Introduction: Stroke prevention needs to start with finding risk factors related to the occurrence of stroke and controlling them. Objectives: Describe the current status of knowledge, attitude and practice of the elderly about stroke prevention in Thai Nguyen. Methods: Cross-sectional descriptive study conducted on 408 elderly people living in Thai Nguyen City. Results: The average age is 71.6 (years), with a high proportion of women (64.25); Elderly people who do not know the common manifestations of stroke, account for a high proportion (51%); Hypertension is considered the leading cause of stroke (60.5%); The majority of elderly people think that stroke is a dangerous disease (96.3%) but the majority think that it can be cured (55.4%); The majority of elderly people monitor their blood pressure at home (74.5%), but the rate of daily blood pressure monitoring is not high (32.1%). Conclusion: A high proportion of elderly people do not know the common manifestations of stroke. The practice of the elderly in stroke prevention and initial emergency treatment in the community still has some incorrect ways.