{"id":10531,"date":"2023-06-10T19:21:11","date_gmt":"2023-06-10T11:21:11","guid":{"rendered":"https:\/\/vaxlab.dukekunshan.edu.cn\/paper\/family-community-and-society-work-together-to-improve-the-non-epi-vaccination-among-children-in-china\/"},"modified":"2024-07-17T23:31:54","modified_gmt":"2024-07-17T15:31:54","slug":"policy-briefing-6th-en","status":"publish","type":"paper","link":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/paper\/policy-briefing-6th-en\/","title":{"rendered":"Family, Community, and Society Work Together to Improve the Non-EPI Vaccination among Children in China"},"content":{"rendered":"\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"wp-block-heading\">1.\u6211\u56fd0-6\u5c81\u513f\u7ae5\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u6c34\u5e73\u504f\u4f4e\uff0c\u4e0e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u5dee\u8ddd\u660e\u663e<\/h2>\n\n<p class=\"wp-block-paragraph\">\u5728\u4e2d\u56fd\u7684\u514d\u75ab\u89c4\u5212\u4f53\u7cfb\u4e2d\uff0c\u9488\u5bf9\u513f\u7ae5\u7684\u75ab\u82d7\u63a8\u5e7f\u548c\u63a5\u79cd\u5728\u8fc7\u53bb\u51e0\u5341\u5e74\u53d6\u5f97\u4e86\u663e\u8457\u6210\u7ee9\uff0c\u6709\u6548\u964d\u4f4e\u4e86\u4f20\u67d3\u75c5\u7684\u4f20\u64ad\u548c\u76f8\u5173\u75be\u75c5\u8d1f\u62c5\uff0c\u7279\u522b\u662f\u56e0\u4f20\u67d3\u75c5\u5bfc\u81f4\u7684\u513f\u7ae5\u6b7b\u4ea1\u7387\u30022020\u5e74\u30012021\u5e74\u9002\u9f84\u513f\u7ae5\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u603b\u62a5\u544a\u63a5\u79cd\u7387\u8fbe\u523099.20%\u548c99.27%[1]\u3002\u7136\u800c\uff0c\u6211\u56fd0-6\u5c81\u513f\u7ae5\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u6c34\u5e73\u504f\u4f4e\uff0c\u4e0e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u76f8\u6bd4\u5b58\u5728\u660e\u663e\u5dee\u8ddd\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u662f\u6307\u5728\u6211\u56fd\u6ca1\u6709\u7eb3\u5165\u514d\u75ab\u89c4\u5212\u7684\u5176\u4ed6\u75ab\u82d7\uff0c\u516c\u6c11\u53ef\u4ee5\u81ea\u8d39\u3001\u81ea\u613f\u63a5\u79cd<\/strong>\u3002\u6839\u636e\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u53d1\u5e03\u7684\u300a\u9884\u9632\u63a5\u79cd\u5de5\u4f5c\u89c4\u8303\uff082016\u5e74\u7248\uff09\u300b\uff0c\u4e2d\u56fd\u62a5\u544a\u7684\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u517137\u79cd\uff0c\u4e3b\u8981\u5206\u4e3a\u4e24\u5927\u7c7b\uff1a\u53ef\u66ff\u4ee3\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u75ab\u82d7\uff08\u66ff\u4ee3\u7c7b\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