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Objective: To understand the level of ideal cardiovascular health (ICVH) in Chinese population, analyze the relationship between ICVH score and the current prevalence of cardio ⁃ cerebrovascular disease (CVD), and provide evidence for developing effective strategies for CVD integrated health management among populations. Methods: A multi ⁃ stage cluster random sampling method was used to conduct a survey, physical examination, and laboratory tests on 21 815 permanent adult residents from 2 counties in Suqian City in 2019. The relationship between ICVH scores and disease progression were analyzed by the trend χ² test, and the relationship between CVD prevalence and the number of ideal ICVH indicators and score (non ⁃)adjusted models was analyzed by multivariate logistic regression. Results: The prevalence rate of CVD among the residents was 45.7%. The average ICVH score was (8.60±2.24)points, with most residents achieving (3-4)index standards (57.5%). The highest rate of achieving an ideal level for an individual ICVH indicator was for tobacco control (80.9%)and the lowest was for a healthy diet (0.1%). Compared to the low ICVH score group (0-7 points), the moderate level (8-9 points)and the high level group (10-15 points)had a 38% and 69% lower likelihood of developing CVD［ORICVH8- 9=0.617 (0.577-0.661), ORICVH10- 15=0.308 (0.286-0.331)］, respectively. Conclusion: The CVD burden among key populations in the surveyed area is realatively heavy, and the ICVH level is low. There is a negative correlation between ICVH levels and CVD risk. It is recommended to strengthen comprehensive interventions on poor dietary behavior, physical activity and blood pressure control. [ABSTRACT FROM AUTHOR]