Abstract: Objective To analyze the cognitive status and its influencing factors of stroke prevention and control-related knowledge among community residents. Methods In October 2020, the convenient sampling method was used to select one district, county-level city, and county, respectively, in the jurisdiction of Tangshan, and one community （village） was selected from each district （county）. All adult permanent residents of the community （village） were investigated stroke-related knowledge. The descriptive analysis method was used to analyze the residents' mastery of stroke knowledge, and univariate and multivariate analysis methods were used to analyze the influencing factors. Results A total of 1 342 valid questionnaires were obtained from community residents in Tangshan City, including 685 males and 657 females, aged 18-84 years, with an average of （42.51±19.14） years old. The total score on the stroke prevention and control-related knowledge cognition scale was （27.69±5.13）, and the scoring rate of the total score was 38.89%. The score of basic knowledge of stroke was （18.25±4.25）, stroke-inducing factors was （4.86±1.00）, identifying risk factors of stroke was （4.77±0.96）, and knowledge of emergency treatment after stroke was （1.98±0.65）. The scoring rates from high to low were stroke-inducing factors, basic knowledge of stroke, identifying risk factors of stroke, and knowledge of emergency treatment after stroke, which was 45.45%, 42.86%, 38.46%, and 33.33%, respectively. Older age （β'=0.137）, higher education level （β'=0.119）, workers,cacles and professional technicians （β'=0.201）, stroke history/positive family history of stroke （β'=0.261、0.143）, positive history of related chronic diseases （β'=0.267）, and who have received stroke-related knowledge and health education （β'=0.328） had a higher level of knowledge about stroke prevention and control. Conclusion The cognition of stroke prevention and control-related knowledge of community residents in Tangshan needs to be improved. Actively improving community health education is an effective way to effectively improve the cognition level of stroke prevention and control-related knowledge of residents.

Key words: Community residents, Stroke, Cognition, Risk factor, Cerebrovascular disease