\uff09\u548c\u6ca1\u6709\u7eb3\u5165\u514d\u75ab\u89c4\u5212\u7684\u75ab\u82d7\uff08\u666e\u901a\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\uff09[2]\u3002\u76f8\u8f83\u4e8e\u63a5\u79cd\u7387\u9ad8\u3001\u8986\u76d6\u9762\u5e7f\u7684\u514d\u75ab\u89c4\u5212\u75ab\u82d7\uff0c\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u9762\u4e34\u7740\u63a5\u79cd\u7387\u4f4e\u3001\u77e5\u6653\u7387\u4f4e\u3001\u793e\u4f1a\u4e0d\u540c\u7ecf\u6d4e\u5730\u4f4d\u7fa4\u4f53\u95f4\u53ca\u4e0d\u540c\u5730\u533a\u95f4\u5dee\u5f02\u6027\u5927\u7b49\u95ee\u9898[2]\u3002<strong>\u636e\u4f30\u7b97\uff0c<\/strong><strong>2017<\/strong><strong>\u5e74\u6211\u56fd<\/strong><strong>5<\/strong><strong>\u5c81\u4ee5\u4e0b\u513f\u7ae5b<\/strong><strong>\u578b\u6d41\u611f\u55dc\u8840\u6746\u83cc\u75ab\u82d7<\/strong><strong>\u63a5\u79cd\u7387\u53ea\u6709<\/strong><strong>33.4%<\/strong><strong>\uff0c\u80ba\u708e\u7403\u83cc\u75ab\u82d7\u63a5\u79cd\u7387\u66f4\u4f4e\uff0c\u4ec5\u4e3a<\/strong><strong>1.3%<\/strong>[3]\u3002<strong>\u53e6\u4e00\u9879\u8c03\u67e5\u663e\u793a\uff0c<\/strong><strong>2014<\/strong><strong>\u5e74\u6211\u56fd<\/strong><strong>6<\/strong><strong>\u4e2a\u7701\u4efd\u7684\u8f6e\u72b6\u75c5\u6bd2\u75ab\u82d7<\/strong><strong>3<\/strong><strong>\u5242\u6b21\u63a5\u79cd\u7387\u4e3a<\/strong><strong>3.5%<\/strong>[4]\u3002<\/p>\n\n<p class=\"wp-block-paragraph\">\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u63a5\u79cd\u7387\u5448\u73b0\u5730\u533a\u53ca\u4eba\u7fa4\u5dee\u5f02\u3002\u4e1c\u90e8\u6cbf\u6d77\u5730\u533a\u63a5\u79cd\u7387\u6700\u9ad8\uff0c\u4e2d\u90e8\u5730\u533a\u6b21\u4e4b\uff0c\u897f\u90e8\u5730\u533a\u6700\u4f4e\u3002\u6d41\u52a8\u53ca\u7559\u5b88\u513f\u7ae5\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u63a5\u79cd\u60c5\u51b5\u4e5f\u4e0d\u5bb9\u4e50\u89c2[5]\u3002\u7b14\u8005\u524d\u671f\u7814\u7a76\u53d1\u73b0\uff0c\u57ce\u5e02\u672c\u5730\u513f\u7ae55\u79cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u5305\u62ecb\u578b\u6d41\u611f\u55dc\u8840\u6746\u83cc\u3001\u6c34\u75d8\u3001\u624b\u8db3\u53e3\u75c5\u3001\u8f6e\u72b6\u75c5\u6bd2\u53ca13\u4ef7\u80ba\u708e\u75ab\u82d7\uff0c\u63a5\u79cd\u7387\u660e\u663e\u9ad8\u4e8e\u57ce\u5e02\u6d41\u52a8\u513f\u7ae5\u3001\u519c\u6751\u975e\u7559\u5b88\u513f\u7ae5\u4ee5\u53ca\u519c\u6751\u7559\u5b88\u513f\u7ae5\u3002\u5176\u4e2d\u519c\u6751\u7559\u5b88\u513f\u7ae55\u79cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u7387\u6700\u4f4e\uff0c\u4f9d\u6b21\u4e3a62.94%\u300155.86%\u300141.69%\u300116.89%\u548c8.17%\u3002<\/p>\n\n<p