Adverse effects of public health interventions: a conceptual framework.

Theo Lorenc; Kathryn Oliver ORCID logo; (2013) Adverse effects of public health interventions: a conceptual framework. Journal of epidemiology and community health, 68 (3). pp. 288-290. ISSN 0143-005X DOI: 10.1136/jech-2013-203118
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Public health interventions may have a range of adverse effects. However, there is limited guidance as to how evaluations should address the possibility of adverse effects. This discussion paper briefly presents a framework for thinking about the potential harms of public health interventions, focusing on the following categories: direct harms; psychological harms; equity harms; group and social harms; and opportunity harms. We conclude that the possibility of adverse effects needs to be taken into account by those implementing and evaluating interventions, and requires a broad perspective on the potential impacts of public health strategies.

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