Objective To investigate the current situation and influencing factors of knowledge,attitude and practice(KAP)of fall prevention among the elderly in Huzhou City,Zhejiang Province,so as to provide the evidence for the de-velopment of fall intervention for the elderly.Methods The permanent residents aged 60 years and over in Huzhou City were selected using multi-stratified cluster sampling method from March to April 2023.Demographic information,activity of daily living(ADL),fall risk,and KAP of fall prevention was collected using questionnaire surveys.Factors af-fecting KAP of fall prevention were identified using a multivariable logistic regression model.Results Totally 2 160 questionnaires were allocated,and 2 104 valid questionnaires were recovered,with an effective recovery rate of 97.41%.There were 1 063 males(50.52%)and 1 041 females(49.48%),and 861 residents aged 60 to<70 years(40.92%).The awareness of fall prevention knowledge was 84.13%,the percentage of attitude towards fall prevention was 85.88%,and the percentage of practice of fall prevention was 14.59%.Multivariable logistic regression analysis showed that age,educational level,exercise duration and fall risk were associated with the awareness of fall prevention knowledge;age,educational level,marital status,exercise duration,ADL and fall risk were associated with the attitude towards fall pre-vention;gender,age,educational level,marital status,exercise duration,chronic diseases,ADL and fall risk were associ-ated with the practice of fall prevention(all P<0.05).The desired access to fall prevention knowledge was mainly domi-nated by medical personnel,accounting for 75.51%(589/780).Conclusions The practice towards fall prevention among the elderly is relatively low in Huzhou City.The KAP of fall prevention is related to age,educational level,exercise du-ration and fall risk.