Department of Social & Environmental Health Research, London School of Hygiene & Tropical Medicine, , London, UK.
J Epidemiol Community Health. 2014 Mar;68(3):288-90. doi: 10.1136/jech-2013-203118. Epub 2013 Dec 13.
Public health interventions may have a range of adverse effects. However, there is limited guidance as to how evaluations should address the possibility of adverse effects. This discussion paper briefly presents a framework for thinking about the potential harms of public health interventions, focusing on the following categories: direct harms; psychological harms; equity harms; group and social harms; and opportunity harms. We conclude that the possibility of adverse effects needs to be taken into account by those implementing and evaluating interventions, and requires a broad perspective on the potential impacts of public health strategies.
公共卫生干预措施可能会产生一系列不良影响。然而，对于评估应如何应对不良影响，目前的指导意见十分有限。本文简要介绍了一个用于思考公共卫生干预措施潜在危害的框架，重点关注以下几类危害：直接危害、心理危害、公平危害、群体和社会危害以及机会危害。我们的结论是，实施和评估干预措施的人员需要考虑到不良影响的可能性，并需要从更广泛的角度看待公共卫生策略的潜在影响。
