Public Health Ethics最新文献

What Information on Mammographic Screening is Available to Women in Quebec, Ontario and Canada: Results from a Document Analysis. 魁北克、安大略和加拿大妇女可获得哪些乳房x光检查信息：一项文献分析的结果。

IF 2 3区哲学

Public Health Ethics Pub Date : 2026-03-09 eCollection Date: 2026-04-01 DOI: 10.1093/phe/phag001

Alexandra Larocque, Isabelle Trop, Nathalie Gaucher

{"title":"What Information on Mammographic Screening is Available to Women in Quebec, Ontario and Canada: Results from a Document Analysis.","authors":"Alexandra Larocque, Isabelle Trop, Nathalie Gaucher","doi":"10.1093/phe/phag001","DOIUrl":"10.1093/phe/phag001","url":null,"abstract":"Information provided to women invited to participate in mammography screening is crucial in supporting informed consent. Expert recommendations remain divided, and the ethical framing of autonomy, especially in shared decision-making, often fails to reflect the realities of clinical practice. This study examines how public-facing documents communicate screening information and explores whether relational autonomy offers a more ethically coherent approach. A document analysis was conducted using the READ method. Documents published between 1999 and 2023, from Quebec, Ontario or Canada, containing the keywords 'breast cancer screening' and 'screening mammography' were included and assessed using a 16-category grid. Fifty-one documents were included (Qc: 16, On: 10, Can: 25) and 11 were excluded. 10 per cent included women from the public, but the majority of contributing experts were women (57 per cent). 96 per cent of documents were considered inaccessible based on the Flesch-Kincaid Grade Level score. Benefits were mentioned more often than risks (90 per cent vs 37 per cent) and 16 per cent confused diagnosis and screening. Women under 50 were overrepresented (37 per cent) and racialized women underrepresented (58 per cent). This analysis reveals biases in how screening information is designed and communicated. Relational autonomy offers a more inclusive framework for evaluating and improving screening communication.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 1","pages":"phag001"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13017105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Zoonoethics and Inclusive One Health Governance for H5N1 Panzootic: From Animal Culling to Co-responsibility. H5N1大流行病的动物传染病伦理和包容性的统一卫生治理：从动物扑杀到共同责任。

IF 2 3区哲学

Public Health Ethics Pub Date : 2026-03-05 eCollection Date: 2026-04-01 DOI: 10.1093/phe/phag002

Juan Alberto Lecaros, Jeyver Rodriguez

{"title":"Zoonoethics and Inclusive One Health Governance for H5N1 Panzootic: From Animal Culling to Co-responsibility.","authors":"Juan Alberto Lecaros, Jeyver Rodriguez","doi":"10.1093/phe/phag002","DOIUrl":"10.1093/phe/phag002","url":null,"abstract":"The global spread of highly pathogenic avian influenza (H5N1) clade 2.3.4.4b has evolved into a multispecies panzootic that disrupts conventional boundaries between human, animal and environmental health systems. Using Brazil's response as an illustrative case, this article argues that prevailing containment strategies-particularly mass culling-remain ethically insufficient and practically misaligned with the ecological complexity of H5N1 transmission. To clarify the normative foundations of an alternative approach, we introduce a theoretical framework grounded in zoonoethics and global ecological bioethics, emphasizing multispecies justice, relational vulnerability, intercultural and community engagement and co-responsibility. We then apply this framework to evaluate the limitations of reactive biosecurity paradigms and to outline multispecies-sensitive One Health governance guidelines. The analysis demonstrates that effective and legitimate panzootic response requires moving beyond biomedical and anthropocentric models toward anticipatory, inclusive and ethically grounded governance capable of addressing structural drivers such as biodiversity loss, land-use change and the erosion of Indigenous territorial protections. We conclude by discussing how the H5N1 panzootic represents a 'perfect storm' that demands not only improved preparedness, but a reconceptualization of One Health as an ethical and political project of multispecies cohabitation in an era of planetary instability.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 1","pages":"phag002"},"PeriodicalIF":2.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why Public Health Is Not About Public Goods. 为什么公共卫生不是公共产品？

