Ethical issues in the development and implementation of nutrition-related public health policies and interventions: A scoping review

Background The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc.) contexts. Aim The goal of this scoping review is to delineate and “map” the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise. Methods A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O’Malley. Searches using PubMed with Medical Subject Headings (MeSH) categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications. Results The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented. Discussion The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this field. More importantly, these ethical issues cannot be managed without a careful consideration for the complexity of contexts in which nutrition-related interventions are expected to be implemented. These interventions engage a variety of actors with diverse perspectives and interests. We discuss these challenges and also comment on the importance of considering ethical impacts in the monitoring and evaluation of such interventions. Conclusion General ethical frameworks or recommendations–although useful–cannot be expected to provide policy makers, implementators and other public health personnel with sufficient practical ethical guidance as they cannot consider and anticipate the particularities of all specific nutrition-related public health interventions and the complexity of the contexts in which they are implemented. Further research is needed in order to develop more targeted ethical frameworks.

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PID https://www.doi.org/10.1371/journal.pone.0186897
PID pmc:PMC5658098
PID pmid:29073186
URL http://europepmc.org/articles/PMC5658098
URL https://core.ac.uk/display/149371038
URL http://dx.plos.org/10.1371/journal.pone.0186897
URL https://academic.microsoft.com/#/detail/2767184695
URL https://www.ncbi.nlm.nih.gov/pubmed/29073186
URL http://europepmc.org/articles/PMC5658098?pdf=render
URL https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0186897&type=printable
URL https://pubmed.ncbi.nlm.nih.gov/29073186/
URL https://doaj.org/toc/1932-6203
URL http://dx.doi.org/10.1371/journal.pone.0186897
URL https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0186897
URL https://dx.plos.org/10.1371/journal.pone.0186897
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Access Right Open Access
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Author Thierry Hurlimann, 0000-0002-0888-0650
Author Juan Pablo Peña-Rosas, 0000-0002-6737-9831
Author Abha Saxena
Author Gerardo Zamora
Author Béatrice Godard, 0000-0003-1980-7755
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Collected From PubMed Central; ORCID; UnpayWall; DOAJ-Articles; Crossref; Microsoft Academic Graph
Hosted By Europe PubMed Central; PLoS ONE
Journal PLoS ONE, 12, 10
Publication Date 2017-10-01
Publisher Public Library of Science
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Language English
Resource Type Article
keyword Q
keyword R
keyword keywords.General Biochemistry, Genetics and Molecular Biology
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::3d4b50d876c44a1bc449bd784948f504
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Last Updated 22 December 2020, 14:28 (CET)
Created 22 December 2020, 14:28 (CET)