Abstract: Objective To analyze the prevalence of cardiovascular disease (CVD) risk factors in adults in both urban and rural areas in Tianjin. Methods A total of 4073 persons aged18 years were selected in Tianjin through 3-stage stratified random sampling to conduct household survey and health examination. Results Hypercholesterolemia, hypertension, diabetes, abnormalglucosemetabolism, smoking, and overweight/obesity were the risk factors for CVD in adults in Tianjin. The adults with 1 and 2 risk factors (hypertension, diabetes, smoking, and overweight/obesity) accounted for 69.2% and 34.5%. The prevalence of 1 or 2 risk factors increased with age. The prevalence of 1 and 2 risk factors in men were 2.54 and 3.02 times higher than those in women (95%CI:2.20-2.93 and 95%CI:2.57-3.55). The prevalence of 1 and 2 risk factors in urban adults were 0.72 and 0.76 times higher those in rural adults(95%CI:0.63-0.83 and 95%CI:0.66-0.89). Conclusion The prevention and control of CVD should be strengthened in males and in rural population.