Evidence map›Paper›PMID 39404955›Full record

ArticleMonash bioethics review2025

Coercive public health policies need context-specific ethical justifications.

Tess Johnson, Lerato Ndlovu, Omolara O Baiyegunhi, Wezzie S Lora, Nicola Desmond

Abstract read
In one paragraph

Article in Monash bioethics review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Scope and Spatio-Temporal Patterns of Workplace Vaccination Mandates During the COVID-19 Pandemic.International journal of environmental research and public health · 2025
    Article
  5. Article
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

5 authors.

Tess JohnsonEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. tess.johnson@ethox.ox.ac.uk.ORCID http://orcid.org/0000-0003-2071-4302
Lerato NdlovuAfrica Health Research Institute, Durban, South Africa.
Omolara O BaiyegunhiAfrica Health Research Institute, Durban, South Africa.
Wezzie S LoraDepartment of Public Health, Malawi Liverpool Wellcome Programme, Blantyre, Malawi.
Nicola DesmondLiverpool School of Tropical Medicine, Liverpool, UK.

Funding

FIC NIH HHS D43Pandemic Sciences Institute Pandemic Sciences InstituteSub-Saharan network for TB and HIV research excellence Sub-Saharan network for TB and HIV research excellenceWellcome TrustWellcome Trust 096527Wellcome Trust 221719
6 · The paper itself

Abstract

Public health policies designed to improve individual and population health may involve coercion. These coercive policies require ethical justification, and yet it is unclear in the public health ethics literature which ethical concepts might justify coercion, and what their limitations are in applying across contexts. In this paper, we analyse a number of concepts from Western bioethics, including the harm principle, paternalism, the public interest, and a duty of easy rescue. We find them plausible justifications for coercion in theory, but when applied to case studies, including HIV testing in Malawi, vaccine mandates in South Africa, and prohibitions of antibiotic use in livestock in the EU, their limitations become clear. We argue that the context-specificity of ethical justifications for coercion has been overlooked, and there is more work needed to identify context-relevant ethical justifications for coercive policies in various settings and for various populations, rather than relying on universalising Western bioethical justifications across all contexts.

Indexed as

CoercionHealth PolicyPublic HealthHumansPaternalismSouth AfricaAntimicrobial stewarsdhipCoercionEthical justificationHIV testingMandatory vaccinationPublic health ethics

Identifiers

PMID39404955
PMCPMC7617997

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.