@article{ref1,
title="A scoping review of unintended harm associated with public health interventions: Towards a typology and an understanding of underlying factors",
journal="International journal of public health",
year="2014",
author="Allen-Scott, L. K. and Hatfield, J. M. and McIntyre, L.",
volume="59",
number="1",
pages="3-14",
abstract="OBJECTIVES: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: PHI planning and evaluation frameworks may benefit from the consideration and potential incorporation of the unintended harm typology and underlying factors.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.1007/s00038-013-0526-6",
url="http://dx.doi.org/10.1007/s00038-013-0526-6"
}