目的 分析2011—2020年江西省信州区恶性肿瘤发病趋势,为当地及其他地区恶性肿瘤预防和控制措施的制定与实施提供参考。方法 收集信州区肿瘤登计处上报的恶性肿瘤发病与死亡数据,计算恶性肿瘤的发病率、标化率、变化百分比(PC)和年度变化百分比(APC)等指标。结果 2011—2020年,信州区恶性肿瘤发病率为231.15/10万(男性为261.48/10万,女性为201.49/10万),男性发病率高于女性,差异有统计学意义(χ²=163.951,P＜0.001);中标率为174.20/10万(男性为194.93/10万,女性为151.73/10万)。2011—2020年信州区恶性肿瘤总体变化趋势不明显(APC=-0.100%,P=0.947),男性和女性中标率也均在正常范围内波动;从年龄分布来看,35岁以下发病率较低,发病高峰主要集中在55岁及以上人群。结论 恶性肿瘤严重危害居民健康,应采取综合干预措施,重塑居民健康理念,提倡健康生活方式,防治结合减少肿瘤的发生。

Objective To analyze the incidence trend of malignant tumors among residents in Xinzhou District,Jiangxi Province from 2011 to 2020,providing reference for the formulation and implementation of malignant tumor prevention and control measures in local and other regions. Methods The incidence and death of malignant tumors reported by tumor registry in Xinzhou District was collected,incidence rate,standardized rate,percentage of change (PC),annual percentage of change (APC) and other indicators of malignant tumors were calculated. Results From 2011 to 2020,the incidence rate of malignant tumors in Xinzhou District was 231.15/100 000 (261.48/100 000 for males and 201.49/100 000 for females),the incide rate of males was higher than that of female with a statistically significant difference (χ²＝163.951,P＜0.001).The China age-standardized incidence rate(ASR) in Xinzhou District was 174.20/100 000 (194.93/100 000 for males and 151.73/100 000 for females).The overall trend of malignant tumors in Xinzhou District from 2011 to 2020 was not significant (APC=-0.100%,P=0.947),and the ASRs of male and female were both fluctuating within the normal range.From the perspective of age distribution,the incidence rate under 35 years old was relatively low,and the peak incidence was mainly concentrated in people 55 years old and above. Conclusion Malignant tumors seriously endanger the health of residents,and comprehensive intervention measures should be taken to reshape their health concepts,promote healthy lifestyles,and combine prevention and treatment to reduce the occurrence of tumors.