| 引用本文：王泓睿,邓澈,张娇,等.促进HPV疫苗接种率提升的组态研究基于110个国家案例的模糊集定性比较分析[J].中国卫生政策研究,2025,18(10):58-65 |
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| 促进HPV疫苗接种率提升的组态研究基于110个国家案例的模糊集定性比较分析 |
| 投稿时间：2025-09-20 修订日期：2025-10-16 PDF全文浏览 HTML全文浏览 |
| 王泓睿1,2，邓澈1,2，张娇3，和红1,2,4 |
| 1.中国人民大学人口与发展研究中心 北京 100872;2.中国人民大学人口与健康学院 北京 100872;3.北京城市学院 北京 100094;4.中国人民大学健康科学研究所 北京 100872 |
| 摘要:目的 探讨全球各国影响HPV疫苗接种率的条件组态特征，识别不同发展背景下实现高接种覆盖率的典型模式，为我国HPV疫苗政策制定提供参考。方法 以110个WHO成员国为分析样本，运用模糊集定性比较分析方法，从宏观社会与政策要素两个层面选取7项条件，检验其对HPV疫苗接种率提升的影响。结果 单个前因条件不构成促进HPV接种率提升的必要条件，共识别5条主要组态，可归纳为“资源精简型”“经济驱动型”和“目标聚焦型”3类模式。结论 实现HPV疫苗接种率提升的条件组态呈现多元并发特征，学校主导的接种模式具有普遍促进作用；资源有限条件下，降低接种剂次、调整目标人群限制是关键驱动力。不同模式体现出经济社会环境与政策设计的协同效应，为多情境下的HPV疫苗接种政策优化提供理论与实践参考。 |
| 关键词:HPV疫苗 组态分析 模糊集定性比较分析 |
| 基金项目:中国人民大学2025年度拔尖创新人才培育资助计划成果 |
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| Promoting HPV vaccination coverage through configurational research： A fuzzy-set qualitative comparative analysis of 110 countries |
| WANG Hong-rui1,2, DENG Che1,2, ZHANG Jiao3, HE Hong1,2,4 |
| 1.Center for Population and Development Studies， Renmin University of China， Beijing 100872， China;2.School of Population and Health， Renmin University of China， Beijing 100872， China;3.Beijing City University， Beijing 100094， China;4.Institute of Health Science， Renmin University of China， Beijing 100872， China |
| Abstract:Objective To explore the configurational characteristics of conditions influencing HPV vaccination coverage across countries， identify typical models for achieving high vaccination coverage under different developmental contexts， and provide references for the formulation of HPV vaccination policies in China.Methods Using 110 WHO member states as the analytical sample， this study employed fuzzy-set qualitative comparative analysis （fsQCA）. Seven conditions were selected from two dimensions—macrosocial factors and policy elements—to examine their effects on improving HPV vaccination coverage.Results No single antecedent condition constituted a necessary condition for promoting HPV vaccination coverage. The solution yielded five main condition configurations， which were further categorized into three representative patterns： "Resource-Saving" "Economy-Driven" and "Target-Focused."Conclusion The configurational conditions for improving HPV vaccination coverage exhibit multiple concurrent characteristics. School-based vaccination models play a generally facilitating role， while reducing the number of doses and adjusting target population restrictions are key driving factors under resource-limited conditions. Different patterns reflect the synergistic effects between socioeconomic environments and policy design， providing theoretical and practical references for optimizing HPV vaccination policies across diverse contexts. |
| Key words:HPV vaccine Configurational analysis Fuzzy-set qualitative comparative analysis |
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