目的　分析农村老年人跌倒的情况和危险因素 ,为开展老年跌倒的预防提供依据。　方法　采用整群抽样方法 ,对莱州市西由镇 6 0岁及以上的 10 0 3位农民 ,发生在 2 0 0 1年 3月前 12个月的跌倒情况进行调查。　结果　跌倒发生率为 2 2 6 % ,男性 15 9% ,女性 2 8 4 % ;女性、年龄大、前1年跌倒史、独居、2种以上慢性病、2种以上不良症状、自我健康评价差、与前 1年对比健康评价差、步态不稳是跌倒的危险因素 ;社会交往少是跌倒的保护因素。　结论　由多种原因造成农村老年人跌倒 ,预防老年人跌倒也亦采取多种措施。 Objective To analyze the situation and risk factors of falls among the elderly in rural areas and provide evidence for the prevention of senile falls. Methods A cluster sampling method was used to investigate the fall of 103 farmers aged 60 and above in Xiyu Town, Laizhou City, during the 12 months before March 2001. Results The incidence of falls was 22.6%, 15.9% for males and 28.4% for females. Female, older, fall history in the previous year, living alone, two or more chronic diseases, more than two kinds of adverse symptoms, poor self-health evaluation, Compared with the previous year, poor health evaluation, gait instability is a risk factor for falls; less social interaction is a fall protection factor. Conclusions The elderly in rural areas have fallen for many reasons and many measures have been taken to prevent the elderly from falling.