class=\"wp-block-paragraph\">\u591a\u7ef4\u5ea6\u539f\u56e0\u5bfc\u81f4\u6211\u56fd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u6c34\u5e73\u4f4e\u3002\u4ece\u4f9b\u65b9\u6765\u770b\uff0c\u5305\u62ec\u75ab\u82d7\u5c5e\u6027\u548c\u670d\u52a1\u80fd\u529b\u3001\u75ab\u82d7\u4ef7\u683c\u3001\u514d\u75ab\u670d\u52a1\u53ef\u53ca\u6027\u548c\u4fbf\u5229\u6027\u7b49\u56e0\u7d20\uff1b\u4ece\u9700\u65b9\u6765\u770b\uff0c\u5305\u62ec\u75ab\u82d7\u8ba4\u77e5\u3001\u5bb6\u5ead\u6536\u5165\u53ca\u6559\u80b2\u6c34\u5e73\u7b49\u56e0\u7d20[2]\u3002<strong>\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u201c\u75ab\u82d7\u72b9\u8c6b\u201d\u662f\u9020\u6210\u6211\u56fd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u6c34\u5e73\u504f\u4f4e\u7684\u4e00\u4e2a\u957f\u671f\u88ab\u5ffd\u89c6\u7684\u91cd\u8981\u56e0\u7d20\uff0c<\/strong><strong>2019<\/strong><strong>\u5e74\u75ab\u82d7\u72b9\u8c6b\u73b0\u8c61\u88ab<\/strong><strong>WHO<\/strong><strong>\u5217\u4e3a\u5168\u7403\u5341\u5927\u5065\u5eb7\u5a01\u80c1\u4e4b\u4e00<\/strong>[6]\u3002\u75ab\u82d7\u72b9\u8c6b\u662f\u4e00\u79cd\u62b5\u89e6\u6216\u53cd\u5bf9\u63a5\u79cd\u75ab\u82d7\u7684\u610f\u613f\u548c\u884c\u4e3a\u7684\u503e\u5411\u3002\u90e8\u5206\u53d1\u8fbe\u56fd\u5bb6\u5df2\u7ecf\u5bf9\u75ab\u82d7\u72b9\u8c6b\u73b0\u8c61\u53ca\u5176\u5f71\u54cd\u56e0\u7d20\u8fdb\u884c\u4e86\u8bc4\u4f30\u5206\u6790\u3002\u7814\u7a76\u53d1\u73b0\uff0c\u75ab\u82d7\u72b9\u8c6b\u73b0\u8c61\u81f3\u5c11\u5f71\u54cd\u4e861\/4 ~1\/3\u7684\u7f8e\u56fd\u513f\u7ae5\u63a5\u79cd\u75ab\u82d7\uff1b\u6fb3\u5927\u5229\u4e9a34%\u7684\u5bb6\u5ead\u5b58\u5728\u75ab\u82d7\u72b9\u8c6b\uff0c\u800c\u56fd\u5185\u5bf9\u8be5\u73b0\u8c61\u7684\u7814\u7a76\u8fd8\u4e0d\u591f\u5145\u5206[7]\u3002<\/p>\n\n<p class=\"wp-block-paragraph\">\u540e\u65b0\u51a0\u5927\u6d41\u884c\u65f6\u4ee3\uff0c\u4eba\u4eec\u5bf9\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u8ba4\u8bc6\u9010\u6e10\u63d0\u9ad8\uff0c\u5bf9\u75ab\u82d7\u7684\u5173\u6ce8\u5ea6\u7a7a\u524d\u9ad8\u6da8\uff0c\u8fd9\u4e3a\u6253\u6d88\u75ab\u82d7\u72b9\u8c6b\u3001\u7b51\u7262\u7fa4\u4f53\u514d\u75ab\u5c4f\u969c\u63d0\u4f9b\u4e86\u5b9d\u8d35\u7684\u5951\u673a\u3002\u672c\u6587\u5c06\u4ece\u5bb6\u5ead\u3001\u793e\u533a\u53ca\u793e\u4f1a\u4e09\u4e2a\u5c42\u9762\u6765\u63a2\u8ba8\u5f71\u54cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u72b9\u8c6b\u7684\u539f\u56e0\uff0c\u4e3a\u964d\u4f4e\u75ab\u82d7\u72b9\u8c6b\u3001\u63d0\u5347\u63a5\u79cd\u6c34\u5e73\u63d0\u4f9b\u5efa\u8bae\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/vaxlab.dukekunshan.edu.cn\/wp-content\/uploads\/2023\/06\/&#x56FE;1.png\" alt=\"\" class=\"wp-image-9065\"\/><\/figure>\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u6765\u6e90<a