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The rapid urbanization and frequent occurrence of extreme weather have made flooding more frequent; tide-sensitive areas are more prone to flooding due to tide level. However, the extent of their respective impacts on flood variability in the context of the combined effects remains to be explored. Therefore, analysis of the driveability of the water level is important for regional flood control. Land use data from 1985 to 2015 was used in this study to analyze the characteristics of the changes. General trends, abrupt variability, and persistence of rainfall, tide, and water level data from 1957 to 2018 were analyzed. The influence of rainfall, tide level factors and underlying surface on water level variation was analyzed qualitatively and the contribution of the three factors to water level variation was quantified. The results indicate that the most important directions of land-type transformation were the construction land and arable land. Within the rainfall sequence, only the 3d rainfall sequence exhibited a significant increasing trend, while both tide level and water levels showed significant increasing trends. The 3d rainfall sequence and tide level sequence are significantly positively correlated with water level sequences, whereas among the underlying surface factors, only construction land and unused land are significantly positively correlated with water levels. Furthermore, the contribution rates of driving factors vary across different regions. In the Changzhou region, the underlying surface factors dominated with a relative influence of 62%., whereas for other regions, the combined relative influences of rainfall and tide level are 57.2%, 52.8%, 60.4%, and 66.9%, The methods and results of this study contribute to regional flood regulation. • The main directions of conversion of land type are construction land and arable land. • Rainfall and tide level are positively correlated with water level in an upward trend. • The rainfall and tide level factors are the dominant factors influencing the rise in water level. • The net effect of human activities on changes in water level is actually not very strong. [ABSTRACT FROM AUTHOR]