Objective  To investigate the prevalence and influencing factors of coronary heart disease (CHD) among rural adult residents in Xinxiang county of Henan province for providing evidences to CHD prevention.

  Methods  Using random cluster sampling, we recruited 10 691 adult residents (≥ 18 years old) in 17 villages of Xinxiang county and conducted face-to-face interview, physical examination and laboratory tests among the residents during April – June 2017.

  Results  Among the 10 267 residents with complete data, 892 were identified with CHD; the crude and age-standardized prevalence rate of CHD was 8.69% and 6.65%. Unconditional multivariate logistic regression analysis indicated that aged ≥ 50 years, divorced or separated, smoking cessation, abstinence of alcohol, and suffering from hypertension/diabetes/stroke/central obesity were risk factors for CHD and current alcohol drinking was a protective factor against CHD.

  Conclusion  The prevalence of CHD is relatively high and influenced by age, marital status, central obesity, history of smoking and alcohol drinking, and condition of hypertension, diabetes and stroke among adult rural residents in Xinxiang city, Henan province.