Objective  To examine the prevalence and impact factors of stroke among community adult residents in Binzhou city, Shandong province and to provide references for stroke prevention and control.

  Methods  The participants of the survey were 7 050 permanent community residents aged ≥ 18 years recruited with stratified multistage random cluster sampling in the city. Questionnaire interview, physical examination and laboratory detection were conducted among the participants during April – September 2019.

  Results  Among the 6 777 participants completing the survey, 361 stroke patients were identified; the weighted adjusted prevalence rate of stroke was 3 630.0/100 000 and the standardized prevalence rate was 2 780.1/100 000. Unconditional multivariate logistic regression analysis demonstrated that the risk factors of stroke were aged ≥ 60 years, without sufficient physical activity, having prolonged sleep time, with family history of stroke, suffering from hypertension and atrial fibrillation among the participants.

  Conclusion  Among the adult residents in Binzhou city, the prevalence of stroke is high and the residents at older age, without sufficient physical activity, sleeping longer, with family history of stroke, and suffering from hypertension or atrial fibrillation are at high risk of stroke.