href=\"https:\/\/immunizationdata.who.int\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">WHO Immunization Data portal<\/a><\/p>\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>\u56fe1. 2017\u5e74\u6211\u56fd\u51e0\u79cd\u91cd\u70b9\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u7387\u53ca\u4e0e\u5176\u4ed6\u56fd\u5bb6\u6bd4\u8f83<\/strong><\/p>\n\n<h2 class=\"wp-block-heading\">2. \u5f71\u54cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u63a5\u79cd\u7684\u5bb6\u5ead\u3001\u793e\u533a\u3001\u793e\u4f1a\u56e0\u7d20<\/h2>\n\n<h3 class=\"wp-block-heading\">2.1 \u5bb6\u5ead\u5c42\u9762<\/h3>\n\n<p class=\"wp-block-paragraph\"><strong>\u5bb6\u957f\u6216\u76d1\u62a4\u4eba\u5bf9\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u4e86\u89e3\u4f1a\u76f4\u63a5\u5f71\u54cd\u75ab\u82d7\u63a5\u79cd\u610f\u613f\u548c\u63a5\u79cd\u884c\u4e3a\u3002<\/strong>\u8d8a\u6765\u8d8a\u591a\u7684\u5bb6\u957f\u6216\u8005\u76d1\u62a4\u4eba\u901a\u8fc7\u75ab\u82d7\u5ba3\u4f20\u624b\u518c\u3001\u5a92\u4f53\u4ee5\u53ca\u75ab\u82d7\u63a5\u79cd\u4eba\u5458\u3001\u4eb2\u53cb\u3001\u5b66\u6821\u548c\u5176\u4ed6\u6e20\u9053\u83b7\u53d6\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u4fe1\u606f\uff0c\u4f46\u56e0\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u54c1\u7c7b\u7e41\u591a\uff0c\u4ecd\u6709\u8f83\u9ad8\u6bd4\u4f8b\u7684\u5bb6\u957f\u5bf9\u8bb8\u591a\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u5b58\u5728\u5e76\u4e0d\u77e5\u6653\u3002\u4e00\u9879\u9488\u5bf9\u65b0\u578b\u624b\u8db3\u53e3\u75ab\u82d7\u7684\u7814\u7a76\u53d1\u73b0\uff0c\u5728\u88ab\u8bbf\u7684868\u540d\u5e7f\u5dde\u5e7c\u513f\u56ed\u5bb6\u957f\u4e2d\uff0c\u53ea\u670932.49%\u7684\u5bb6\u957f\u542c\u8bf4\u8fc7\u80a0\u9053\u75c5\u6bd271\u578b\u706d\u6d3b\u75ab\u82d7\uff08EV71\u75ab\u82d7\uff09\u3002\u63a5\u53d7\u8fc7\u75ab\u82d7\u4fe1\u606f\u7684\u5bb6\u957f\u76f8\u5bf9\u4e8e\u6ca1\u6709\u63a5\u53d7\u8fc7\u75ab\u82d7\u4fe1\u606f\u7684\u5bb6\u957f\uff0c\u613f\u610f\u63a5\u79cd\u75ab\u82d7\u7684\u53ef\u80fd\u6027\u589e\u52a0\u4e8648\uff05[8]\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u5373\u4fbf\u5bb6\u957f\u77e5\u6653\u75ab\u82d7\u7684\u5b58\u5728\uff0c\u5bb6\u957f\u638c\u63e1\u7684\u75ab\u82d7\u548c\u76