IF 2 3区哲学

Public Health Ethics Pub Date : 2025-11-27 eCollection Date: 2025-11-01 DOI: 10.1093/phe/phaf023

Lovro Savić

引用次数: 0

Should Weight be Given Less Weight in Public Health? 在公共卫生中应该减轻体重吗？

IF 2 3区哲学

Public Health Ethics Pub Date : 2025-11-14 eCollection Date: 2025-11-01 DOI: 10.1093/phe/phaf021

Cal Paterson

引用次数: 0

Privacy, Exploitation and Global Disease Surveillance: Can We Justly Prevent the Next Pandemic? 隐私、剥削和全球疾病监测：我们能公正地预防下一次大流行吗？

IF 2 3区哲学

Public Health Ethics Pub Date : 2025-09-01 eCollection Date: 2025-11-01 DOI: 10.1093/phe/phaf014

Anand Sergeant

{"title":"Privacy, Exploitation and Global Disease Surveillance: Can We Justly Prevent the Next Pandemic?","authors":"Anand Sergeant","doi":"10.1093/phe/phaf014","DOIUrl":"10.1093/phe/phaf014","url":null,"abstract":"In light of the COVID-19 pandemic, global health organizations have called for the implementation of robust global disease surveillance systems to recognize and respond to emerging pathogens. These active surveillance technologies would have a significant global benefit by preventing the spread of current pandemics and informing future pandemic responses. In this paper, I examine the extent to which we can sacrifice individuals' privacy through global disease surveillance in order to benefit current and future generations. First, I outline disease surveillance technologies and explain how disease surveillance would occur primarily in low-income, rural communities in the Global South. Next, I outline privacy-related harms that these individuals would experience as a result of disease surveillance. I argue that within our current distributional system for global health resources, pandemic surveillance would impose privacy-related burdens on marginalized communities, who would receive inadequate benefits from these programs. This is unfair because it exploits the worst off in order to benefit individuals in wealthy nations. I conclude that to justifiably implement global disease surveillance, we ought to adopt a 'prioritarian' approach to health distribution. To impose privacy-related burdens on the worst off, we must ensure that they benefit significantly.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"18 3","pages":"phaf014"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Health as a Constitutional Principle. 公共卫生作为一项宪法原则。

IF 1.4 3区哲学

Public Health Ethics Pub Date : 2025-07-10 eCollection Date: 2025-07-01 DOI: 10.1093/phe/phaf007

Alvin Chen

引用次数: 0

Ethics of Mathematical Modeling in Public Health: The Case of Medical Male Circumcision for HIV Prevention in Africa. 公共卫生中的数学建模伦理：以非洲男性包皮环切术预防艾滋病毒为例。

IF 2 3区哲学

Public Health Ethics Pub Date : 2024-10-14 eCollection Date: 2024-11-01 DOI: 10.1093/phe/phae009

Stuart Rennie, Sara Levintow, Adam Gilbertson, Winnie Kavulani Luseno

引用次数: 0

Ethical Dimensions of Population-Based Lung Cancer Screening in Canada: Key Informant Qualitative Description Study. 加拿大全民肺癌筛查的伦理问题：关键信息提供者定性描述研究》。

IF 1.4 3区哲学

Public Health Ethics Pub Date : 2024-08-29 eCollection Date: 2024-11-01 DOI: 10.1093/phe/phae008

Manisha Pahwa, Julia Abelson, Paul A Demers, Lisa Schwartz, Katrina Shen, Meredith Vanstone

