results showed clear evidence of both generosity and positive reciprocity in social preferences, with allocations to a partner greater in the generosity game than in the dictator game, and greater still when a player had been previously assisted by their partner. There was also a consistent interaction with gender, whereby men were more generous when this was costless and women were more egalitarian overall. Furthermore, these distinct forms of prosociality were differentially predicted by personality traits, in line with the core features of these traits and the theoretical distinctions between them. HEXACO honesty-humility predicted dictator, but not generosity allocations, while traits capturing tendencies toward irritability and anger predicted lower generosity, but not dictator allocations. In contrast, the politeness—but not compassion—aspect of Big Five agreeableness was uniquely and broadly associated with prosociality across all games. These findings support the discriminant validity between related prosocial constructs, and have important implications for understanding the motives and mechanisms taking place within economic games.
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