Objective To analyze the detection of pulmonary nodules in adult males during health examinations in Jiaxing City,Zhejiang Province,and to investigate the associated influencing factors,providing a reference for the prevention and control of pulmonary nodules and lung cancer.Methods Adult males who underwent physical examination at Zhejiang Rongjun Hospital and the First Hospital of Jiaxing from January 2022 to December 2023 were selected as the study subjects.General information was collected and the screening results of spiral CT for pulmonary nodules were statistically analyzed.Univariate and multivariate Logistic regression analyses were used to investigate the influencing factors for the occurrence of pulmonary nodules in adult males.Results A total of 2 187 subjects were included,with 801 cases of pulmonary nodules detected,resulting in a detection rate of 36.6%.Univariate analysis showed that age,smoking,dietary preferences,weekly exercise frequency,fume exposure,and occupational exposure were associated with the occurrence of pulmonary nodules in adult males(all P<0.05).Multivariate Logistic regression analysis showed that being aged 60 or above(OR=1.962,95%CI=1.323-2.909),history of smoking(OR=2.036,95%CI=1.328-3.121),preference for pickled and fried foods(OR=2.088,95%CI=1.286-3.388),exercising less than once a week(OR=2.077,95%CI=1.371-3.147),long-term exposure to cooking fumes(OR=2.050,95%CI=1.299-3.237),and occupational exposure history(OR=2.104,95%CI=1.284-3.448)were all related factors for the occurrence of pulmonary nodules in adult males(P<0.05).Conclusions The detection rate of pulmonary nodules in adult males is relatively high and is associated with factors such as age,smoking,dietary preferences,weekly exercise frequency,exposure to cooking fumes,and occupational exposure.It is recommended that clinical interventions be taken based on these risk factors to control and reduce the incidence of pulmonary nodules.