f8\u5173\u75be\u75c5\u7684\u77e5\u8bc6\u4e5f\u4e0e\u75ab\u82d7\u63a5\u79cd\u610f\u613f\u9ad8\u5ea6\u76f8\u5173\u3002<\/strong>\u6839\u636e\u6e56\u5357\u77015\u4e2a\u5730\u533a6\u6708\u9f84-5\u5c81\u513f\u7ae5\u5bb6\u957f\u7684\u8c03\u67e5\u53d1\u73b0\uff0c\u77e5\u6653\u6d41\u611f\u77e5\u8bc6\u7684\u5bb6\u957f\u4e3a\u5b69\u5b50\u63a5\u79cd\u75ab\u82d7\u7684\u6bd4\u4f8b\u662f\u4e0d\u77e5\u6653\u6d41\u611f\u77e5\u8bc6\u5bb6\u957f\u76841.35\u500d[9]\u3002\u5f53\u513f\u7ae5\u5bb6\u957f\u5bf9\u75ab\u82d7\u7684\u8ba4\u77e5\u6c34\u5e73\u8f83\u4f4e\u65f6\uff0c\u5176\u5b50\u5973\u63a5\u53d7\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u63a5\u79cd\u7387\u4e5f\u6bd4\u8f83\u4f4e\u3002\u800c\u5bf9\u75ab\u82d7\u7684\u8ba4\u77e5\u5f80\u5f80\u4e0e\u8bf8\u591a\u793e\u4f1a\u7ecf\u6d4e\u56e0\u7d20\u76f8\u5173\u3002\u5bb6\u957f\u6216\u513f\u7ae5\u76d1\u62a4\u4eba\u7684\u53d7\u6559\u80b2\u7a0b\u5ea6\u8d8a\u9ad8\uff0c\u4ed6\u4eec\u5bf9\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u8ba4\u77e5\u7a0b\u5ea6\u8d8a\u9ad8\uff0c\u66f4\u5bb9\u6613\u5bf9\u75ab\u82d7\u63a5\u79cd\u6301\u6709\u66f4\u4e3a\u79ef\u6781\u7684\u6001\u5ea6[10]\u3002\u4f46\u4e5f\u6709\u7814\u7a76\u663e\u793a\uff0c\u8f83\u9ad8\u7684\u6559\u80b2\u6c34\u5e73\u867d\u4f1a\u63d0\u5347\u75ab\u82d7\u8ba4\u77e5\uff0c\u4f46\u540c\u65f6\u4e5f\u53ef\u80fd\u589e\u5f3a\u75ab\u82d7\u72b9\u8c6b\uff0c\u5c24\u5176\u662f\u5728\u9762\u5bf9\u75ab\u82d7\u516c\u5171\u5371\u673a\u4e8b\u4ef6\u7684\u65f6\u5019[15]\u3002\u8fd9\u53ef\u80fd\u662f\u56e0\u4e3a\u6559\u80b2\u6c34\u5e73\u9ad8\u7684\u5bb6\u957f\u4e0d\u4ec5\u80fd\u638c\u63e1\u66f4\u591a\u7684\u75ab\u82d7\u77e5\u8bc6\uff0c\u800c\u4e14\u4e5f\u66f4\u5bb9\u6613\u83b7\u53d6\u75ab\u82d7\u7684\u8d1f\u9762\u4fe1\u606f\uff0c\u4ea7\u751f\u5bf9\u75ab\u82d7\u7684\u4e0d\u4fe1\u4efb\u3002\u53e6\u5916\uff0c\u5bf9\u5065\u5eb7\u95ee\u9898\u91cd\u89c6\u7684\u5bb6\u957f\uff0c\u4f8b\u5982\u505a\u8fc7\u4f53\u68c0\u7684\u7236\u6bcd\uff0c\u4e5f\u5bb9\u6613\u7ed9\u5b69\u5b50\u63a5\u79cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7[11]\u3002\u6700\u540e\uff0c\u5bb6\u957f\u5f80\u5f80\u4f1a\u5bf9\u65b0\u4e0a\u5e02\u75ab\u82d7\uff08\u4e00\u822c\u4e3a\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\uff09\u6216\u8005\u8f83\u5c11\u88ab\u533b\u751f\u3001\u5a92\u4f53\u63a8\u8350\u7684\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u6709\u66f4\u5f3a\u7684\u75ab\u82d7\u72b9\u8c6b[<a