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This paper experimentally evaluates the relative importance of psychic costs of tetanus vaccination compared to monetary costs among women in rural Nigeria. To measure psychic costs, vaccine take-up between two conditions to receive cash incentives is compared: clinic attendance vs. vaccine take-up. Because the only difference between these two conditions is whether a woman was required to receive a vaccine upon arrival at the clinic, the difference in clinic attendance between these two groups captures the psychic costs of vaccination. Contrary to conventional wisdom, no evidence for significant psychic costs is found. Priming about disease severity increases the perceived severity of disease, but not vaccine take-up. Monetary costs strongly affect vaccination decisions.
Gender --- Health, Nutrition and Population --- Monetary Costs --- Poverty Reduction --- Priming --- Psychic Costs --- Public Health Promotion --- Vaccination
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This paper is an attempt to broaden economic discourse by importing insights into human behavior not just from psychology, but also from sociology and anthropology. Whereas the concept of the decision-maker in standard economics is the rational actor and, in early work in behavioral economics, the quasi-rational actor influenced by the context of the moment of decision-making, in some recent work in behavioral economics the decision-maker could be called the enculturated actor. This actor's preferences, perception, and cognition are subject to two deep social influences: (a) the social contexts to which he has become exposed and, especially, accustomed; and (b) the cultural mental models-including categories, identities, narratives, and worldviews-that he uses to process information. The paper traces how these factors shape individual behavior through the endogenous determination of preferences and the lenses through which individuals see the world-their perception and interpretation of situations. The paper offers a tentative taxonomy of the social determinants of behavior and describes the results of controlled and natural experiments that only a broader view of these determinants can plausibly explain. The perspective suggests more realistic models of human behavior for explaining outcomes and designing policies.
Altruism --- Behavioral Economics --- Brain --- Cognition --- Cultural Policy --- Culture --- Culture & Development --- Economic Theory & Research --- Education --- Educational Sciences --- Environment --- Environmental Economics & Policies --- Gender --- Macroeconomics and Economic Growth --- Priming --- Psychology --- Rationality --- Role Model --- Social Development --- Sociology
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