Objective To investigate the current prevalence of cerebral apoplexy in Qinglong Man Nationality Autonomous County and its influencing factors and to provide scientific evidence for the prevention and intervention of cerebral apoplexy in the local area.Methods A total of 1628 permanent residents over 18 years old from Qinglong Man Nationality Autonomous County in Qinhuangdao were selected by cluster random sampling in 2013. The self-designed Basic Information Questionnaire was used to conduct a survey.Results Among the selected residents, 116 had cerebral apoplexy, accounting for 7.13%, and 94 of them had ischemic cerebral apoplexy. People with different education levels and average annual incomes showed significant differences in the prevalence of cerebral apoplexy (P<0.05). The prevalence of cerebral apoplexy also varied among people with different ages, occupations, marriage status, BMIs, smoking histories, drinking histories, hypertension histories, diabetes histories, blood lipid levels, and family histories of cerebral apoplexy (P<0.001). Age, smoking history, hypertension history, abnormal blood lipid, diabetes history, BMI, and family history of cerebral apoplexy were influencing factors for the onset of cerebral apoplexy.Conclusions The prevalence of cerebral apoplexy is high in Qinglong Man Nationality Autonomous County, with ischemic cerebral apoplexy being predominant. The prevalence increases with age, and the onset is related to smoking history, hypertension history, abnormal blood lipid, diabetes history, BMI, and family history of cerebral apoplexy.