Abstract:OBJECTIVE To analyze the two-week prevalence of adult rural residents in Tonghai and its influencing factors, so as to provide guidance for improving the health status of rural residents. METHODS Stratified cluster sampling was used to conduct household questionnaire survey to describe the status of rural residents’ health service needs. The influencing factors of rural resi⁃ dents’ two-week illness were analyzed by χ2 test and binary logistic regression. RESULTS The two-week prevalence rate of the re⁃ spondents was 32.66%; the two-week prevalence was mainly new within two weeks (66.11%) of which circulatory system diseases ac⁃ counted for a relatively large proportion (49.08%); the two-week prevalence rate of women (36.90%) was higher than that of men (27.10%); the older the age, the two-week prevalence rate of women was still higher than that of men; in the Han nationality and eth⁃ nic minorities, the two-week prevalence rate of women was higher than that of men among the respondents, the two-week prevalence rate of farmers was higher than that of non farmers; the lower the education level led to the higher the two-week prevalence rate whether men or women; the two-week prevalence rate of divorced or widowed women was higher, which had no effect on the two-week prevalence rate of men; the difference of two-week prevalence rate between married men and women was statistically sig⁃ nificant (χ2=13.67, P＜0.001), The prevalence rate of women was higher than that of men. The difference of two-week prevalence rate between men and women with new rural cooperative medical insurance was statistically significant (χ2=14.10, P＜0.001). CON⁃ CLUSION The two-week prevalence rate of female was higher than that of male. The main influencing factors of rural residents in Tonghai were gender, age, education level and marital status