{"title":"Ethical Dimensions of Population-Based Lung Cancer Screening in Canada: Key Informant Qualitative Description Study.","authors":"Manisha Pahwa, Julia Abelson, Paul A Demers, Lisa Schwartz, Katrina Shen, Meredith Vanstone","doi":"10.1093/phe/phae008","DOIUrl":"10.1093/phe/phae008","url":null,"abstract":"Normative issues associated with the design and implementation of population-based lung cancer screening policies are underexamined. This study was an exposition of the ethical justification for screening and potential ethical issues and their solutions in Canadian jurisdictions. A qualitative description study was conducted. Key informants, defined as policymakers, scientists and clinicians who develop and implement lung cancer screening policies in Canada, were purposively sampled and interviewed using a semi-structured guide informed by population-based disease screening principles and ethical issues in cancer screening. Interview data were analyzed using qualitative content analysis. Fifteen key informants from seven provinces were interviewed. Virtually all justified screening by beneficence, describing that population benefits outweigh individual harms if high-risk people are screened in organized programs according to disease screening principles. Equity of screening access, stigma and lung cancer primary prevention were other ethical issues identified. Key informants prioritized beneficence over concerns for group-level justice issues when making decisions about whether to implement screening policies. This prioritization, though slight, may impede the implementation of screening policies in a way that effectively addresses justice issues, a goal likely to require justice theory and critical interpretation of disease screening principles.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"17 3","pages":"139-153"},"PeriodicalIF":1.4,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Self-Management to Shared-Management: A Relational Approach for Equitable Chronic Care 从自我管理到共享管理：公平慢性病护理的关系方法

IF 2.1 3区哲学

Public Health Ethics Pub Date : 2024-08-22 DOI: 10.1093/phe/phae007

Francisca Stutzin Donoso

{"title":"From Self-Management to Shared-Management: A Relational Approach for Equitable Chronic Care","authors":"Francisca Stutzin Donoso","doi":"10.1093/phe/phae007","DOIUrl":"https://doi.org/10.1093/phe/phae007","url":null,"abstract":"Life with chronic disease and chronic care is hard and people who live in disadvantage may lack the freedom to prioritise their care because of increased competing demands. This paper proposes that shifting the goals of chronic care from self-management support to a shared-management approach can help improve wellbeing and health outcomes across social groups. This work draws on a qualitative exploration of the lived experience of chronic disease and an applied ethical analysis of the reproduction of disadvantages within chronic care. The qualitative results further specify respectful and collaborative patient-healthcare professional relationships; autonomy-supportive interventions; and continuity of care to face the complexity of chronicity in a phenomenological sense—a paradoxical experience of long duration that comprises the disease’s presence in the absence of its manifestation. The ethical analysis draws on performativity; autonomy and decision-making; and responsibility, which constitute the theoretical foundation for shared-management. This approach contributes to advance current normative thinking for health justice and outlines practical steps for its clinical implementation in the delivery of chronic care.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"24 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142205073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Application of Australian Rights Protections to the Use of Hepatitis C Notification Data to Engage People ‘Lost to Follow Up’ 澳大利亚权利保护措施在使用丙型肝炎通知数据吸引 "失去随访 "者方面的应用

IF 2.1 3区哲学

Public Health Ethics Pub Date : 2024-05-18 DOI: 10.1093/phe/phae006

Freya Saich, Shelley Walker, Margaret Hellard, Mark Stoové, Kate Seear

{"title":"The Application of Australian Rights Protections to the Use of Hepatitis C Notification Data to Engage People ‘Lost to Follow Up’","authors":"Freya Saich, Shelley Walker, Margaret Hellard, Mark Stoové, Kate Seear","doi":"10.1093/phe/phae006","DOIUrl":"https://doi.org/10.1093/phe/phae006","url":null,"abstract":"Hepatitis C is a global public health threat, affecting 56 million people worldwide. The World Health Organization has committed to eliminating hepatitis C by 2030. Although new treatments have revolutionised the treatment and care of people with hepatitis C, treatment uptake has slowed in recent years, drawing attention to the need for innovative approaches to reach elimination targets. One approach involves using existing notifiable disease data to contact people previously diagnosed with hepatitis C. Within these disease surveillance systems, however, competing tensions exist, including protecting individual rights to privacy and autonomy, and broader public health goals. We explore these issues using hepatitis C and Australia’s legislative and regulatory frameworks as a case study. We examine emerging uses of notification data to contact people not yet treated, and describe some of the ethical dilemmas associated with the use and non-use of this data and the protections that exist to preserve individual rights and public health. We reveal weaknesses in rights protections and processes under Australian public health and human rights legislation and argue for consultation with and involvement of affected communities in policy and intervention design before notification data is used to increase hepatitis C treatment coverage.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"210 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141063381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0