Objective To understand the prevalence and influencing factors of stroke among community-dwelling hypertensive patients in Nanshan district of Shenzhen city, Guangdong province, to provide a reference for hypertension management and stroke prevention and control in communities.

Methods We collected data on 47 432 hypertensive patients with complete information registered in the Shenzhen Community Health Service Information System from January 2021 to May 2022. The prevalence of stroke among the patients was analyzed, and a multivariate unconditional logistic regression model was used to identify the main factors influencing the prevalence of stroke in this population.

Results Of the 47 432 hypertensive patients, 3 630 (7.65%) had stroke, with a significantly higher prevalence of stroke in male hypertensive patients (8.34%, 2 144/25 696) than in female patients (6.84%, 1 486/21 736) (χ² = 37.846, P < 0.001). Multivariate unconditional logistic regression analysis showed that age ≥ 65 years, hypertension for more than 5 years, smoking, diabetes, coronary heart disease, and higher creatinine levels were risk factors for stroke in patients; conversely, being female, having an education level of junior high school or higher, being physically active (not for female patients), taking antihypertensive medication, and having higher levels of low-density lipoprotein cholesterol (LDL-C) (for both male and female patients) and higher levels of total cholesterol (TC) and triglycerides (TG) (for male patients only) were protective factors against stroke.

Conclusion The prevalence of stroke among community-dwelling hypertensive patients in Nanshan district, Shenzhen city, is relatively low. Gender, age, educational level, duration of hypertension, smoking status, physical activity, diabetes, coronary heart disease, the use of antihypertensive medication, and levels of creatinine, TC, TG, and LDL-C are the main factors influencing the prevalence of stroke in this population.