Hannover Medical School, Institute for History, Ethics and Philosophy of Medicine, Hannover, Germany.
Int J Public Health. 2017 Dec;62(9):981-988. doi: 10.1007/s00038-017-1027-9. Epub 2017 Aug 11.
Planning and conducting preventive measures against obesity for school children is beset with ethical issues which should be known to make well-informed decisions. The goal of this study was to provide a comprehensive spectrum of these ethical issues by means of a systematic review. In this context, the study also assesses the value of different search strategies for ethical literature in public health.
Literature was searched in Medline, EBSCO and others. Three different search strategies with varied scopes were applied and their output was compared. Qualitative content analysis was used for extracting and categorizing ethical issues.
109 publications (published from 1995 to 2015) were finally included. The qualitative analysis resulted in 60 potentially relevant ethical issues. The three search strategies showed substantial differences regarding their search results.
The presented spectrum provides an initial evidence base for dealing with ethical issues adequately. The findings of the study further suggest that a broader scope is more fruitful for systematic reviews on ethical issues in the field of public health.
为在校儿童规划和实施预防肥胖的措施涉及到一些伦理问题，为了做出明智的决策，这些问题应该被了解。本研究的目的是通过系统评价提供这些伦理问题的全面概述。在这方面，本研究还评估了公共卫生领域中不同搜索策略对于伦理文献的价值。
在 Medline、EBSCO 等数据库中进行文献检索。应用了三种不同范围的搜索策略，并对其结果进行了比较。采用定性内容分析来提取和分类伦理问题。
最终纳入了 109 篇出版物（发表于 1995 年至 2015 年）。定性分析产生了 60 个潜在相关的伦理问题。这三种搜索策略在搜索结果上存在显著差异。
所呈现的内容为充分处理伦理问题提供了初步的证据基础。研究结果进一步表明，对于公共卫生领域的伦理问题的系统评价，更广泛的范围更有成效。
