Evidence map›Paper›PMID 20969761›Full record

ArticleBMC public health2010

An overview of ethical frameworks in public health: can they be supportive in the evaluation of programs to prevent overweight?

Marieke ten Have, Inez D de Beaufort, Johan P Mackenbach, Agnes van der Heide

Abstract read
In one paragraph

Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Identifying and Classifying Tools for Health Policy Ethics Review: A Systematic Search and Review.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Pooled it
  2. The 3D Value Framework for Sustainable Access to Effective Antibiotics.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  3. Article
  4. Getting fairer over time? Assessing changes in health technology funding processes using the accountability for reasonableness (A4R) framework.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Ethical Issues in Breastfeeding and Lactation Interventions: A Scoping Review.Journal of human lactation : official journal of International Lactation Consultant Association · 2024
    Article
  6. Article
  7. Review
  8. Article
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  10. Incentives for Smoking Cessation During Pregnancy: An Ethical Framework.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  11. Article
  12. Review
  13. Article
  14. Ethical Frameworks in Public Health Decision-Making: Defending a Value-Based and Pluralist Approach.Health care analysis : HCA : journal of health philosophy and policy · 2017
    Article
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  16. Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marieke ten HaveDepartment of Medical Ethics, Erasmus Medical Centre, Dr. Molewaterplein 50, Rotterdam, The Netherlands. m.tenhave@erasmusmc.nl
Inez D de Beaufort
Johan P Mackenbach
Agnes van der Heide

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevention of overweight sometimes raises complex ethical questions. Ethical public health frameworks may be helpful in evaluating programs or policy for overweight prevention. We give an overview of the purpose, form and contents of such public health frameworks and investigate to which extent they are useful for evaluating programs to prevent overweight and/or obesity.

methodsOur search for frameworks consisted of three steps. Firstly, we asked experts in the field of ethics and public health for the frameworks they were aware of. Secondly, we performed a search in Pubmed. Thirdly, we checked literature references in the articles on frameworks we found. In total, we thus found six ethical frameworks. We assessed the area on which the available ethical frameworks focus, the users they target at, the type of policy or intervention they propose to address, and their aim. Further, we looked at their structure and content, that is, tools for guiding the analytic process, the main ethical principles or values, possible criteria for dealing with ethical conflicts, and the concrete policy issues they are applied to.

resultsAll frameworks aim to support public health professionals or policymakers. Most of them provide a set of values or principles that serve as a standard for evaluating policy. Most frameworks articulate both the positive ethical foundations for public health and ethical constraints or concerns. Some frameworks offer analytic tools for guiding the evaluative process. Procedural guidelines and concrete criteria for solving important ethical conflicts in the particular area of the prevention of overweight or obesity are mostly lacking.

conclusionsPublic health ethical frameworks may be supportive in the evaluation of overweight prevention programs or policy, but seem to lack practical guidance to address ethical conflicts in this particular area.

Indexed as

Program EvaluationEthics, ProfessionalHealth PolicyHumansOverweightPublic Health

Identifiers

PMID20969761
PMCPMC2990740

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.