In the past two decades,the United States made an impressed progress in the prevention and control of cancer that the overall morbidity and mortality of cancer had shown a downward trend, while China had seen an opposite trend. Cancer, one of the major public health concerns in China, has imposed an enormous burden onthe society and individuals. Therefore,in order to scientifically formulate cancer prevention and control policies, it is essential to make a comprehensive understanding of the practical experience in the field of cancer prevention and control from the United States. This article reviews the relevant literature on cancer trends as well as the prevention and control strategies in the United States,depictsthe cancer epidemic situation in the United States in the past 30 years, and summarizes the influencing factors, strategies and intervention experiences that lead to the improvement of cancer epidemic. It highlights the policy support, surveillance and intervention adopted by the United States for the cancer prevention and control. This article is expected to provide some implications and reference for the cancer prevention and control in China.
近20年来，美国在癌症的预防和控制上取得了巨大成就，总体发病率和死亡率都呈现下降趋势；而中国近年来癌症总体发病率和死亡率均呈上升趋势。癌症给社会和患者带来了巨大负担，已成为我国重大的公共卫生问题之一。因此，系统全面地了解美国在癌症防控领域，尤其是预防措施、政策干预等方面的实践经验，能够为我国科学地制定癌症防控政策、提出干预措施提供有价值的参考。本文对美国癌症流行趋势以及防控策略的相关文献资料进行了综述，对美国近三十年来癌症流行状况进行了分析，进一步系统总结了美国有效防控癌症的策略和实践，重点梳理了美国防控癌症的政策、监测，以及干预措施，以期能对我国肿瘤防控有所启示和借鉴。.
Keywords: Early detection of cancer; Neoplasms; Policy intervention; United States.