Department of Community Health Sciences, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada,
Int J Public Health. 2014 Feb;59(1):3-14. doi: 10.1007/s00038-013-0526-6. Epub 2014 Jan 1.
Unintended harm theory as related to public health interventions (PHI) is under developed, with harm evaluation and reporting often absent or incomplete. This review presents a typology for, and underlying factors linked to, PHI-associated unintended harm.
This scoping review was conducted electronically and includes articles from 1992 to June of 2013. Out of 2,490 originally identified titles, 26 full-text articles were included that discussed unintended harm associated with PHI. An iterative data analysis process was utilized to identify both a typology and underlying factors associated with unintended harm.
A typology of PHI-associated unintended harm was identified: (1) physical; (2) psychosocial; (3) economic; (4) cultural and (5) environmental. Five underlying factors associated with PHI unintended harm emerged: (1) limited and/or poor quality evidence; (2) prevention of one extreme leads to another (boomerang effects); (3) lack of community engagement; (4) ignoring root causes; and (5) higher-income country PHI implementation in a lower- or middle-income country.
PHI planning and evaluation frameworks may benefit from the consideration and potential incorporation of the unintended harm typology and underlying factors.
与公共卫生干预措施（PHI）相关的非故意伤害理论尚未得到充分发展，伤害评估和报告往往缺失或不完整。本综述提出了与 PHI 相关的非故意伤害相关的分类法和潜在因素。
本范围综述通过电子方式进行，包括 1992 年至 2013 年 6 月期间的文章。在最初确定的 2490 个标题中，有 26 篇全文文章讨论了与 PHI 相关的非故意伤害。采用迭代数据分析过程来确定与非故意伤害相关的分类法和潜在因素。
确定了与 PHI 相关的非故意伤害的分类法：（1）身体；（2）心理社会；（3）经济；（4）文化和（5）环境。与 PHI 非故意伤害相关的五个潜在因素出现：（1）证据有限和/或质量差；（2）预防一个极端导致另一个极端（回旋镖效应）；（3）缺乏社区参与；（4）忽视根本原因；和（5）高收入国家在中低收入国家实施 PHI。
PHI 规划和评估框架可能受益于考虑和潜在纳入非故意伤害分类法和潜在因素。