href=\"#_ENREF_12\">12<\/a>]\u3002\u8fd9\u4e3b\u8981\u662f\u56e0\u4e3a\u5bb6\u957f\u5bf9\u8fd9\u4e9b\u75ab\u82d7\u53ca\u5176\u75be\u75c5\u8ba4\u8bc6\u6bd4\u8f83\u6709\u9650\u3002\u4e0d\u8bba\u662f\u75ab\u82d7\u63a5\u79cd\u4eba\u5458\u8fd8\u662f\u5bb6\u957f\u90fd\u9700\u8981\u65f6\u95f4\u6765\u4e86\u89e3\u65b0\u75ab\u82d7\u7684\u6548\u679c\uff0c\u5efa\u7acb\u5bf9\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u7684\u4fe1\u5fc3\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u4e0e\u5176\u4ed6\u56fd\u5bb6\u7c7b\u4f3c\uff0c\u5f71\u54cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u72b9\u8c6b\u7684\u4e00\u4e2a\u91cd\u8981\u56e0\u7d20\u662f\u5bf9\u75ab\u82d7\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u7684\u987e\u8651\u3002<\/strong>\u5f53\u5bb6\u957f\u6216\u4e3b\u8981\u76d1\u62a4\u4eba\u5bf9\u75ab\u82d7\u7684\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u4ea7\u751f\u7591\u95ee\u548c\u4e0d\u4fe1\u4efb\u7684\u65f6\u5019\uff0c\u5f80\u5f80\u5c31\u4f1a\u51fa\u73b0\u75ab\u82d7\u72b9\u8c6b\u6216\u8005\u62b5\u89e6\u60c5\u7eea\uff0c\u8fdb\u800c\u5ef6\u8fdf\u6216\u4e0d\u63a5\u79cd\u75ab\u82d7\u3002\u5728\u4e00\u9879\u5b9a\u6027\u7814\u7a76\u4e2d\uff0c\u88ab\u8bbf\u5bb6\u957f\u63d0\u53ca\u6700\u591a\u7684\u5173\u952e\u8bcd\u662f\u201c\u526f\u4f5c\u7528\u201d\u201c\u4e0d\u826f\u53cd\u5e94\u201d\u548c\u201c\u5b89\u5168\u6027\u201d\u3002\u6709\u5bb6\u957f\u8868\u793a\uff1a\u201c\u5982\u679c\u75ab\u82d7\u5b58\u5728\u526f\u4f5c\u7528\u7684\u8bdd\uff0c\u5219\u662f\u5f0a\u5927\u4e8e\u5229\u201d\u3002\u53e6\u5916\uff0c\u5bb6\u957f\u4f1a\u8ba4\u4e3a\u6709\u4e9b\u75ab\u82d7\u7684\u6709\u6548\u6027\u4e0d\u9ad8\u3002\u4f8b\u5982\uff0c\u88ab\u8bbf\u5bb6\u957f\u63d0\u53ca\u63a5\u79cd\u6d41\u611f\u75ab\u82d7\u7684\u201c\u610f\u4e49\u4e0d\u5927\u201d\uff0c\u56e0\u4e3a\u6d41\u611f\u75ab\u82d7\u201c\u65e0\u6cd5\u5e94\u5bf9\u5927\u90e8\u5206\u53d8\u79cd\u201d[13]\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u75ab\u82d7\u4ef7\u683c\u4e5f\u662f\u52a0\u91cd\u75ab\u82d7\u72b9\u8c6b\u7684\u4e00\u4e2a\u91cd\u8981\u539f\u56e0<\/strong>\u3002\u5bb6\u957f\u5f80\u5f80\u4f1a\u7387\u5148\u8861\u91cf\u63a5\u79cd\u75ab\u82d7\u7684\u5fc5\u8981\u6027\u3002\u5982\u82e5\u5bf9\u5b69\u5b50\u5341\u5206\u5fc5\u8981\uff0c\u4ef7\u683c\u56e0\u7d20\u53ef\u4ee5\u4e0d\u8003\u8651\uff0c\u4f46\u82e5\u5bb6\u957f\u8ba4\u5b9a\u75ab\u82d7\u5e76\u4e0d\u5341\u5206\u5fc5\u8981\uff0c\u75ab\u82d7\u4ef7\u683c\u4f1a\u5f71\u54cd\u5bb6\u957f\u7684\u6700\u7ec8\u51b3\u7b56[13]\u3002\u5bb6\u957f\u5bf9\u4e8e\u75ab\u82d7\u5fc5\u8981\u6027\u7684\u5224\u65ad\u4e0e\u5176\u5bf9\u75be\u75c5\u4e25\u91cd\u6027\u7684\u8ba4\u77e5\u6709\u5173\u3002\u6839\u636e\u4e00\u9879\u9488\u5bf9\u4e0a\u6d77\u5bb6\u957f\u75ab\u82d7\u51b3\u5b9a\u7684\u7814\u7a76\uff0c\u75be\u75c5\u53ef\u80fd\u6301\u7eed\u7684\u65f6\u957f\u3001\u75be\u75c5\u662f\u5426\u4f1a\u81f4\u6b8b\u6216\u4ea7\u751f\u957f\u4e45\u7684\u5065\u5eb7\u5f71\u54cd\u662f\u5bb6\u957f\u505a\u51fa\u75be\u75c5\u4e25\u91cd\u6027\u548c\u75ab\u82d7\u5fc5\u8981\u6027\u5224\u65ad\u7684\u4f9d\u636e[14]\u3002<strong>\u6700\u540e\uff0c\u8bb8\u591a\u5bb6\u957f\u8868\u8fbe\u51fa\u5bf9\u4e8e\u540c\u65f6\u63a5\u79cd\u591a\u79cd\u75ab\u82d7\uff08\u975e\u8054\u5408\u75ab\u82d7\uff09\u7684\u77db\u76fe\u5fc3\u7406\u3002<\/strong>\u4e00\u65b9\u9762\uff0c\u5355\u6b21\u63a5\u79cd\u591a\u79cd\u4e0d\u540c\u7684\u75ab\u82d7\u80fd\u589e\u52a0\u63a5\u79cd\u6548\u7387\uff0c\u51cf\u8f7b\u5bb6\u957f\u7684\u966a\u4f34\u7167\u6599\u8d1f\u62c5[15]\u3002\u53e6\u4e00\u65b9\u9762\uff0c\u5bb6\u957f\u4f1a\u62c5\u5fe7\u540c\u65f6\u63a5\u79cd\u7684\u5b89\u5168\u6027[15]\u4ee5\u53ca\u77ed\u65f6\u95f4\u591a\u6b21\u6ce8\u5c04\u7ed9\u5b69\u5b50\u5e26\u6765\u7684\u75db\u82e6\u4f53\u9a8c[14]\u3002\u76ee\u524d\u793e\u533a\u75ab\u82d7\u63a5\u79cd\u4eba\u5458\u63a8\u8350\u5c06\u5355\u6b21\u75ab\u82d7\u63a5\u79cd\u7684\u79cd\u7c7b\u8fdb\u884c\u9650\u5236\uff0c\u65f6\u95f4\u4e0a\u8fdb\u884c\u95f4\u9694\uff0c\u8fd9\u53ef\u80fd\u4e5f\u4f1a\u95f4\u63a5\u7684\u5f71\u54cd\u75ab\u82d7\u72b9\u8c6b\u548c\u75ab\u82d7\u63a5\u79cd\u7684\u65f6\u6548\u6027\u3002<\/p>\n\n<h3 class=\"wp-block-heading\">2.2 \u793e\u533a\u5c42\u9762<\/h3>\n\n<p 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class=\"wp-block-heading\">2.3 \u793e\u4f1a\u5c42\u9762<\/h3>\n\n<p 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class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/vaxlab.dukekunshan.edu.cn\/wp-content\/uploads\/2023\/06\/&#x56FE;2.png\" alt=\"\" class=\"wp-image-9069\" style=\"width:766px;height:646px\"\/><\/figure>\n<\/div>\n<p class=\"has-text-align-center wp-block-paragraph\">\u56fe2. \u5f71\u54cd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u72b9\u8c6b\u7684\u5bb6\u5ead\u3001\u793e\u533a\u3001\u793e\u4f1a\u56e0\u7d20\u53ca\u5e94\u5bf9\u63aa\u65bd<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compared to the National Immunization Program (NIP) vaccines, which have nearly universal coverage in China, the uptake of non-NIP vaccines among children under the age of 6 remains low and exhibits significant geographic and population variations. 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